MR. SHELBY RIGDON TIEKEN AGACNP-BC
NPI 1255924064
Nurse Practitioner - Acute Care in Fort Worth, TX
About Mr. Shelby Rigdon Tieken Agacnp-bc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MR. SHELBY RIGDON TIEKEN AGACNP-BC (NPI 1255924064) is an individual acute care provider in Fort Worth, Texas, licensed in Texas (1028643) and active in the NPI registry since February 2021. He is enrolled in Medicare PECOS, is affiliated with Jps Health Network, and maintains a secondary practice location in Irving.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
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
Mr. Shelby Rigdon Tieken Agacnp-bc 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.
Areas of Expertise CMS Part B claims
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.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Jps Health Network
Acute Care Hospitals · Fort Worth, TXMethodist Southlake Medical Center
Acute Care Hospitals · Southlake, TXPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 76104 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 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
FORT WORTH, TX 76104
FORT WORTH, TX 76104
FORT WORTH, TX 76104
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 Tieken's NPI number?
The NPI number for Shelby Tieken is 1255924064. It was assigned to this individual provider in the NPPES registry on February 12, 2021.
Where is Shelby Tieken located?
Shelby Tieken practices at 1500 S Main St, Fort Worth, TX 76104. The listed phone number is (817) 702-1100.
What is Shelby Tieken's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.
Is Shelby Tieken enrolled in Medicare?
Yes. Shelby Tieken 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 Shelby Tieken accept?
Health plans from Blue Cross and Blue Shield of Texas, Imperial Insurance Companies, Inc. and Molina Healthcare list Shelby Tieken 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 Shelby Tieken affiliated with any hospitals?
According to CMS data, Shelby Tieken is affiliated with Jps Health Network and Methodist Southlake Medical Center.
When was this NPI record last updated?
The NPPES record for Shelby Tieken was last updated on January 10, 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.
# Mr. Shelby Rigdon Tieken, AGACNP-BC · NPI 1255924064
Acute Care physician in Fort Worth, Texas. Individual provider, active in the CMS NPPES registry since February 12, 2021.
## Identity
- **NPI:** 1255924064 (Entity type: Individual)
- **Enumerated:** February 12, 2021
- **Primary specialty:** Nurse Practitioner - Acute Care · taxonomy 363LA2100X
- **State license:** 1028643 (Texas)
- **Sole proprietor:** No
## Practice location
- **Address:** 1500 S MAIN ST, Fort Worth, TX 76104-4917
- **Phone:** (817) 702-1100
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2020
## Record status
- **NPPES last updated:** January 10, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1255924064) · Data from the CMS NPPES public registry.