MEDICARE: TREVOR LEE SHELTON NP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	163W00000X	Registered Nurse	453039	OH
2	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	0037170	OH

General Provider Information

NPI Number	:	1417785841
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TREVOR LEE SHELTON NP

Provider Business Mailing Address
First Line	:	8940 KINGSRIDGE DR STE 106
Second Line	:
City	:	DAYTON
State	:	OH
Zip	:	45458-1632
Country	:	US
Telephone Number	:	937-813-4485
Fax Number	:

Provider Business Practice Location Address
First Line	:	8940 KINGSRIDGE DR STE 106
Second Line	:
City	:	DAYTON
State	:	OH
Zip	:	45458-1632
Country	:	US
Telephone Number	:	937-813-4485
Fax Number	:	937-813-4576

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/25/2024
Last Update Date	:	02/11/2026

Similar Medicare Providers

1518705938 — MR. ZACHARY ALLEN HADDOX PMHNP
Practice Location Address:

8940 KINGSRIDGE DR STE 106
DAYTON, OH
45458-1632

Practice Phone: 937-813-4485
Practice Fax:

1003800525 — PETER H MASON DPM
Practice Location Address:

1632 STAFFORD SPRINGS PL
DAYTON, OH
45458-6033

Practice Phone: 937-608-0396
Practice Fax:

1871523209 — CHARLES D HANSHAW DO
Practice Location Address:

8940 KINGSRIDGE DR , STE. 103
DAYTON, OH
45458-1632

Practice Phone: 937-439-7430
Practice Fax: 937-439-7446

1659453165 — LYNNE M ROUTSONG-WIECHERS MSW, LISW
Practice Location Address:

8940 KINGSRIDGE DR , STE 106
DAYTON, OH
45458-1632

Practice Phone: 937-432-9130
Practice Fax: 937-432-9169

1831310770 — AARON PATRICK HANSHAW D.O.
Practice Location Address:

8940 KINGSRIDGE DR , STE 103
DAYTON, OH
45458-1632

Practice Phone: 937-439-7430
Practice Fax: 937-439-7446

1164613303 — DR. BRIAN J MIHOK D.O.
Practice Location Address:

8940 KINGSRIDGE DR STE 104
DAYTON, OH
45458-1632

Practice Phone: 937-433-0454
Practice Fax:

Directions to “ TREVOR LEE SHELTON NP” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.