Individual provider Active NPI

Ebony Shelton

  • Certified Registered Nurse Anesthetist
  • Dallas, TX
National Provider Identifier
1205548914
Registry record updated Aug 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
1100513 Issued in TX
Practice address
6201 Harry Hines Blvd
Dallas, TX 75235
Phone
(214) 930-3732
NPI assigned
Dec 14, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 1100513 TX Primary

Addresses

Primary practice location

6201 Harry Hines Blvd
Dallas, TX 75235

Mailing address

6201 Harry Hines Blvd
Dallas, TX 75235
Phone (214) 930-3732

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, AR, NM3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20230712000272 TX Practitioner - Certified Registered Nurse Anesthetist (Crna) 2860852654 Reassigns benefits to 2 organizations
I20250131000941 AR Practitioner - Certified Registered Nurse Anesthetist (Crna) 2860852654 Reassigns benefits to 1 organization
I20251121000511 NM Practitioner - Certified Registered Nurse Anesthetist (Crna) 2860852654 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Healthtexas Provider NetworkGroup PAC ID 1355254210, 2,535 clinicians
Renew Medical Group of Arkansas LTDGroup PAC ID 3173056298, 129 clinicians

Practice addresses (Care Compare)

1400 8TH Ave
Fort Worth, TX 76104-4110

4001 Worth St
Dallas, TX 75246-1608

5408 Colleyville Blvd
Colleyville, TX 76034-5833
Phone (817) 498-9920

6800 Scenic Dr
Suite 1071
Rowlett, TX 75088-4552
Phone (972) 535-2946

7301 Rogers Ave
Fort Smith, AR 72903-4100
Phone (479) 314-6000

821 N Coleman St
Suite 100
Prosper, TX 75078-2339
Phone (469) 800-5200

Hospital & facility affiliations

  • Mercy Hospital Fort Smith Hospital, Fort Smith, AR, CCN 040062
  • Baylor Scott and White Medical Center Lake Pointe Hospital, Rowlett, TX, CCN 450742
  • Baylor Scott and White All Saints Medical Center Hospital, Fort Worth, TX, CCN 450137

Merit-based Incentive Payment System (MIPS)

Final score
82.87 of 100Reported as group
Quality
70.15
Promoting interoperability
100
Improvement activities
40
Cost
72.75

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1100513TXMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Healthtexas Provider Network Anesthesiology CurrentSince Oct 9, 2025 Accepting new patients
University of Texas Southwestern Medical Center at Dallas Nurse Anesthetist, Certified Registered CurrentSince Mar 2, 2023 Accepting new patients
Main Street Anesthesia of New Mexico, LLC Anesthesiology CurrentSince Oct 1, 2025 Accepting new patients
The University of Texas Southwestern Medical Center at Dallas CurrentSince Mar 2, 2023 Accepting new patients
Healthtexas Provider Network Current Accepting new patients
Renew Medical Group of Arkansas LTD Anesthesiology CurrentSince Dec 3, 2024 Accepting new patients
University of Texas Southwestern Medical Center at Dallas Anesthesiology Current Accepting new patients
Healthtexas Provider Network CurrentSince Oct 9, 2025 Accepting new patients

Locations

7301 Rogers Ave
Fort Smith, AR 72903
Phone (479) 314-4600

117 E 19th St
Roswell, NM 88201
Phone (505) 727-2000

5408 Colleyville Blvd
Colleyville, TX 76034
Phone (817) 498-9920

6201 Harry Hines Blvd
Dallas, TX 75235
Phone (214) 633-4700

4001 Worth St
Dallas, TX 75246
Phone (214) 828-1745

3000 N Interstate 35
Denton, TX 76201
Phone (469) 303-3591

100 Medical Pkwy
Lakeway, TX 78738
Phone (512) 206-8100

821 N Coleman St
Ste 100
Prosper, TX 75078
Phone (469) 800-5200

5323 Harry Hines Blvd
Ut Southwest Medical Center, TX 75390

Organizations & group practices 8

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.

Hospital & facility affiliations 3

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": "1670976000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693180800000",
    "number": "1205548914",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6201 HARRY HINES BLVD",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "75235",
            "telephone_number": "214-930-3732"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6201 HARRY HINES BLVD",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "75235",
            "telephone_number": "214-930-3732"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHELTON",
        "first_name": "EBONY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-12-14",
        "last_updated": "2023-08-28",
        "certification_date": "2022-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "TX",
            "license": "1100513",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.