Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Shelby Marisa Braden, PMH-DNP

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1538975164

Dr. Shelby Marisa Braden, PMH-DNP is a Nurse Practitioner in Chicago, Illinois. Qualified in 2024, 2 years ago. Practices with Pacific Heritage Medical Group Inc, a 60-clinician group and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
2
Licensed in
IL
In the registry since
2024
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Practice location Address checks out

2233 W Division St
Chicago, IL 60622-8151
Phone: (312) 770-3222
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 209031204 (IL)

Record details

NPI number1538975164
Entity typeIndividual (Type 1)
GenderFemale
Credentials PMH-DNP
Sole proprietorYes
NPI enumeratedDecember 9, 2024
Last updated in NPPESDecember 9, 2024
Certification dateDecember 9, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Pacific Heritage Medical Group Inc — 60 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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