Individual provider Active NPI

Shapell Carter-Cosey, NP

  • Gerontology Nurse Practitioner
  • Humble, TX
National Provider Identifier
1114627700
Registry record updated Aug 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
1112093 Issued in TX
Practice address
17401 W Lake Houston Pkwy Apt 8107
Humble, TX 77346-5148
Phone
(281) 706-9947
NPI assigned
Mar 3, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 20, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse Practitioner 363LG0600X 1112093 TX Primary

Addresses

Primary practice location

17401 W Lake Houston Pkwy Apt 8107
Humble, TX 77346-5148

Mailing address

6106 Morning Fern LN
Humble, TX 77338-2179
Phone (281) 706-9947

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
I20251008004550 TX Practitioner - Nurse Practitioner 0042717688 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

339 Stars and Stripes
Fischer, TX 78623-1928

424 Church St
Nashville, TN 37219-2301

6106 Morning Fern LN
Humble, TX 77338-2179

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1112093TXMDGerontology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Nguyen Offices CurrentSince Jul 6, 2025 Accepting new patients
Regional Physician Services of Texas, P.a. CurrentSince Jan 1, 2026 Accepting new patients

Locations

424 Church St
Ste 2600
Nashville, TN 37219
Phone (480) 450-3721

521 N Sam Houston Pkwy E
Ste 100
Houston, TX 77060
Phone (281) 405-9100

2900 Woodridge Dr
Ste 101
Houston, TX 77087

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1677801600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755648000000",
    "number": "1114627700",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6106 MORNING FERN LN",
            "city": "HUMBLE",
            "state": "TX",
            "postal_code": "773382179",
            "telephone_number": "281-706-9947"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17401 W LAKE HOUSTON PKWY APT 8107",
            "city": "HUMBLE",
            "state": "TX",
            "postal_code": "773465148",
            "telephone_number": "281-706-9947"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARTER-COSEY",
        "first_name": "SHAPELL",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-03-03",
        "last_updated": "2025-08-20",
        "certification_date": "2025-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "TX",
            "license": "1112093",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Humble, TX

Sources for this page

Verify at the official NPI Registry.