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DR. SHELBY COLLYMORE DO
NPI 1215515887
Family Medicine in Grand Prairie, TX

Active since April 01, 2021PECOS EnrolledAccepts Medicare Assignment
2626 SOUTH CARRIER PKWY, STE. 300, GRAND PRAIRIE, TX 75052(972) 642-7337(972) 642-7339 Get Directions Write a Review

NPPES record last updated: July 15, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 15, 2024, Apr 1, 2021 (2 updates tracked since 2021).

About Dr. Shelby Collymore Do NPPES

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

DR. SHELBY COLLYMORE DO (NPI 1215515887) is an individual family medicine provider in Grand Prairie, Texas, licensed in Texas (V1058) and active in the NPI registry since April 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1215515887
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameDR. SHELBY COLLYMORECredential: DO
Location Address2626 SOUTH CARRIER PKWY, STE. 300Grand Prairie, TX 75052-5014
Mailing Address2626 South Carrier Pkwy, St. 300Grand Prairie, TX 75052-5014 · (972) 642-7337 · Fax (972) 642-7339
Phone(972) 642-7337
Fax(972) 642-7339
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateApril 1, 2021
Last NPPES UpdateJuly 15, 20242 updates tracked since enumeration
NPPES CertifiedJuly 15, 2024
✔ NPI 1215515887 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in TX · V1058
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
2626 SOUTH CARRIER PKWY, Grand Prairie, TX 75052
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Shelby Collymore Do 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 ID7113327826
PECOS Enrollment IDI20250117003592
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 Reassignments

2

Medicare enrollment records show Shelby Collymore reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Alpha Express Urgent Care
Same address
Urgent Care
2626 S CARRIER PKWY STE 100
Grand Prairie, TX 75052
  • Reassigned Medicare billing, Texas enrollment
  • 3 clinicians in this Medicare group
NPI 1639993801 (469) 251-8991
Alpha Express Primary Care LLC
Same address
Family Medicine
2626 S CARRIER PKWY STE 200
Grand Prairie, TX 75052
  • Reassigned Medicare billing, Texas enrollment
  • 3 clinicians in this Medicare group
NPI 1992671184 (469) 251-8993

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 75052 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.

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 Shelby Collymore's NPI number?

The NPI number for Shelby Collymore is 1215515887. It was assigned to this individual provider in the NPPES registry on April 1, 2021.

Where is Shelby Collymore located?

Shelby Collymore practices at 2626 South Carrier Pkwy Ste. 300, Grand Prairie, TX 75052. The listed phone number is (972) 642-7337.

What is Shelby Collymore's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Shelby Collymore enrolled in Medicare?

Yes. Shelby Collymore 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.

Which organizations bill Medicare for Shelby Collymore's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Shelby Collymore reassigns Medicare benefits to 2 organizations: Alpha Express Urgent Care (Grand Prairie, TX) and Alpha Express Primary Care LLC (Grand Prairie, 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 Shelby Collymore's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Shelby Collymore accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 2 other insurers list Shelby Collymore 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 Shelby Collymore was last updated on July 15, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.