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Active NPI 1720680267 Individual Practitioner Female Practitioner

Shelby Lynn Sullivan , FNP-C

Nurse Practitioner • Longview, TX

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Shelby Sullivan, FNP-C is a certified Nurse Practitioner practicing in Longview, TX. With approximately 6 years of clinical experience since completing medical education in 2020, Shelby Sullivan delivers high-quality medical care to the local community at 707 E MARSHALL AVE.

Shelby Sullivan is affiliated with Christus Trinity Clinic and accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Frequently performed procedures and clinical services include routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only, established patient outpatient office visit, subsequent hospital care with moderate levelof medical decision making, if using time, at least. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

707 E Marshall Ave

Longview, TX 756015545

Telephone 9033154880
Associated Practice Facility / Clinic
🏢 Christus Trinity Clinic Facility NPI 1285684225

Medicare Profile & Education

Medical School

Other

Graduation Year

2020

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Longview, TX

Experienced Practitioner (5-10 Yrs)
Practitioner Clinical Experience
6 Yrs -4.3 yrs vs City Avg
City Avg: 10.3 Yrs
State Avg: 9.7 Yrs
Regional Practice Density
49 Specialists

Practicing in Longview, TX (4894 Statewide)

Telehealth Adoption Rate
10.2% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount
68.7% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Sullivan (6 Years) 6 Yrs
Longview Specialty Average (10.3 Years) 10.3 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only
458 326 $19.00 $6.75
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
336 251 $289.00 $80.36
99213 Established patient office or other outpatient visit, typically 15 minutes
115 109 $204.00 $54.88
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes
23 18 $159.00 $66.00
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes
15 15 $441.00 $139.79

Medical Specialties & State Licenses

CMS Verified: 2025-09-04
Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License TX 1018780

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Family Medicine

NUCC Taxonomy Code: 207Q00000X

State License TX 1018780

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Hospital & Practice Group Affiliations

Christus Trinity Clinic

707 E Marshall Ave, Longview, TX 756015545

Phone: 9033152833

Christus Trinity Clinic

1600 Broadway Ave, Gladewater, TX 756475040

Phone: 9033155630

Christus Trinity Clinic

700 E Marshall Ave, Longview, TX 756015580

Phone: 9033151488

Christus Trinity Clinic

Po Box, Dallas, TX 752846098

Christus Trinity Clinic

630 S Fleishel Ave, Tyler, TX 757012041

Phone: 9036065560

Christus Trinity Clinic

620 S Fleishel Ave, Tyler, TX 757012041

Phone: 9036064900

Christus Trinity Clinic

703 E Marshall Ave, Longview, TX 756015500

Christus Trinity Clinic

707 E Marshall Ave, Longview, TX 756015545

Phone: 9035952283

Secondary Practice Locations

703 E Marshall Ave Ste 5007

Longview, TX 756015554

Phone: 9033154880

121 Private Road 1049 # 2

Diana, TX 756404047

Phone: 9032379760

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

13 Associated Practitioners
Dr. Stanislav Weiner , MD

Internal Medicine - Clinical Cardiac Electrophysiology

NPI 1003801705

Doctor of Medicine (M.D.)

Lamont Davis , FNP

Nurse Practitioner - Family

NPI 1215271481

Family Nurse Practitioner

Dr. Peter Macander , MD

Internal Medicine - Cardiovascular Disease

NPI 1285613851

Doctor of Medicine (M.D.)

Brandon Bryant , ACNP

Nurse Practitioner - Acute Care

NPI 1306340690
Dr. Shafik Hanna-Moussa , MD

Internal Medicine - Interventional Cardiology

NPI 1306850227

Doctor of Medicine (M.D.)

Dr. John Mcclish , MD

Internal Medicine - Cardiovascular Disease

NPI 1427019249

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

9 Historical Events
🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 04, 2025

Nurse Practitioner (License #1018780 in TX)

📍
Updated Practice Location June 09, 2022

Registered at 707 E MARSHALL AVE, LONGVIEW, TX 756015545 (Tel: 9033154880)

📍
Updated Business Mailing Address June 09, 2022

Registered at PO BOX 846098, DALLAS, TX 752846098 (Tel: 9033246400)

NPI Profile Active November 10, 2020

NPI status registered as active in NPPES database

📍
Updated Practice Location November 10, 2020

Registered at 121 PRIVATE ROAD 1049 # 2, DIANA, TX 756404047 (Tel: 9032379760)

📍
Updated Business Mailing Address November 10, 2020

Registered at 121 PRIVATE ROAD 1049 # 2, DIANA, TX 756404047 (Tel: 9032379760)

👤
Provider Name / Credentials Updated November 10, 2020

Recorded as SHELBY SULLIVAN, FNP-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 10, 2020

Family Medicine (License #1018780 in TX)

🟢
Initial NPI Registration & Enumeration November 10, 2020

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1720680267
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 10, 2020
Last Update: September 04, 2025
Sole Proprietor: No

Mailing Address

Po Box 846098

Dallas, TX 752846098

Phone: 9033246400

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.