SHAKAIELA BYRD
NPI 1225711617
Nurse Practitioner - Family in Desoto, TX
About Shakaiela Byrd NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SHAKAIELA BYRD (NPI 1225711617) is an individual family provider in Desoto, Texas, licensed in Texas (1114196) and active in the NPI registry since August 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2022).
NPPES Registry Identity
Specialties & Licenses 2
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)
Shakaiela Byrd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Shakaiela Byrd reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Dallas, TX 75237
- Reassigned Medicare billing, Texas enrollment
- 5 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 75115 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
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 Shakaiela Byrd's NPI number?
The NPI number for Shakaiela Byrd is 1225711617. It was assigned to this individual provider in the NPPES registry on August 10, 2023.
Where is Shakaiela Byrd located?
Shakaiela Byrd practices at 2727 Bolton Boone Dr Ste 101, Desoto, TX 75115. The listed phone number is (817) 583-7040.
What is Shakaiela Byrd's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Shakaiela Byrd enrolled in Medicare?
Yes. Shakaiela Byrd is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Shakaiela Byrd's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Shakaiela Byrd reassigns Medicare benefits to Ibidunni O Ukegbu PA (Dallas, 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 Shakaiela Byrd's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Shakaiela Byrd accept?
Health plans from Blue Cross and Blue Shield of Texas list Shakaiela Byrd 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 Shakaiela Byrd was last updated on January 20, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 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.
# Shakaiela Byrd · NPI 1225711617
Family physician in Desoto, Texas. Individual provider, active in the CMS NPPES registry since August 10, 2023.
## Identity
- **NPI:** 1225711617 (Entity type: Individual)
- **Enumerated:** August 10, 2023
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 1114196 (Texas)
- **Sole proprietor:** No
## Practice location
- **Address:** 2727 BOLTON BOONE DR STE 101, Desoto, TX 75115-2019
- **Phone:** (817) 583-7040
## 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:** Ibidunni O Ukegbu PA (NPI 1861760506, Dallas, TX), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2022
## Record status
- **NPPES last updated:** January 20, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1225711617) · Data from the CMS NPPES public registry.