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

Shelby Alexandra Prater

Individual provider Family Nurse Practitioner · NPI 1447077433

Shelby Alexandra Prater is a Family Practice in Beavercreek, Ohio. Qualified in 2024, 2 years ago. Practices with Providence Medical Group, a 29-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Ohio.

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

38 Woodcroft Trl
Beavercreek, OH 45430-1980
Phone: (937) 427-3333
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 3123 Research Blvd, Kettering, OH 45420-4035 — (937) 668-1951
  • 4867 Urbana Rd, Springfield, OH 45502-9815 — (937) 563-4901

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence APRN.CNP.0037608 (OH)

Record details

NPI number1447077433
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedSeptember 23, 2024
Last updated in NPPESFebruary 28, 2025
Certification dateFebruary 10, 2025

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Providence Medical Group — 29 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Beavercreek