Individual provider Active NPI

Sarah Shetler, FNP

  • Nurse Practitioner
  • Brownwood, TX
National Provider Identifier
1497528780
Registry record updated Apr 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
1075069 Issued in TX
Practice address
4100 Highway 377 S
Brownwood, TX 76801-5914
Phone
(541) 805-1538
NPI assigned
Oct 30, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 1075069 TX
Nurse Practitioner 363L00000X 1075069 TX Primary

Addresses

Primary practice location

4100 Highway 377 S
Brownwood, TX 76801-5914

Mailing address

219 S Park Ave
Gustine, TX 76455-2519
Phone (541) 805-1538

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20240319003676 TX Practitioner - Nurse Practitioner 9739526203 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Epiphany Dermatology PA 106 clinicians

Practice addresses (Care Compare)

4100 Hwy 377 S
Brownwood, TX 76801-5914
Phone (325) 626-2929

7106 New Sanger Rd
Waco, TX 76712-3928
Phone (254) 537-1265

Hospital & facility affiliations

  • Hendrick Medical Center Brownwood Hospital, Brownwood, TX, CCN 450587

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1075069TXMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Epiphany Dermatology PA CurrentSince Mar 1, 2024 Accepting new patients

Locations

7300 Ranch Road 2222
Bldg 1
Austin, TX 78730

4100 Highway 377 S
Brownwood, TX 76801
Phone (325) 626-2929

2405 Clear Creek Rd
Ste 104
Killeen, TX 76549
Phone (254) 432-8330

763 N Graham St
Stephenville, TX 76401
Phone (254) 918-7453

Organizations & group practices 1

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 1

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": "1698624000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712188800000",
    "number": "1497528780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "219 S PARK AVE",
            "city": "GUSTINE",
            "state": "TX",
            "postal_code": "764552519",
            "telephone_number": "541-805-1538"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4100 HIGHWAY 377 S",
            "city": "BROWNWOOD",
            "state": "TX",
            "postal_code": "768015914",
            "telephone_number": "541-805-1538"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHETLER",
        "first_name": "SARAH",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-10-30",
        "last_updated": "2024-04-04",
        "certification_date": "2023-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1075069",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "1075069",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brownwood, TX

Sources for this page

Verify at the official NPI Registry.