ANNE C SHACKELFORD (FNP) – Family Nurse Practitioner, NPI 1366779134

ANNE C SHACKELFORD (FNP) is a healthcare provider. based in New braunfels, Texas. specializing in Family Nurse Practitioner. They hold the professional credentials FNP. They hold a License No. 578391 (TX). The NPI Number for ANNE C SHACKELFORD (FNP) is 1366779134

Main info

Female
17 Years Of Experience
Accepts Medicare Assignment
Name
ANNE C SHACKELFORD (FNP)
NPI
1366779134
Phone
(830) 629-3614
Address
705 LANDA ST STE C
Enumeration Date
15 November 2009
Last Update Date
24 March 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8308964711
Graduation Year
2009 (17 years ago)
PAC ID
2163546987
Group Practice PAC ID
6103818596
Professional Enrollment ID
I20100901000082
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience56
Completeness75
Years active:16State licenses:1Digital endpointsOther names

Provider Addresses for ANNE C SHACKELFORD (FNP)

  • 705 LANDA ST STE C

    NEW BRAUNFELS, TX 781306163

    Phone: (830) 629-3614

    Fax: (830) 629-2438

    Type: Location

  • 220, Wesley Drive, Kerrville, Kerr County, Texas, 78028, United States

    KERRVILLE, TX 780285809

    Phone: (830) 896-4711

    Fax: (830) 257-0878

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 11 Open Payments records for all available years, with a total value of $307.

Total Amount is formed as General ($307) + Research ($0) + Ownership ($0) = $307.

Last reported payment date: 2024-12-16 • Largest payer in this snapshot: Medtronic, Inc. ($104).

Total Amount

$307

General + Research + Ownership

Payments

11

Total payment records

General Amount

$307

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-16

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2010-09-01

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
I20100901000082INurse 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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99213Established patient office or other outpatient visit, 20-29 minutes184153$0
99214Established patient office or other outpatient visit, 30-39 minutes8679$0
99211Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional2827$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit2525$0
81002Urinalysis, manual test1915$0
View full utilization report →

Insurance plans in this area (ZIP 78130)

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Provider's Procedures

ANNE C SHACKELFORD (FNP) performs procedures in Family Nurse Practitioner. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
NURSE PRACTITIONERTX83036Hemoglobin A1C level17393

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: 6103818596View full group profile
NameSpecialtyState
-TX

Reviews

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Frequently asked questions

What number should I use to identify ANNE C SHACKELFORD (FNP) for billing?
Administrative and clinical systems typically use NPI 1366779134 for ANNE C SHACKELFORD (FNP).
Is ANNE C SHACKELFORD (FNP) currently accepting referrals based on NPI status?
Registry metadata lists ANNE C SHACKELFORD (FNP) as active.
Which specialty label fits ANNE C SHACKELFORD (FNP)?
NPPES ties ANNE C SHACKELFORD (FNP) to Family Nurse Practitioner in the taxonomy section. Clinical services aligned with this taxonomy classification.
Can patients visit ANNE C SHACKELFORD (FNP) in New Braunfels, Texas?
For routing, start with New Braunfels, Texas for ANNE C SHACKELFORD (FNP), then verify phone and hours locally.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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