SHELLEY C DEBUSK CPNP
NPI 1104399286
Nurse Practitioner - Pediatrics in Fort Worth, TX
About Shelley C Debusk Cpnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SHELLEY C DEBUSK CPNP (NPI 1104399286) is an individual pediatrics provider in Fort Worth, Texas, licensed in Texas (AP138845) and active in the NPI registry since January 2019. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Shelley C Debusk Cpnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
2Medicare enrollment records show Shelley Debusk reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Colleyville, TX 76034
- Reassigned Medicare billing, Texas enrollment
- 3,167 clinicians in this Medicare group
Fort Worth, TX 76104
- Reassigned Medicare billing, Texas enrollment
- Medicare enrollment name: Cook Childrens Physician Network
- 1,186 clinicians in this Medicare group
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 76244 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 17
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Shelley Debusk's NPI number?
The NPI number for Shelley Debusk is 1104399286. It was assigned to this individual provider in the NPPES registry on January 10, 2019.
Where is Shelley Debusk located?
Shelley Debusk practices at 10601 N Riverside Dr, Fort Worth, TX 76244. The listed phone number is (817) 347-2600.
What is Shelley Debusk's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.
Is Shelley Debusk enrolled in Medicare?
Yes. Shelley Debusk is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Shelley Debusk's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Shelley Debusk reassigns Medicare benefits to 2 organizations: Healthtexas Provider Network (Colleyville, TX) and Cook Children's Physician Network (Fort Worth, TX). Each 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 Shelley Debusk's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Shelley Debusk accept?
Health plans from Antidote Health of TX and Blue Cross and Blue Shield of Texas list Shelley Debusk 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 Shelley Debusk was last updated on October 3, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Shelley C Debusk, CPNP · NPI 1104399286
Pediatrics physician in Fort Worth, Texas. Individual provider, active in the CMS NPPES registry since January 10, 2019.
## Identity
- **NPI:** 1104399286 (Entity type: Individual)
- **Enumerated:** January 10, 2019
- **Primary specialty:** Nurse Practitioner - Pediatrics · taxonomy 363LP0200X
- **State license:** AP138845 (Texas)
- **Sole proprietor:** No
## Practice location
- **Address:** 10601 N RIVERSIDE DR, Fort Worth, TX 76244-2118
- **Phone:** (817) 347-2600 · **Fax:** (817) 347-2670
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Healthtexas Provider Network (NPI 1235135906, Colleyville, TX); Cook Children's Physician Network (NPI 1083472062, Fort Worth, TX) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 3, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1104399286) · Data from the CMS NPPES public registry.