Shelley J. Park, N.P.
NPI 1386683480ActiveIndividual· Nurse Practitioner· Redlands, CA
Nurse Practitioner (N.P.) with Beaver Medical Group P C, practicing in Redlands, California. Their prescriptions cost Medicare Part D more than their services did: $737,404 for 3,543 claims, against $16,832 paid for services in 2024.
Overview
| NPI | 1386683480 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | N.P. |
| Sole proprietor | No |
| NPI issued | Jun 5, 2006 |
| Last updated in NPPES | Jan 5, 2026 |
| Certified by provider | Jan 5, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner Primary | 363L00000X | 14554 | CA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Nurse Practitioner (CA) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 188 |
|---|---|
| Services billed | 259 across 8 procedure codes |
| Paid by Medicare | $16,832 |
Part D prescriptions in 2024
| Prescriptions (claims) | 3,543 · 8,440 30-day fills |
|---|---|
| Patients | 784 |
| Total drug cost | $737,404 |
| Generic share | 75% of claims |
Education and affiliations
| Graduation year | 2005 |
|---|---|
| Medicare specialty | Nurse Practitioner |
Medical group
- Beaver Medical Group P CRedlands, CA · 247 clinicians
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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All 23 nurse practitioners in Redlands · All nurse practitioners in California