JASMIN SHONTELL REED (AGACNP) – Nurse Practitioner, NPI 1114793825

JASMIN SHONTELL REED (AGACNP) is a healthcare provider. based in Fort worth, Texas. specializing in NURSE PRACTITIONER. They hold the professional credentials AGACNP. They hold a License No. 1142653 (TX). The NPI Number for JASMIN SHONTELL REED (AGACNP) is 1114793825

Main info

Female
3 Years Of Experience
Accepts Medicare Assignment
Name
JASMIN SHONTELL REED (AGACNP)
NPI
1114793825
Phone
(817) 336-5060
Address
2221 8TH AVE
Enumeration Date
4 December 2023
Last Update Date
7 March 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8173365060
Graduation Year
2023 (3 years ago)
PAC ID
6406299221
Group Practice PAC ID
1557308319
Professional Enrollment ID
I20240208003253
Address ID
TX761101812FO2221XAVEX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience38
Completeness75
Years active:2State licenses:1Digital endpointsOther names

22,204 NURSE PRACTITIONER in TX

Provider Addresses for JASMIN SHONTELL REED (AGACNP)

  • 2221 8TH AVE

    FORT WORTH, TX 761101812

    Phone: (817) 336-5060

    Fax: (817) 336-1744

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2024-02-08

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
I20240208003253INurse 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 76110)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 1557308319View full group profile
NameSpecialtyState
Nurse PractitionerTX
Nephrology, Internal MedicineTX
Nephrology, Internal MedicineTX
Nurse PractitionerTX
N E P H R O L O G YTX
Nurse PractitionerTX
N E P H R O L O G YTX
Nurse PractitionerTX
Nurse PractitionerTX
Nurse PractitionerTX

Reviews

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Frequently asked questions

How do I look up JASMIN SHONTELL REED (AGACNP) by NPI?
Use NPI 1114793825 when you need to reference JASMIN SHONTELL REED (AGACNP) in forms, claims, or directories.
Is JASMIN SHONTELL REED (AGACNP) active in the national directory?
JASMIN SHONTELL REED (AGACNP)'s public NPI profile is in an active state.
What kind of provider is JASMIN SHONTELL REED (AGACNP)?
The page reflects Nurse Practitioner for JASMIN SHONTELL REED (AGACNP). Clinical services aligned with this taxonomy classification.
Where is JASMIN SHONTELL REED (AGACNP)'s primary listing?
We display Fort Worth, Texas because that is what the record indicates for JASMIN SHONTELL REED (AGACNP).
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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