Shelby Moderow
NPI 1366164535 · Medical Physician Assistant · Hill Afb, UT
Enrolled with Medicare as Practitioner - Physician Assistant · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Shelby Moderow is a Medical Physician Assistant provider in Hill Afb, UT (NPI 1366164535).
Provider details
- NPI number
- 1366164535
- Entity type
- Individual
- Primary specialty
- Medical Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 yrs in NPPES registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2022-09-14
- Last updated
- 2022-09-14
- Certified
- 2022-09-14
Frequently asked questions
- What is Shelby Moderow's NPI number?
- Shelby Moderow's National Provider Identifier (NPI) is 1366164535, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Shelby Moderow's specialty?
- Shelby Moderow is listed in the NPPES registry with a primary specialty of Medical Physician Assistant (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Shelby Moderow located?
- Shelby Moderow's practice location on file with NPPES is 7321 Balmer St # 570, Hill Afb, UT 84056-5012.
- What is Shelby Moderow's phone number?
- The practice phone number listed in the NPPES registry for Shelby Moderow is (801) 586-2273.
- Does Shelby Moderow accept Medicare?
- Shelby Moderow is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Shelby Moderow's NPI active?
- Yes — Shelby Moderow's NPI (1366164535) is active in the NPPES registry as of the last update on 2022-09-14.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.