Individual provider Active NPI

John Edward Sheffel, RN, FNP-C

  • General Practice Physician
  • Victoria, TX
National Provider Identifier
1760475735
Registry record updated Sep 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
666326 Issued in TX
Practice address
115 Medical Dr Ste 101
Victoria, TX 77904-3105
Phone
(361) 355-8202
Fax
(361) 355-8204
NPI assigned
Aug 25, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2024

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

Specialties & licenses 9

Specialty (taxonomy)CodeLicenseStatePrimary
Health & Wellness Coach 171400000X 666326 TX
Integrative Medicine Physician 202D00000X 666326 TX
Adolescent Medicine (Family Medicine) Physician 207QA0000X 666326 TX
Obesity Medicine (Family Medicine) Physician 207QB0002X 666326 TX
Obesity Medicine (Preventive Medicine) Physician 2083B0002X 666326 TX
Family Nurse Practitioner 363LF0000X 666326 TX
Primary Care Nurse Practitioner 363LP2300X 666326 TX
General Practice Physician 208D00000X 666326 TX Primary
Nurse Practitioner 363L00000X 666326 TX

Addresses

Primary practice location

115 Medical Dr Ste 101
Victoria, TX 77904-3105

Mailing address

115 Medical Dr Ste 101
Victoria, TX 77904-3105
Phone (361) 355-8202

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
I20090427000557 TX Practitioner - Nurse Practitioner 8729136916 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Red River Family Clinic LLCGroup PAC ID 1759724669, 3 clinicians

Practice addresses (Care Compare)

115 Medical Dr
Suite 101
Victoria, TX 77904-3105
Phone (361) 272-3523

Hospital & facility affiliations

  • De Tar Hospital Navarro Hospital, Victoria, TX, CCN 450147

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
666326TXMDIntegrative Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Red River Family Clinic LLC CurrentSince Apr 11, 2024 Accepting new patients
Citizens Medical Center County of Victoria Past Accepting new patients

Locations

2129 FM 2920 Rd
Ste 190279
Spring, TX 77388

115 Medical Dr
Ste 101
Victoria, TX 77904
Phone (361) 272-3523

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 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": "1124928000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726704000000",
    "number": "1760475735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 MEDICAL DR STE 101",
            "city": "VICTORIA",
            "state": "TX",
            "postal_code": "779043105",
            "telephone_number": "361-355-8202",
            "fax_number": "361-355-8204"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 MEDICAL DR STE 101",
            "city": "VICTORIA",
            "state": "TX",
            "postal_code": "779043105",
            "telephone_number": "361-355-8202",
            "fax_number": "361-355-8204"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHEFFEL",
        "first_name": "JOHN",
        "middle_name": "EDWARD",
        "credential": "RN, FNP-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-25",
        "last_updated": "2024-09-19",
        "certification_date": "2024-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171400000X",
            "taxonomy_group": "",
            "desc": "Health & Wellness Coach",
            "state": "TX",
            "license": "666326",
            "primary": false
        },
        {
            "code": "202D00000X",
            "taxonomy_group": "",
            "desc": "Integrative Medicine",
            "state": "TX",
            "license": "666326",
            "primary": false
        },
        {
            "code": "207QA0000X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Adolescent Medicine",
            "state": "TX",
            "license": "666326",
            "primary": false
        },
        {
            "code": "207QB0002X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Obesity Medicine",
            "state": "TX",
            "license": "666326",
            "primary": false
        },
        {
            "code": "2083B0002X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Obesity Medicine",
            "state": "TX",
            "license": "666326",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "666326",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "TX",
            "license": "666326",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "TX",
            "license": "666326",
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "666326",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Victoria, TX

Sources for this page

Verify at the official NPI Registry.