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SHANEQUA AVERETTE APRN, PMHNP-BC
NPI 1205769700
Nurse Practitioner - Psychiatric/Mental Health in Grand Prairie, TX

Active since June 04, 2026PECOS Enrolled
2455 ROBINSON RD STE 100, GRAND PRAIRIE, TX 75051(469) 626-8195(469) 857-8492 Get Directions Write a Review

NPPES record last updated: June 4, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Shanequa Averette Aprn, Pmhnp-bc NPPES

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

SHANEQUA AVERETTE APRN, PMHNP-BC (NPI 1205769700) is an individual psychiatric/mental health provider in Grand Prairie, Texas, licensed in Texas (1228850) and active in the NPI registry since June 2026. She is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1205769700
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameSHANEQUA AVERETTECredential: APRN, PMHNP-BC
Location Address2455 ROBINSON RD STE 100Grand Prairie, TX 75051-3852
Mailing Address2455 Robinson Rd Ste 100Grand Prairie, TX 75051-3852 · (469) 626-8195 · Fax (469) 857-8492
Phone(469) 626-8195
Fax(469) 857-8492
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateJune 4, 2026
NPPES CertifiedJune 4, 2026
✔ NPI 1205769700 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in TX · 1228850
2455 ROBINSON RD STE 100, Grand Prairie, TX 75051
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Insurance Company, UnitedHealthcare, WellPoint.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Shanequa Averette Aprn, Pmhnp-bc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6103385778
PECOS Enrollment IDI20260825000337
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 Shanequa Averette reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Keturah Health, LLC
Same address
Psychiatric/Mental Health
2455 ROBINSON RD STE 100
Grand Prairie, TX 75051
  • Reassigned Medicare billing, Texas enrollment
  • 9 clinicians in this Medicare group
NPI 1679021042 (469) 626-8195

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 75051 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
$88.19 typical visit price
range $57.18 – $172.86
Typical copayment $22.04 (range $14.29 – $43.21)
Most-billed visit code 99203
Established Patient
$100.80 typical visit price
range $18.48 – $141.20
Typical copayment $25.20 (range $4.62 – $35.30)
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 5

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

DR. BRIAN NYASHA CHITIMIRA DNP, APRN, PMHNP-BC
Nurse Practitioner (Psychiatric/Mental Health)
2455 ROBINSON RD STE 100
GRAND PRAIRIE, TX 75051
Dallas County (469) 626-8195
DIVINE GRACE FAMILY CLINIC INC
Clinic/Center (Health Service)
2455 ROBINSON RD STE 100
GRAND PRAIRIE, TX 75051
Dallas County (469) 660-0032
ALEXIS JAIMES MSN, APRN, PMHNP-BC
Nurse Practitioner (Psychiatric/Mental Health)
2455 ROBINSON RD STE 100
GRAND PRAIRIE, TX 75051
Dallas County (469) 626-8195
KET MELVIN-HARRIS DNP, FNP-C, PMHNP-BC
Nurse Practitioner (Psychiatric/Mental Health)
2455 ROBINSON RD STE 100
GRAND PRAIRIE, TX 75051
Dallas County (469) 626-8195
KETURAH HEALTH, LLC
Nurse Practitioner (Psychiatric/Mental Health)
2455 ROBINSON RD STE 100
GRAND PRAIRIE, TX 75051
Dallas County (469) 626-8195

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 Shanequa Averette's NPI number?

The NPI number for Shanequa Averette is 1205769700. It was assigned to this individual provider in the NPPES registry on June 4, 2026.

Where is Shanequa Averette located?

Shanequa Averette practices at 2455 Robinson Rd Ste 100, Grand Prairie, TX 75051. The listed phone number is (469) 626-8195.

What is Shanequa Averette's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Shanequa Averette enrolled in Medicare?

Yes. Shanequa Averette is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Shanequa Averette's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Shanequa Averette reassigns Medicare benefits to Keturah Health, LLC (Grand Prairie, 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 Shanequa Averette's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Shanequa Averette accept?

Health plans from Oscar Insurance Company, UnitedHealthcare and WellPoint list Shanequa Averette 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 Shanequa Averette was last updated on June 4, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.