Individual provider Active NPI

Shey Lynn Molina, AGACNP

  • Gerontology Nurse Practitioner
  • Bertram, TX
National Provider Identifier
1992572317
Registry record updated Nov 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
1141572 Issued in TX
Practice address
7741 W FM 243
Bertram, TX 78605-4033
Phone
(830) 613-2038
NPI assigned
Dec 6, 2023
Last updated
Nov 7, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 7, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse Practitioner 363LG0600X 1141572 TX Primary

Addresses

Primary practice location

7741 W FM 243
Bertram, TX 78605-4033

Mailing address

7741 W FM 243
Bertram, TX 78605-4033
Phone (830) 613-2038

Other names 1

  • Shey Lynn Lopez Former name

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
I20240104001499 TX Practitioner - Nurse Practitioner 7315398393 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

102 Tanner CT S
Burnet, TX 78611-5849

17177 N Laurel Park Dr
Livonia, MI 48152-3938

424 Church St
Nashville, TN 37219-2301

7741 W FM
Suite 243
Bertram, TX 78605-4033

7881 W Charleston Blvd
Suite 230
Las Vegas, NV 89117-8327

PO Box
Chicago, IL 60674

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1141572TXMDGerontology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Regional Physician Services of Texas, P.a. CurrentSince Nov 1, 2025 Accepting new patients

Locations

424 Church St
Ste 2600
Nashville, TN 37219
Phone (480) 450-3721

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1701820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762473600000",
    "number": "1992572317",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7741 W FM 243",
            "city": "BERTRAM",
            "state": "TX",
            "postal_code": "786054033",
            "telephone_number": "830-613-2038"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7741 W FM 243",
            "city": "BERTRAM",
            "state": "TX",
            "postal_code": "786054033",
            "telephone_number": "830-613-2038"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOLINA",
        "first_name": "SHEY",
        "middle_name": "LYNN",
        "credential": "AGACNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-12-06",
        "last_updated": "2025-11-07",
        "certification_date": "2025-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "TX",
            "license": "1141572",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHEY",
            "last_name": "LOPEZ",
            "middle_name": "LYNN",
            "credential": "NP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Bertram, TX

Sources for this page

Verify at the official NPI Registry.