Ms Brooke Holly Shelton, FNP-BC in Pleasant Grove, UT

Ms Brooke Holly Shelton, FNP-BC is a medicare enrolled "Nurse Practitioner" in Pleasant Grove, Utah. Her current practice location is 830 N 2000 W, Pleasant Grove, Utah. You can reach out to her office (for appointments etc.) via phone at (801) 208-8850.

Ms Brooke Holly Shelton is licensed to practice in Utah (license number 10408063-4405) 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 1942999511.

Contact Information

	Ms Brooke Holly Shelton, FNP-BC
	830 N 2000 W, Pleasant Grove, UT 84062-4047
	(801) 208-8850
	Not Available

Map and Direction

Provider's Profile

Full Name	Ms Brooke Holly Shelton
Gender	Female
Speciality	Nurse Practitioner
Location	830 N 2000 W, Pleasant Grove, Utah
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1942999511
Provider Enumeration Date: 05/01/2023
Last Update Date: 08/09/2024

Medicare PECOS Information:

PECOS PAC ID: 4688115272
Enrollment ID: I20240923003384

Medical Identifiers

Medical identifiers for Ms Brooke Holly Shelton such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1942999511	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	10408063-4405 (Utah)	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. Ms Brooke Holly Shelton allows following entities to bill medicare on her behalf.

Entity Name	Premier Family Medical
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1750725735 PECOS PAC ID: 7416197785 Enrollment ID: O20130710000079

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. Ms Brooke Holly Shelton 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 Address	Practice Location Address
Ms Brooke Holly Shelton, FNP-BC 659 E Wyngate Pointe Ln, Draper, UT 84020-9695 Ph: (801) 208-8850	Ms Brooke Holly Shelton, FNP-BC 830 N 2000 W, Pleasant Grove, UT 84062-4047 Ph: (801) 208-8850

Reviews and Comments

Nurse Practitioner Nurses in Pleasant Grove, UT

Nichole Chalise Nelson, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1446 W Pleasant Grove Blvd, Pleasant Grove, UT 84062 Phone: --
Carissa Robinson, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1221 S Valley Grove Way Ste 160, Pleasant Grove, UT 84062 Phone: 801-477-7189 Fax: 888-745-9274
Rachel Maria Hogan, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1176 E 260 S, Pleasant Grove, UT 84062 Phone: 801-358-2137
Monica Constanza Bruna, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 830 N 2000 W, Pleasant Grove, UT 84062 Phone: 801-757-3511
Carol Ann Graff, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1886 W 800 N, Pleasant Grove, UT 84062 Phone: 801-429-8000
Ruth A Hooper, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 830 N 2000 W, Pleasant Grove, UT 84062 Phone: 801-756-3511 Fax: 801-756-1705
Dr. Brianna Lastre, DNP, WHNP, CNM Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1446 W Pleasant Grove Blvd., Pleasant Grove, UT 84062 Phone: 801-785-5100

Ms Brooke Holly Shelton, FNP-BC - Medicare Nurse Practitioner in Pleasant Grove, UT