| Mrs Shelly Ann Abell, FNP | |
|
4511 Zebe Ave, Chubbuck, ID 83202-4707 | |
| (208) 904-4780 | |
| (208) 904-4832 |
| Full Name | Mrs Shelly Ann Abell |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 3 Years |
| Location | 4511 Zebe Ave, Chubbuck, Idaho |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528791969 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 73326 (Idaho) | Secondary |
| 363LA2100X | Nurse Practitioner - Acute Care | 73326 (Idaho) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| St Lukes Magic Valley Medical Center | Twin falls, ID | Hospital |
| St Luke's Wood River Medical Center | Ketchum, ID | Hospital |
| Cassia Regional Hospital | Burley, ID | Hospital |
| Minidoka Memorial Hospital | Rupert, ID | Hospital |
| North Canyon Medical Center | Gooding, ID | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Idaho Kidney Institute Llp | 9032155312 | 14 |
| Entity Name | St Lukes Clinic Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1790718229 PECOS PAC ID: 1052217478 Enrollment ID: O20031208000899 |
| Entity Name | Idaho Kidney Institute Llp |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1013064690 PECOS PAC ID: 9032155312 Enrollment ID: O20050708000247 |
| Entity Name | Meridian Advanced Psychiatry , Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1609412683 PECOS PAC ID: 8628490711 Enrollment ID: O20200618000604 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Shelly Ann Abell, FNP 4511 Zebe Ave, Chubbuck, ID 83202-4707 Ph: (208) 904-4780 | Mrs Shelly Ann Abell, FNP 4511 Zebe Ave, Chubbuck, ID 83202-4707 Ph: (208) 904-4780 |