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

Shelly Bailey

Individual provider Nurse Practitioner · NPI 1174183693

Shelly Bailey is a Nurse Practitioner in Tyler, Texas. Qualified in 2018, 8 years ago. Practices with Christus Trinity Clinic, a 1,531-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Texas.

Years since qualifying
8
Licensed in
TX
In the registry since
2019
Specialties on file
2
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Practice location Address checks out

1720 S Beckham Ave Ste 104
Tyler, TX 75701-4437
Phone: (903) 597-2002
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 909 Ese 323 Loop Ste 777, Tyler, TX 75701 — (903) 606-8888

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence AP140105 (TX)
Nurse Practitioner Taxonomy 363L00000X · Licence AP140105 (TX)

Record details

NPI number1174183693
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJune 17, 2019
Last updated in NPPESAugust 13, 2024
Certification dateAugust 6, 2024
Mailing addressPo Box 846098, Dallas, TX 75284-6098

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Christus Trinity Clinic — 1531 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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