P Praxis·MD
● Active Type 1 · Individual

Carole E Shelley, M.D.

Obstetrics & Gynecology·Pocatello, ID· NPI 1669462149 · Enumerated 2005 · 20 years on NPI
Shelley is 1 of 15 obstetrics & gynecology providers in Pocatello and 1 of 228 in Idaho.
NPI age
20 years
Enumerated 2005-10-25
Primary specialty
Obstetrics & Gynecology
Plus 1 subspecialty
Licensed in
ID, AZ
2 states
Status
Active
No deactivations on record
Last NPPES update
2012-07-19
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 228 active obstetrics & gynecology providers in Idaho.

NPI age
20 years
≈ at median (19 yr)
State licenses
2 states
Top 72% — 27% of peers are multi-state
Subspecialties
0
42% of peers hold subspecialties

NPI lifetime · 2005 → 2026

2005-10Enumerated in NPPES
2005 2026

Where they practice

Practice location
777 Hospital Way, Suite 300
Pocatello, ID 832015176
📞 2082393461fax 2082393425
Mailing address
777 Hospital Way, Sutie 300
Pocatello, ID 832015176
📞 2082393461fax 2082393425

Specialties

  • Obstetrics & Gynecology Primary
    An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other...
    ID license #M-10122AZ license #31911 taxonomy 207V00000X

Identifiers

TypeValueNotes
05 (AZ) 829335
01 (ID) 77366 BLUE CROSS OF IDAHO
05 (ID) 808067800
01 (ID) 82-0503971 RAILROAD-MEDICARE
Multi-state credentialing: Licensed in 2 states. Useful context for credentialers building cross-state provider networks.

Practice context

Part of a multi-provider practice. 144 other active providers share this practice address in NPPES.

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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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