Individual provider Active NPI

Shelbie Ray, APRN, FNP-C

  • Family Nurse Practitioner
  • Texarkana, AR
National Provider Identifier
1316788276
Registry record updated Jun 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
125936 Issued in AR
Practice address
6010 Trinity HTS
Texarkana, AR 71854-8318
Phone
(501) 621-2770
Fax
(866) 337-1615
NPI assigned
Jun 4, 2024
Last updated
Jun 4, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 125936 AR Primary

Addresses

Primary practice location

6010 Trinity HTS
Texarkana, AR 71854-8318

Mailing address

5904 Summerfield Dr
Texarkana, TX 75503-4306
Phone (501) 621-2770

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR
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
I20240614003393 AR Practitioner - Nurse Practitioner 0244773588 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Midsouth Transitions Arkansas PAGroup PAC ID 1153731005, 16 clinicians

Practice addresses (Care Compare)

Texarkana, AR 71854
Phone (430) 200-4350

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
125936ARMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Midsouth Transitions Arkansas PA Family CurrentSince Jul 1, 2024 Accepting new patients
Midsouth Wound Care of Arkansas PLLC Family CurrentSince Jun 3, 2025 Accepting new patients

Locations

5904 Summerfield Dr
Texarkana, TX 75503
Phone (430) 200-4350

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1717459200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717459200000",
    "number": "1316788276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5904 SUMMERFIELD DR",
            "city": "TEXARKANA",
            "state": "TX",
            "postal_code": "755034306",
            "telephone_number": "501-621-2770",
            "fax_number": "866-337-1615"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6010 TRINITY HTS",
            "city": "TEXARKANA",
            "state": "AR",
            "postal_code": "718548318",
            "telephone_number": "501-621-2770",
            "fax_number": "866-337-1615"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAY",
        "first_name": "SHELBIE",
        "credential": "APRN, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-06-04",
        "last_updated": "2024-06-04",
        "certification_date": "2024-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AR",
            "license": "125936",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Texarkana, AR

Sources for this page

Verify at the official NPI Registry.