Anne C Shackelford, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

578391 Issued in TX

Practice address

705 Landa St Ste C
New Braunfels, TX 78130-6163

Phone

(830) 629-3614

Fax

(830) 629-2438

NPI assigned

Nov 15, 2009

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

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

Merit-based Incentive Payment System (MIPS)

Final score

91.89 of 100Reported as apm

Quality

78.84

Promoting interoperability

100

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: ashackelford@pmgp-tx.direct.office.nextgen.com
• Direct secure messaging: anne.shackelford.1@19704.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 and National Provider Directory roles.

• CC Healthcare Systems, LLC

  • General Practice Physician
  • New Braunfels, TX
  • NPI 1881922102
  Medicare reassignment NPD
• Pak Medical Group, PLLC

  • Internal Medicine Physician
  • New Braunfels, TX
  • NPI 1992297816
  NPD

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

{
    "created_epoch": "1258243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648080000000",
    "number": "1366779134",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "705 LANDA ST STE C",
            "city": "NEW BRAUNFELS",
            "state": "TX",
            "postal_code": "781306163",
            "telephone_number": "830-629-3614",
            "fax_number": "830-629-2438"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "705 LANDA ST STE C",
            "city": "NEW BRAUNFELS",
            "state": "TX",
            "postal_code": "781306163",
            "telephone_number": "830-629-3614",
            "fax_number": "830-629-2438"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHACKELFORD",
        "first_name": "ANNE",
        "middle_name": "C",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-11-15",
        "last_updated": "2022-03-24",
        "certification_date": "2022-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "578391",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Richard William Senyszyn, M.D.
• Calvina Cyprian Sequeira
• Alison Setser, RD,LD
• Jeffrey Stephen Seward, M.D.
• Tommie Lynn Seymore-Joly, PA-C
• Colleen Shadburne
• Zulfiqar Ali Shah, MD
• Jawad Zar Shaikh, M.D.
• Brandon Charles Shamblin, DDS
• Rachel Shanafelt, MA, LPC ASSOCIATE

• Family Nurse Practitioner in New Braunfels, TX
• Providers in New Braunfels, 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 Mar 24, 2022; 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.