Shelly Diane Prince, APRN - Medicare Nurse Practitioner in Tulsa, OK

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Shelly Diane Prince, APRN is a medicare enrolled "Nurse Practitioner - Family" in Tulsa, Oklahoma. Her current practice location is 717 W 71st St, Tulsa, Oklahoma. You can reach out to her office (for appointments etc.) via phone at (918) 517-6300.

Shelly Diane Prince is licensed to practice in Oklahoma (license number 90580) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1972144475.

Contact Information

Shelly Diane Prince, APRN
717 W 71st St,
Tulsa, OK 74132-1824
(918) 517-6300
Not Available

Map and Direction




Provider's Profile

Full NameShelly Diane Prince
GenderFemale
SpecialityNurse Practitioner - Family
Location717 W 71st St, Tulsa, Oklahoma
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1972144475
  • Provider Enumeration Date: 10/05/2019
  • Last Update Date: 11/13/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 5294168969
  • Enrollment ID: I20191211000209

Medical Identifiers

Medical identifiers for Shelly Diane Prince such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1972144475NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 90580 (Oklahoma)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Shelly Diane Prince allows following entities to bill medicare on her behalf.
Entity NameSt John Physicians Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1336194406
PECOS PAC ID: 2567366495
Enrollment ID: O20031121000867
Entity NameCarrus Care Physicians Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1336637123
PECOS PAC ID: 3476898040
Enrollment ID: O20190628001320
Entity NameCarrus Lakeside Hospital Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1538921184
PECOS PAC ID: 1850789785
Enrollment ID: O20240208002977

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Shelly Diane Prince is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Shelly Diane Prince, APRN
4953 S 185th East Ave,
Tulsa, OK 74134-7321

Ph: (918) 508-1922		Shelly Diane Prince, APRN
717 W 71st St,
Tulsa, OK 74132-1824

Ph: (918) 517-6300

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.