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

Individual provider Family Nurse Practitioner · NPI 1720630643

Stephanie Shellman, FNP is a Nurse Practitioner in Walton, New York. Qualified in 2019, 7 years ago. Practices with Mary Imogene Bassett Hospital, a 779-clinician group, accepts Medicare assignment and offers telehealth. Licensed in New York.

Years since qualifying
7
Licensed in
NY
In the registry since
2019
What do these letters mean?
FNP — Family Nurse Practitioner
A nurse practitioner who treats patients of all ages, much like a family doctor.

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Practice location Address checks out

130 N St
Walton, NY 13856-1299
Phone: (607) 865-6541
Fax: (607) 865-9164
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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 F344656-01 (NY)

Record details

NPI number1720630643
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP
Sole proprietorNo
NPI enumeratedJuly 11, 2019
Last updated in NPPESNovember 21, 2022
Certification dateNovember 21, 2022
Mailing address130 North St, Walton, NY 13856-1299

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Mary Imogene Bassett Hospital — 779 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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