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TANYA DENISE LAIB-SHIPLEY AGACNP
NPI 1053829093
Nurse Practitioner - Acute Care in Fort Worth, TX

Active since January 11, 2018PECOS Enrolled
1400 S MAIN ST STE 403, FORT WORTH, TX 76104(817) 702-1100(817) 335-1805 Get Directions Write a Review

NPPES record last updated: March 27, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 27, 2020, Jan 11, 2018 (2 updates tracked since 2018).

About Tanya Denise Laib-shipley Agacnp NPPES

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

TANYA DENISE LAIB-SHIPLEY AGACNP (NPI 1053829093) is an individual acute care provider in Fort Worth, Texas, licensed in Texas (AP135704) and active in the NPI registry since January 2018. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1053829093
Entity TypeIndividualFemale
Primary Taxonomy363LA2100X
Provider Legal NameTANYA DENISE LAIB-SHIPLEYCredential: AGACNP
Location Address1400 S MAIN ST STE 403Fort Worth, TX 76104-4913
Mailing Address1412 May StFort Worth, TX 76104-7639 · (817) 702-2450 · Fax (817) 702-8445
Phone(817) 702-1100
Fax(817) 335-1805
Sole ProprietorNo
Enumeration DateJanuary 11, 2018
Last NPPES UpdateMarch 27, 20202 updates tracked since enumeration
NPPES CertifiedMarch 27, 2020
✔ NPI 1053829093 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2100X
License✔ Licensed in TX · AP135704
1400 S MAIN ST STE 403, Fort Worth, TX 76104
Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Tanya Denise Laib-shipley Agacnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 76104 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
$87.20 typical visit price
range $56.47 – $171.07
Typical copayment $21.80 (range $14.11 – $42.76)
Most-billed visit code 99203
Established Patient
$99.68 typical visit price
range $18.18 – $139.68
Typical copayment $24.92 (range $4.54 – $34.92)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

BRITTANY ELIZABETH MARIE TOUCHON LCSW
Social Worker (Clinical)
1400 S MAIN ST STE 403
FORT WORTH, TX 76104
Tarrant County (817) 702-1100
MRS. NIKITHA ALICE CHERIAN MSN, A-GNP-C
Nurse Practitioner (Adult Health)
1400 S MAIN ST STE 403
FORT WORTH, TX 76104
Tarrant County (817) 702-1100
OMOLARA A OLAJIDE MBBS
Internal Medicine (Geriatric Medicine)
1400 S MAIN ST STE 403
FORT WORTH, TX 76104
Tarrant County (817) 702-1395
JULIA VERONICA DIAZ-WHITE FNP-C
Nurse Practitioner (Family)
1400 S MAIN ST STE 403
FORT WORTH, TX 76104
Tarrant County (817) 702-6926

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 Tanya Laib-shipley's NPI number?

The NPI number for Tanya Laib-shipley is 1053829093. It was assigned to this individual provider in the NPPES registry on January 11, 2018.

Where is Tanya Laib-shipley located?

Tanya Laib-shipley practices at 1400 S Main St Ste 403, Fort Worth, TX 76104. The listed phone number is (817) 702-1100.

What is Tanya Laib-shipley's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Is Tanya Laib-shipley enrolled in Medicare?

Yes. Tanya Laib-shipley is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Tanya Laib-shipley was last updated on March 27, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years 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.