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SHAMBRIAE LA'TRICE POLK
NPI 1023843711
Physician Assistant in Dallas, TX

Active since September 03, 2024PECOS EnrolledAccepts Medicare Assignment
8619 RUSTOWN DR, DALLAS, TX 75228(469) 585-2547 Get Directions Write a Review

NPPES record last updated: May 21, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: May 21, 2025, Sep 3, 2024 (2 updates tracked since 2024).

About Shambriae La'trice Polk NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SHAMBRIAE LA'TRICE POLK (NPI 1023843711) is an individual physician assistant in Dallas, Texas, licensed in Texas (PA18741) and active in the NPI registry since September 2024. She is enrolled in Medicare PECOS, is affiliated with Baylor University Medical Center, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1023843711
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameSHAMBRIAE LA'TRICE POLK
Location Address8619 RUSTOWN DRDallas, TX 75228-4757
Mailing Address8619 Rustown DrDallas, TX 75228-4757
Phone(469) 585-2547
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateSeptember 3, 2024
Last NPPES UpdateMay 21, 20252 updates tracked since enumeration
NPPES CertifiedMay 21, 2025
✔ NPI 1023843711 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in TX · PA18741
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
8619 RUSTOWN DR, Dallas, TX 75228
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Shambriae La'trice Polk is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1557874807
PECOS Enrollment IDI20250630003107
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Baylor University Medical Center

Acute Care Hospitals · Dallas, TX
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number450021
Location3500 Gaston AveDallas, TX 75246 · Dallas County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75228 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$88.19 typical visit price
range $57.18 – $172.86
Typical copayment $22.04 (range $14.29 – $43.21)
Most-billed visit code 99203
Established Patient
$71.28 typical visit price
range $18.48 – $141.20
Typical copayment $17.82 (range $4.62 – $35.30)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Shambriae Polk's NPI number?

The NPI number for Shambriae Polk is 1023843711. It was assigned to this individual provider in the NPPES registry on September 3, 2024.

Where is Shambriae Polk located?

Shambriae Polk practices at 8619 Rustown Dr, Dallas, TX 75228. The listed phone number is (469) 585-2547.

What is Shambriae Polk's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Shambriae Polk enrolled in Medicare?

Yes. Shambriae Polk is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Shambriae Polk accept?

Health plans from Blue Cross and Blue Shield of Texas list Shambriae Polk as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Shambriae Polk affiliated with any hospitals?

According to CMS data, Shambriae Polk is affiliated with Baylor University Medical Center.

When was this NPI record last updated?

The NPPES record for Shambriae Polk was last updated on May 21, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.