Chelsea Marie Shine, DO
Individual provider Active NPI Family Medicine Physician · Wichita Falls, TX
NPI 1124607080 · NPPES record last updated Oct 2, 2024
Key facts
- NPI
- 1124607080
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- V0165 (TX)
- Practice address
- 501 Midwestern Pkwy E
Wichita Falls, TX 76302-2302 - Phone
- (940) 716-5750
- Fax
- (940) 716-5772
- NPI assigned
- Apr 6, 2021
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Hospital & facility affiliations 7
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- Kansas City University of Med & Biosciences, College of Osteo Med, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Clinics of North Texas LLP
Practice addresses (Care Compare)
501 Midwestern Pkwy E
Clin of N TX LLP Rad
Wichita Falls, TX 76302-2302
Phone (940) 766-3551
Hospital & facility affiliations
- Healing Hands Healthcare LLC
- Angels Care Home Health
- Beyond Faith Homecare & Rehab of Wichita Falls
- 1St Texas Home Health
- Centerwell Home Health
- Hospice of Wichita Falls
- United Regional Health Care System
Merit-based Incentive Payment System (MIPS)
- Final score
- 81.34 of 100
- Quality
- 72.51
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 65.28
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240720000515 | TX | Practitioner - Family Practice | 8527476332 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Clinics of North Texas LLP | Current | Accepting new patients | |
| Clinics of North Texas LLP | Family Medicine | Current |
Accepting new patients |
Locations
501 Midwestern Pkwy E
Wichita Falls, TX 76302
Phone (940) 766-3551
Interoperability endpoints
- chelseashine@cntllp.allscriptsdirect.net
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | V0165 | TX | Yes |
Addresses
Primary practice location
501 Midwestern Pkwy E
Wichita Falls, TX 76302-2302
Mailing address
501 Midwestern Pkwy E
Wichita Falls, TX 76302-2302
Phone (940) 716-5750
Other providers in Wichita Falls, TX
- Jay Sheriff
- Lisa Sheriff
- Tom Sheriff
- Brooke Marie Shewmake
- Ashlea Shierry
- Rebecca Marie Shine
- Parker Haden Short
- Shri Maruti Drugs Inc
- Waqas Shuaib
- Colleen Shugart
All providers in Wichita Falls, TX · Family Medicine Physician in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 2, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.