Individual provider

Shelley Tickett

Pediatrics Physician Medicare enrolled

Shelley Tickett is a Pediatrics Physician in Brandon, FL, registered under NPI 1023064292.

Getting there

The practice address on file is 901 E BLOOMINGDALE AVE STE 501, Brandon, FL 33511. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.

901 E BLOOMINGDALE AVE STE 501, Brandon, FL 33511 Open in Google Maps →

Credentials and Medicare

State licence
LicenceStateSpecialty
ME90313 FL Pediatrics Physician primary

This provider holds licence ME90313 issued in FL. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.

Medicare (PECOS)
Status
Approved
Provider type
Practitioner - Emergency Medicine
PAC ID
3274508189

Medicare enrolment is recorded as approved under the provider type Practitioner - Emergency Medicine. This means the provider is enrolled to bill Medicare, though it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.

What Pediatrics covers

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. NUCC Health Care Provider Taxonomy, code 208000000X
Allopathic & Osteopathic Physicians Pediatrics

The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.

Full NPPES record

An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.

NPI1023064292 valid check digit
Entity typeIndividual (NPI-1)
Enumeration dateMay 26, 2006
Last updatedJul 1, 2024
StatusActive
Sole proprietorNo
Practice address 901 E BLOOMINGDALE AVE STE 501
Brandon, FL 33511
(813) 699-3995
Mailing address 14902 HERONGLEN DR
Lithia, FL 33547
Other identifiers 269812900 (FL)
44141 · BCBS OF FLORIDA (FL)
This record was updated on Jul 1, 2024, which is recent enough that the contact details are likely still accurate.

Number check

1023064292 passes the NPI check digit test The final digit 2 matches the value computed from the first nine digits, so this is a well-formed NPI.
How the check works, step by step

Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.

Digit 8 0 8 4 0 1 0 2 3 0 6 4 2 9
Doubled? ×2 ×2 ×2 ×2 ×2 ×2 ×2
Value 8 0 8 8 0 2 0 4 3 0 6 8 2 9

Sum = 58 · next multiple of 10 = 60 · check digit = 2 · actual last digit = 2

A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.

Common questions

What is NPI number 1023064292?
NPI 1023064292 is the National Provider Identifier assigned to Shelley Tickett in Brandon, FL. It is a 10-digit number issued by the Centers for Medicare & Medicaid Services and used on claims, referrals, and prescriptions to identify the provider.
What does Pediatrics Physician cover?
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and…
How do I contact Shelley Tickett?
The phone number on file with NPPES is (813) 699-3995, last updated Jul 1, 2024. Because NPPES is only updated when a provider files a change, call ahead to confirm the number and the current practice address before visiting.
Does Shelley Tickett accept Medicare?
This NPI has an approved Medicare enrolment in PECOS, which means the provider is enrolled to bill Medicare. Enrolment does not guarantee they are accepting new Medicare patients — verify directly with the office.
Is NPI 1023064292 a valid number?
Yes. 1023064292 passes the Luhn check digit validation that CMS uses for NPI numbers, and it resolves to an active record in the registry.
How to use this page. Everything here comes from public federal records. Tips Health does not verify quality of care, confirm that a licence is currently active, or check malpractice history, and accepts no fees for placement. A listing is not a recommendation. Verify independently before seeking care.