SHYANNE DAWN RUTLEDGE PA
NPI 1124804083
Physician Assistant in College Station, TX

Active since September 06, 2023PECOS EnrolledAccepts Medicare Assignment
700 SCOTT AND WHITE DR, COLLEGE STATION, TX 77845(979) 207-0100 Get Directions Write a Review

NPPES record last updated: April 10, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 10, 2025, Mar 7, 2024, Sep 6, 2023 (3 updates tracked since 2023).

About Shyanne Dawn Rutledge Pa NPPES

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

SHYANNE DAWN RUTLEDGE PA (NPI 1124804083) is an individual physician assistant in College Station, Texas, licensed in Texas (PA17429) and active in the NPI registry since September 2023. She is enrolled in Medicare PECOS, is affiliated with Baylor Scott & White Medical Center- College Stati, and maintains a secondary practice location in Bryan.

NPPES Registry Identity

NPI1124804083
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameSHYANNE DAWN RUTLEDGECredential: PA
Location Address700 SCOTT AND WHITE DRCollege Station, TX 77845-6441
Mailing AddressPo Box 844658Dallas, TX 75284-4658 · (800) 994-0371 · Fax (254) 215-9722
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateSeptember 6, 2023
Last NPPES UpdateApril 10, 20253 updates tracked since enumeration
NPPES CertifiedApril 10, 2025
NPI 1124804083 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in TX · PA17429
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.
700 SCOTT AND WHITE DR, College Station, TX 77845

Other Names 1

Former Name (1)Shyanne Dawn Tallant Pa

Secondary Practice Location 1

Location 13608B Mahan StBryan, TX 77802-2212 · Phone (210) 872-9062

Accepted 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

Shyanne Dawn Rutledge Pa 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 ID3971954413
PECOS Enrollment IDI20240109001395
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 2

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.

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
124 services122 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
87 services86 patients

Hospital Affiliations CMS Care Compare

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

Baylor Scott & White Medical Center- College Stati

Acute Care Hospitals · College Station, TX
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number670088
Location700 Scott & White DriveCollege Station, TX 77845 · Brazos County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 77845 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
$68.55 typical visit price
range $17.52 – $136.11
Typical copayment $17.13 (range $4.38 – $34.02)
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.

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.

Family Medicine (Hospice and Palliative Medicine)
700 SCOTT AND WHITE DR
COLLEGE STATION, TX 77845
Physician Assistant
700 SCOTT AND WHITE DR
COLLEGE STATION, TX 77845
Nurse Anesthetist, Certified Registered
700 SCOTT AND WHITE DR
COLLEGE STATION, TX 77845
Nurse Anesthetist, Certified Registered
700 SCOTT AND WHITE DR
COLLEGE STATION, TX 77845
Radiology (Diagnostic Radiology)
700 SCOTT AND WHITE DR
COLLEGE STATION, TX 77845
Nurse Practitioner (Family)
700 SCOTT AND WHITE DR
COLLEGE STATION, TX 77845
Pharmacist (Critical Care)
700 SCOTT AND WHITE DR
COLLEGE STATION, TX 77845
Emergency Medicine
700 SCOTT AND WHITE DR
COLLEGE STATION, TX 77845

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 Shyanne Rutledge's NPI number?

The NPI number for Shyanne Rutledge is 1124804083. It was assigned to this individual provider in the NPPES registry on September 6, 2023. The provider is also known as Shyanne Dawn Tallant PA.

Where is Shyanne Rutledge located?

Shyanne Rutledge practices at 700 Scott And White Dr, College Station, TX 77845. The listed phone number is (979) 207-0100.

What is Shyanne Rutledge's specialty?

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

Is Shyanne Rutledge enrolled in Medicare?

Yes. Shyanne Rutledge 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 Shyanne Rutledge accept?

Health plans from Blue Cross and Blue Shield of Texas list Shyanne Rutledge 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 Shyanne Rutledge affiliated with any hospitals?

According to CMS data, Shyanne Rutledge is affiliated with Baylor Scott & White Medical Center- College Stati.

When was this NPI record last updated?

The NPPES record for Shyanne Rutledge was last updated on April 10, 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.