DR. SHAYLA TENNILLE BUCKLER (DNP, APRN, PMNHP-BC) – Psychiatric/Mental Health Nurse Practitioner, NPI 1114575370

DR. SHAYLA TENNILLE BUCKLER (DNP, APRN, PMNHP-BC) is a healthcare provider. based in Cleburne, Texas. specializing in NURSE PRACTITIONER. They hold the professional credentials DNP, APRN, PMNHP-BC. They hold a License No. 1156843 (TX). The NPI Number for DR. SHAYLA TENNILLE BUCKLER (DNP, APRN, PMNHP-BC) is 1114575370

Main info

Female
3 Years Of Experience
Name
DR. SHAYLA TENNILLE BUCKLER (DNP, APRN, PMNHP-BC)
NPI
1114575370
Phone
(830) 689-6486
Address
1632 E Fm 4
Enumeration Date
30 August 2019
Last Update Date
24 April 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
2023 (3 years ago)
PAC ID
4284128042
Professional Enrollment ID
I20251210001353
Address ID
TX760656629MI350XXRDXX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience41
Completeness85
Years active:6State licenses:1Digital endpointsOther names

22,209 NURSE PRACTITIONER in TX

Provider Addresses for DR. SHAYLA TENNILLE BUCKLER (DNP, APRN, PMNHP-BC)

  • 1632 E Fm 4

    Cleburne, TX 760318861

    Phone: (830) 689-6486

    Type: Location

  • 2728, Ferdinand, Grand Prairie, Tarrant County, Texas, 75054, United States

    GRAND PRAIRIE, TX 750545519

    Phone: (810) 610-7262

    Fax: (682) 222-7004

    Type: Mailing

  • 440 MCDONNELL CT

    WAXAHACHIE, TX 751670006

    Phone: (810) 610-7262

    Type: Mailing

  • 411 N WASHINGTON AVE STE 5200

    DALLAS, TX 752461778

    Phone: (855) 204-2502

    Type: Location

  • 539 W COMMERCE ST STE 5227

    DALLAS, TX 752081953

    Phone: (817) 470-8364

    Fax: (817) 494-1755

    Type: Mailing

  • 350 HAWKINS RUN RD STE 100

    MIDLOTHIAN, TX 760656639

    Phone: (214) 530-2335

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 7 Open Payments records for all available years, with a total value of $834.

Total Amount is formed as General ($834) + Research ($0) + Ownership ($0) = $834.

Last reported payment date: 2024-10-15 • Largest payer in this snapshot: Janssen Pharmaceuticals, Inc ($355).

Total Amount

$834

General + Research + Ownership

Payments

7

Total payment records

General Amount

$834

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-15

Latest reported date

Top Companies

Largest payers in this snapshot

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Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2025-12-10

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20251210001353INurse PractitionerTXTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 76031)

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Reviews

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Frequently asked questions

Is there an official ID for DR. SHAYLA TENNILLE BUCKLER (DNP, APRN, PMNHP-BC) in U.S. healthcare records?
The official identifier for DR. SHAYLA TENNILLE BUCKLER (DNP, APRN, PMNHP-BC) is NPI 1114575370.
Is there an active status for DR. SHAYLA TENNILLE BUCKLER (DNP, APRN, PMNHP-BC)?
For scheduling context, DR. SHAYLA TENNILLE BUCKLER (DNP, APRN, PMNHP-BC) is shown as active in the registry.
How would a patient describe DR. SHAYLA TENNILLE BUCKLER (DNP, APRN, PMNHP-BC)'s focus?
For DR. SHAYLA TENNILLE BUCKLER (DNP, APRN, PMNHP-BC), the primary taxonomy reads as Psychiatric/Mental Health Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What practice footprint exists for DR. SHAYLA TENNILLE BUCKLER (DNP, APRN, PMNHP-BC)?
Travel planning: use Cleburne, Texas as the reference point for DR. SHAYLA TENNILLE BUCKLER (DNP, APRN, PMNHP-BC), then confirm.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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