MRS. AMY JO SHUPTRINE MSN, APRN, FNP-BC
NPI 1104382597
Nurse Practitioner in Athens, TX

Q: What is Amy Shuptrine's NPI number?

The NPI number for Amy Shuptrine is 1104382597. It was assigned to this individual provider in the NPPES registry on February 11, 2019.

Q: What is Amy Shuptrine's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Q: When was this NPI record last updated?

The NPPES record for Amy Shuptrine was last updated on February 15, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since February 11, 2019PECOS EnrolledAccepts Medicare Assignment

2000 S PALESTINE ST, ATHENS, TX 75751(903) 676-1000 Get Directions Write a Review

NPPES record last updated: February 15, 2023. Verified against the NPPES registry weekly; last sync: October 11, 2026.

Record update history: Feb 15, 2023, Jan 24, 2023, Feb 11, 2019 (3 updates tracked since 2019).

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About Mrs. Amy Jo Shuptrine Msn, Aprn, Fnp-bc NPPES

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

MRS. AMY JO SHUPTRINE MSN, APRN, FNP-BC (NPI 1104382597) is an individual nurse practitioner in Athens, Texas, licensed in Texas (AP140582) and active in the NPI registry since February 2019. She is enrolled in Medicare PECOS, is affiliated with White Rock Medical Center, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1104382597

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameMRS. AMY JO SHUPTRINECredential: MSN, APRN, FNP-BC

Location Address2000 S PALESTINE STAthens, TX 75751-5610

Mailing Address14280 State Highway 155Frankston, TX 75763-6734 · (903) 574-2612

Phone(903) 676-1000

Sole ProprietorYes

Medical School CMSOtherGraduated 2018

Enumeration DateFebruary 11, 2019

Last NPPES UpdateFebruary 15, 20233 updates tracked since enumeration

NPPES CertifiedFebruary 15, 2023

✔ NPI 1104382597 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in TX · AP140582

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Also ListedEmergency Medicine · Emergency Medical ServicesTaxonomy 207PE0004X · License 812655 (TX)

Also ListedNurse Practitioner · Acute CareTaxonomy 363LA2100X · License AP140582 (TX)

Also ListedNurse Practitioner · Adult HealthTaxonomy 363LA2200X · License AP140582 (TX)

2000 S PALESTINE ST, Athens, TX 75751

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Other Identifiers 1

Other15390359TX · Texas Drivers License

Accepted Insurance

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

Mrs. Amy Jo Shuptrine Msn, Aprn, Fnp-bc 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 ID446590210

PECOS Enrollment IDI20190314002367

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.

Areas of Expertise CMS Part B claims 7

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Membrane graft or membrane wrap, per square centimeter Q4205

A membrane graft or wrap is a surgical procedure where a special material is used to replace or support damaged tissue. This material, measured per square centimeter, acts like a scaffold, helping your body to regenerate healthy tissue in the affected area.

940 services11 patients

Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes 99349

An established patient home visit is a medical appointment conducted at your home, typically lasting around 40 minutes. This service is ideal for patients who may find it difficult to travel to a healthcare facility. During this visit, a healthcare professional will evaluate your health status, manage your care, and answer any health-related questions you may have.

165 services38 patients

Removal of skin and tissue, 20.0 sq cm or less 11042

This procedure involves the surgical removal of skin and tissue, up to 20.0 square cm in size. It's often performed to treat conditions like skin cancer or to remove moles, warts, and other skin lesions. The area is numbed and the unwanted tissue is carefully cut out.

66 services18 patients

Residence visit for established patient with high level of medical decision making, per day, if using time, at least 60 minutes 99350

An established patient home visit is a service where a healthcare professional visits a patient's home for a check-up or treatment. The visit typically lasts for about an hour. This service is especially beneficial for patients who may have difficulty traveling to a healthcare facility.

49 services23 patients

Removal of muscle and/or tissue, 20.0 sq cm or less 11043

This procedure involves the surgical removal of a specified area (20.0 sq cm or less) of muscle and/or tissue. It's typically done to treat conditions like tumors, infections, or injuries. Local or general anesthesia ensures comfort. Recovery time varies.

47 services11 patients

Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes 99348

An established patient home visit is a 25-minute appointment where a healthcare provider visits you at your home. This service is for patients who have previously been seen by the provider. It includes a check-up and discussion about your health concerns.

29 services23 patients

Hospital Affiliations CMS Care Compare

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

White Rock Medical Center

Acute Care Hospitals · Dallas, TX

1/5 CMS rating

OwnershipProprietary

CMS Certification Number450678

Location9440 Poppy DriveDallas, TX 75218 · Dallas County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75751 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

$84.92 typical visit price

range $54.84 – $166.88

Typical copayment $21.23 (range $13.71 – $41.72)

Most-billed visit code 99203

Established Patient

$97.05 typical visit price

range $17.52 – $136.11

Typical copayment $24.26 (range $4.38 – $34.02)

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 20

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

ROBERT BRUCE WATSON MD

Emergency Medicine