Chrissy Shupak, APRN FNP-BC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

1090565 Issued in TX

Practice address

205 Church St
Grapeland, TX 75844-2151

Phone

(936) 228-3244

NPI assigned

Aug 24, 2022

Last updated

Jun 19, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Chrissy Shupak Former name

Electronic endpoints 1

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

Specialty

Nurse Practitioner

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: chrissy.shupak.1@29637.direct.athenahealth.com

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.

• Grapeland Emergent Care

  dba Grapeland Urgent Care

  • General Practice Physician
  • Grapeland, TX
  • NPI 1437833738

  Family

  Medicare reassignment NPD Authorized official
• Concord Medical Group of Texas PLLC

  • Emergency Medicine Physician
  • Lubbock, TX
  • NPI 1750790762
  Medicare reassignment NPD
• Grapeland Emergent Care

  • General Practice Physician
  • Grapeland, TX
  • NPI 1881428977

  Family

  NPD Authorized official
• Asclepion Health Management, PLLC

  • Family Medicine Physician
  • Center, TX
  • NPI 1124703632
  NPD
• Trusted Hearts Health Services, PLLC

  dba Aurora Concepts Madisonville

  • Family Medicine Physician
  • Madisonville, TX
  • NPI 1477330405
  NPD

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

{
    "created_epoch": "1661299200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687132800000",
    "number": "1356060255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1887 FM 231",
            "city": "LOVELADY",
            "state": "TX",
            "postal_code": "758513408",
            "telephone_number": "806-543-5014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 CHURCH ST",
            "city": "GRAPELAND",
            "state": "TX",
            "postal_code": "758442151",
            "telephone_number": "936-228-3244"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "110 Memorial Hospital Dr",
            "address_purpose": "LOCATION",
            "city": "Huntsville",
            "state": "TX",
            "postal_code": "773404940",
            "country_code": "US",
            "telephone_number": "936-291-3411",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHUPAK",
        "first_name": "CHRISSY",
        "name_prefix": "Ms.",
        "credential": "APRN FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-24",
        "last_updated": "2023-06-19",
        "certification_date": "2023-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1090565",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "https://www.huntsvillememorial.com",
            "affiliation": "N",
            "endpointDescription": "Huntsville Memorial",
            "address_1": "110 Memorial Hospital Dr",
            "city": "Huntsville",
            "state": "TX",
            "country_code": "US",
            "postal_code": "773404940",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "CHRISSY",
            "last_name": "SHUPAK",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Don Roland Knight, DDS
• Tina Martin, LVN
• Terressa Nelson, RN, BSN
• Sarah Marie Nielsen, LPC
• Rise & Bloom Care Services
• Meghan Womack
• World Harvest Ministries

• Family Nurse Practitioner in Grapeland, TX
• Providers in Grapeland, TX by specialty
• Family Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.