Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mrs. Shelby Nicole Scullen, NP

Individual provider Family Nurse Practitioner · NPI 1194508952

Mrs. Shelby Nicole Scullen, NP is a Nurse Practitioner in Watertown, New York. Qualified in 2023, 3 years ago. Practices with Samaritan Medical Center, a 158-clinician group, accepts Medicare assignment and offers telehealth. Licensed in New York.

Years since qualifying
3
Licensed in
NY
In the registry since
2023
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

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Practice location Address checks out

22567 Summit Dr Bldg II
Watertown, NY 13601-7210
Phone: (315) 782-7230
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 352028 (NY)

Record details

NPI number1194508952
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP
Sole proprietorNo
NPI enumeratedAugust 16, 2023
Last updated in NPPESAugust 16, 2023
Certification dateAugust 16, 2023

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Samaritan Medical Center — 158 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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