NPIMap

Individual provider Active NPI

Deanna Annette Shelton, NP

  • Primary Care Nurse Practitioner
  • Yantis, TX
National Provider Identifier
1407465685
Registry record updated Sep 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
1005253 Issued in TX
Practice address
332 County Road 1995
Yantis, TX 75497-5447
Phone
(903) 439-7782
NPI assigned
Jul 23, 2020
Last updated
Sep 7, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 7, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse Practitioner 363LG0600X 1005253 TX
Primary Care Nurse Practitioner 363LP2300X 1005253 TX Primary

Addresses

Primary practice location

332 County Road 1995
Yantis, TX 75497-5447

Mailing address

332 County Road 1995
Yantis, TX 75497-5447
Phone (903) 440-5544

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200810001439 TX Practitioner - Nurse Practitioner 6800211772 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Pallicare, IncGroup PAC ID 8123429925, 85 clinicians

Practice addresses (Care Compare)

334 County Rd
Suite 1995
Yantis, TX 75497-5447
Phone (903) 440-5544

5803 Stoneridge Dr
Texarkana, TX 75503-1461
Phone (903) 278-5747

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
14942TNMDPhysical Therapist
1005253TXMDGerontology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Winnsboro Health Services PLLC CurrentSince Jul 30, 2020 Accepting new patients
Premier House Calls PLLC CurrentSince May 29, 2022 Accepting new patients
Pallicare, Inc CurrentSince Jan 9, 2026 Accepting new patients
Primary Housecalls CurrentSince Sep 7, 2024 Accepting new patients
Lone Star Surgery PLLC CurrentSince Jan 1, 2023 Accepting new patients
Boyd House Calls Gerontology Past Accepting new patients

Locations

810 E Ralph Hall Pkwy
Ste 140
Rockwall, TX 75032
Phone (469) 502-4772

422 S Hillcrest Dr
Sulphur Springs, TX 75482
Phone (903) 243-0356

605 Austin Ave
Waco, TX 76701
Phone (254) 405-4537

209 E Broadway St
Winnsboro, TX 75494
Phone (903) 342-3355

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/11327/brand/1/csg/1/fhir/r4

Organizations & group practices 6

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 10

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": "1595462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725667200000",
    "number": "1407465685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "332 COUNTY ROAD 1995",
            "city": "YANTIS",
            "state": "TX",
            "postal_code": "754975447",
            "telephone_number": "903-440-5544",
            "fax_number": "903-741-8434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "332 COUNTY ROAD 1995",
            "city": "YANTIS",
            "state": "TX",
            "postal_code": "754975447",
            "telephone_number": "903-439-7782"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHELTON",
        "first_name": "DEANNA",
        "middle_name": "ANNETTE",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-07-23",
        "last_updated": "2024-09-07",
        "certification_date": "2024-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "TX",
            "license": "1005253",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "TX",
            "license": "1005253",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yantis, TX

Sources for this page

Verify at the official NPI Registry.