Health Center of Southeast Texas - Shepherd – Federally Qualified Health Center (FQHC), NPI 1346472537

Health Center of Southeast Texas - Shepherd is a healthcare provider. based in Shepherd, Texas. specializing in Federally Qualified Health Center (FQHC). The NPI Number for Health Center of Southeast Texas - Shepherd is 1346472537

Main info

Organization
Name
Health Center of Southeast Texas - Shepherd
NPI
1346472537
Phone
(936) 628-1100
Address
11 WOODLAND PARK DR
Authorized Official
STEVEN RACCIATO EXECUTIVE DIRECTOR
Enumeration Date
20 August 2009
Last Update Date
21 June 2023
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience57
Completeness80
Years active:16State licenses:0Digital endpointsUpdated within 12 months

Provider Addresses for Health Center of Southeast Texas - Shepherd

  • 11 WOODLAND PARK DR

    SHEPHERD, TX 773716495

    Phone: (936) 628-1100

    Fax: (936) 628-1199

    Type: Location

  • 307 N WILLIAM BARNETT AVE

    CLEVELAND, TX 773274061

    Phone: (281) 592-2224

    Fax: (281) 592-2225

    Type: Mailing

  • 401, East Crockett Street, Cleveland, Liberty County, Texas, 77327, United States

    SUITE A

    CLEVELAND, TX 773274396

    Phone: (281) 592-2224

    Fax: (251) 592-5199

    Type: Mailing

  • 1651, South Byrd Avenue, Napier, Shepherd, San Jacinto County, Texas, 77371, United States

    SHEPHERD, TX 773713281

    Phone: (936) 628-1100

    Fax: (936) 628-1199

    Type: Location

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: 2010-04-14

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Past revalidation due date

Earliest CMS due date was 2026-01-31 (127 days ago).

Enrollment records

1

Earliest due date

2026-01-31

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
O20100414000652OFederally Qualified Health Center (Fqhc)TX2026-01-31

What to do next

  • Verify current status on the CMS Revalidation Lookup Tool immediately.
  • Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
  • Overdue revalidation can lead to deactivation of Medicare billing privileges.

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 77371)

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Reviews

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Frequently asked questions

Does Health Center of Southeast Texas - Shepherd have a public NPI I can cite?
Public records show Health Center of Southeast Texas - Shepherd under NPI 1346472537.
Is Health Center of Southeast Texas - Shepherd currently accepting referrals based on NPI status?
Registry metadata lists Health Center of Southeast Texas - Shepherd as active.
What type of care does Health Center of Southeast Texas - Shepherd provide?
Health Center of Southeast Texas - Shepherd's profile centers on Federally Qualified Health Center (FQHC). Clinical services aligned with this taxonomy classification.
What city is tied to Health Center of Southeast Texas - Shepherd?
The directory associates Health Center of Southeast Texas - Shepherd with Shepherd, Texas. Check all listed addresses for suites or satellite offices.
Can I export Health Center of Southeast Texas - Shepherd's record?
You can download the official NPPES record; we summarize key fields for readability.

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