SHELBY ANN BURKHART (AGACNP) – Nurse Practitioner, NPI 1417623851

SHELBY ANN BURKHART (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. 1049970 (TX). The NPI Number for SHELBY ANN BURKHART (AGACNP) is 1417623851

Main info

Female
5 Years Of Experience
Accepts Medicare Assignment
Name
SHELBY ANN BURKHART (AGACNP)
NPI
1417623851
Phone
(817) 336-5060
Address
2221 8TH AVE
Enumeration Date
17 August 2021
Last Update Date
17 August 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8173365060
Graduation Year
2021 (5 years ago)
PAC ID
9931504164
Group Practice PAC ID
1557308319
Professional Enrollment ID
I20210825003049
Address ID
TX761101812FO2221XAVEX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience42
Completeness75
Years active:4State licenses:1Digital endpointsOther names

22,204 NURSE PRACTITIONER in TX

Provider Addresses for SHELBY ANN BURKHART (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)

CMS reports 5 Open Payments records for all available years, with a total value of $440.

Total Amount is formed as General ($440) + Research ($0) + Ownership ($0) = $440.

Last reported payment date: 2024-07-29 • Largest payer in this snapshot: NxStage Medical, Inc. ($308).

Total Amount

$440

General + Research + Ownership

Payments

5

Total payment records

General Amount

$440

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-07-29

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: 2021-08-25

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
I20210825003049INurse 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
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes2014$0
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes1918$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes1413$0
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes1313$0
View full utilization report →

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
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

Reviews

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Frequently asked questions

What number should I use to identify SHELBY ANN BURKHART (AGACNP) for billing?
Administrative and clinical systems typically use NPI 1417623851 for SHELBY ANN BURKHART (AGACNP).
Is SHELBY ANN BURKHART (AGACNP) currently accepting referrals based on NPI status?
Registry metadata lists SHELBY ANN BURKHART (AGACNP) as active.
What type of care does SHELBY ANN BURKHART (AGACNP) provide?
SHELBY ANN BURKHART (AGACNP)'s profile centers on Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Can patients visit SHELBY ANN BURKHART (AGACNP) in Fort Worth, Texas?
For routing, start with Fort Worth, Texas for SHELBY ANN BURKHART (AGACNP), then verify phone and hours locally.
Who maintains SHELBY ANN BURKHART (AGACNP)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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