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

Q: 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.

Q: 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.

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: November 01, 2026.

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

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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

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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, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignment

Medicare enrollment records show Tanya Laib-shipley reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Acclaim Physician Group, Inc

3.7 mi

Internal Medicine

1500 S MAIN ST
Fort Worth, TX 76104

Reassigned Medicare billing, Texas enrollment
985 clinicians in this Medicare group

NPI 1780076562 (817) 702-6770

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

Which organization bills Medicare for Tanya Laib-shipley's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Tanya Laib-shipley reassigns Medicare benefits to Acclaim Physician Group, Inc (Fort Worth, TX). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Tanya Laib-shipley's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Tanya Laib-shipley accept?

Health plans from Blue Cross and Blue Shield of Texas list Tanya Laib-shipley 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.

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.