Individual provider Active NPI

Shellie Ann Rabner, RN, FNP-C

  • Family Nurse Practitioner
  • Highland Village, TX
National Provider Identifier
1053065524
Registry record updated Nov 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1069776 Issued in TX
Practice address
2280 Highland Village Rd Ste 130
Highland Village, TX 75077-7189
Phone
(972) 317-1400
Fax
(972) 317-1477
NPI assigned
Feb 3, 2022
Last updated
Nov 6, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 1069776 TX Primary
Family Nurse Practitioner 363LF0000X 777884 TX

Addresses

Primary practice location

2280 Highland Village Rd Ste 130
Highland Village, TX 75077-7189

Mailing address

2280 Highland Village Rd Ste 130
Highland Village, TX 75077-7189
Phone (972) 317-1400

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220825004161 TX Practitioner - Nurse Practitioner 8123402021 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Phipps Family MedicineGroup PAC ID 0143657494, 4 clinicians

Practice addresses (Care Compare)

2280 Highland Village Rd
Suite 130
Highland Village, TX 75077-7189
Phone (972) 317-1400

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner, Registered Nurse

State licenses

LicenseStateTypeSpecialty
777884TXMDFamily Nurse Practitioner

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1643846400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699228800000",
    "number": "1053065524",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2280 HIGHLAND VILLAGE RD STE 130",
            "city": "HIGHLAND VILLAGE",
            "state": "TX",
            "postal_code": "750777189",
            "telephone_number": "972-317-1400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2280 HIGHLAND VILLAGE RD STE 130",
            "city": "HIGHLAND VILLAGE",
            "state": "TX",
            "postal_code": "750777189",
            "telephone_number": "972-317-1400",
            "fax_number": "972-317-1477"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RABNER",
        "first_name": "SHELLIE",
        "middle_name": "ANN",
        "credential": "RN, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-02-03",
        "last_updated": "2023-11-06",
        "certification_date": "2023-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1069776",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "777884",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Highland Village, TX

Sources for this page

Verify at the official NPI Registry.