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

Shelby Coup

Individual provider Physician Assistant · NPI 1891681466

Shelby Coup is a Physician Assistant in Flagstaff, Arizona. Qualified in 2025, 1 year ago. Practices with Northern Arizona Healthcare Corporation, a 395-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Arizona.

Years since qualifying
1
Licensed in
AZ
In the registry since
2025
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Practice location Address checks out

2000 S Thompson St
Flagstaff, AZ 86001-8759
Phone: (928) 226-6400
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 11184 (AZ)

Record details

NPI number1891681466
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJune 17, 2025
Last updated in NPPESJuly 22, 2025
Certification dateJuly 22, 2025
Mailing address17374 E Woolsey Way, Rio Verde, AZ 85263-5357

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Group practice Northern Arizona Healthcare Corporation — 395 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations7 on file with Medicare

Other providers in Flagstaff