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SHAKAIELA BYRD
NPI 1225711617
Nurse Practitioner - Family in Desoto, TX

Active since August 10, 2023PECOS Enrolled
2727 BOLTON BOONE DR STE 101, DESOTO, TX 75115(817) 583-7040 Get Directions Write a Review

NPPES record last updated: January 20, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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

NPI1225711617
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameSHAKAIELA BYRD
Location Address2727 BOLTON BOONE DR STE 101Desoto, TX 75115-2019
Mailing Address1115 Wayne AveDuncanville, TX 75137-4745 · (865) 556-2818
Phone(817) 583-7040
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateAugust 10, 2023
Last NPPES UpdateJanuary 20, 2025
NPPES CertifiedJanuary 20, 2025
✔ NPI 1225711617 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in TX · 1114196
Also ListedRegistered NurseTaxonomy 163W00000X · License 990518 (TX)
2727 BOLTON BOONE DR STE 101, Desoto, TX 75115
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Shakaiela Byrd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3072000306
PECOS Enrollment IDI20251013000494
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.

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.

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

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

BERACHAH NURSING CARE PLLC
Nurse Practitioner (Family)
2727 BOLTON BOONE DR STE 101
DESOTO, TX 75115
Dallas County (903) 724-6624

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.

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 18 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.