MS. SHELLIE D DEROUEN (CCC-A) – Audiologist, NPI 1487990800

MS. SHELLIE D DEROUEN (CCC-A) is a healthcare provider. based in Dripping springs, Texas. specializing in QUALIFIED AUDIOLOGIST. They hold the professional credentials CCC-A. They hold a License No. 51478 (TX). The NPI Number for MS. SHELLIE D DEROUEN (CCC-A) is 1487990800

Main info

Female
Sole Proprietor
26 Years Of Experience
Accepts Medicare Assignment
Name
MS. SHELLIE D DEROUEN (CCC-A)
NPI
1487990800
Phone
(806) 535-2053
Address
378 WYNNPAGE DR
Enumeration Date
13 December 2012
Last Update Date
12 August 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5125961424
Graduation Year
2000 (26 years ago)
PAC ID
5890021059
Group Practice PAC ID
3577813427
Professional Enrollment ID
I20190725000794
Address ID
TX787585658AU12221WAYX301
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience50
Completeness75
Years active:13State licenses:1Digital endpointsOther names

666 QUALIFIED AUDIOLOGIST in TX

Provider Addresses for MS. SHELLIE D DEROUEN (CCC-A)

  • 378 WYNNPAGE DR

    DRIPPING SPRINGS, TX 786202106

    Phone: (806) 535-2053

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

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: 2019-07-25

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
I20190725000794IQualified AudiologistTXTBD

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
92567Test to assess middle ear function1616$0
92557Comprehensive hearing and speech recognition test1414$0
View full utilization report →

Insurance plans in this area (ZIP 78620)

Loading plans...

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: 3577813427View full group profile
NameSpecialtyState
Physician AssistantTX
O T O L A R Y N G O L O G YTX
Physician AssistantCO
O T O L A R Y N G O L O G YCA
Qualified AudiologistTX

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

Is MS. SHELLIE D DEROUEN (CCC-A) listed with a National Provider Identifier?
Yes — MS. SHELLIE D DEROUEN (CCC-A) has NPI 1487990800 on file in the registry.
Would MS. SHELLIE D DEROUEN (CCC-A) appear as active to a payer?
You can treat MS. SHELLIE D DEROUEN (CCC-A) as active for directory purposes; confirm clinical privileges separately.
How would a patient describe MS. SHELLIE D DEROUEN (CCC-A)'s focus?
For MS. SHELLIE D DEROUEN (CCC-A), the primary taxonomy reads as Audiologist. Clinical services aligned with this taxonomy classification.
What practice footprint exists for MS. SHELLIE D DEROUEN (CCC-A)?
Travel planning: use Dripping Springs, Texas as the reference point for MS. SHELLIE D DEROUEN (CCC-A), then confirm.
Does MS. SHELLIE D DEROUEN (CCC-A) accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

Similar Providers

6199, Central City Boulevard, Galveston, Galveston County, Texas, 77551, United States
NPI: 1083611891

Unknown Individual

Audiologist-Hearing Aid Fitter
26222 RR 12
NPI: 1124158761
12115 FITZHUGH PL
NPI: 1144078015