PHILIP SHIRLEY – Registered Nurse, NPI 1801401559

PHILIP SHIRLEY is a healthcare provider. based in Rockport, Texas. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold a License No. 1020582 (TX). The NPI Number for PHILIP SHIRLEY is 1801401559

Main info

Male
Sole Proprietor
6 Years Of Experience
Accepts Medicare Assignment
Name
PHILIP SHIRLEY
NPI
1801401559
Phone
(361) 660-6157
Address
1912 GLASS AVE
Enumeration Date
10 September 2020
Last Update Date
1 December 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3619851221
Graduation Year
2020 (6 years ago)
PAC ID
3375957038
Group Practice PAC ID
2769873041
Professional Enrollment ID
I20210121000708
Address ID
TX779015748VI2701XDRXX300

Contacts

Main Contact
Rockport
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience39
Completeness85
Years active:5State licenses:1Other namesUpdated within 12 months

5,279 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in TX

Provider Addresses for PHILIP SHIRLEY

  • 1912 GLASS AVE

    ROCKPORT, TX 783823416

    Phone: (361) 660-6157

    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: 2021-01-21

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
I20210121000708ICertified Registered Nurse Anesthetist (Crna)TXTBD

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
00731Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope1111$0
View full utilization report →

Insurance plans in this area (ZIP 78382)

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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: 2769873041View full group profile
NameSpecialtyState
Certified Registered Nurse Anesthetist (Crna)TX
Certified Registered Nurse Anesthetist (Crna)TX

Reviews

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Frequently asked questions

Can I verify PHILIP SHIRLEY with an NPI only?
You can start verification with NPI 1801401559 for PHILIP SHIRLEY, then check state licensing separately.
Is PHILIP SHIRLEY listed as active for patients and plans?
The listing shows PHILIP SHIRLEY as active in the NPI system.
What is PHILIP SHIRLEY's specialty?
The listing groups PHILIP SHIRLEY with Registered Nurse. Clinical services aligned with this taxonomy classification.
What address line appears for PHILIP SHIRLEY?
PHILIP SHIRLEY's geographic hint is Rockport, Texas in our summary view.
Why does PHILIP SHIRLEY have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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