SHERLY V. SEBASTIAN NP
NPI 1306015433
Nurse Practitioner in Houston, TX

Active since February 22, 2008PECOS EnrolledAccepts Medicare Assignment
91.34/100
CMS Quality Rating
7200 CAMBRIDGE ST FL 10, HOUSTON, TX 77030(137) 981-7507 Get Directions Write a Review

NPPES record last updated: January 23, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Sherly V. Sebastian Np NPPES

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

SHERLY V. SEBASTIAN NP (NPI 1306015433) is an individual nurse practitioner in Houston, Texas, licensed in Texas (578384) and active in the NPI registry since February 2008. She is enrolled in Medicare PECOS, is affiliated with Chi St Luke's Health Baylor College Of Medicine Me, and maintains a secondary practice location in Houston.

NPPES Registry Identity

NPI1306015433
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameSHERLY V. SEBASTIANCredential: NP
Location Address7200 CAMBRIDGE ST FL 10Houston, TX 77030-4202
Mailing Address2 Greenway Plz, Suite 910Houston, TX 77046-0297 · (713) 798-1750 · Fax (713) 798-1144
Sole ProprietorNo
Medical School CMSOtherGraduated 1986
Enumeration DateFebruary 22, 2008
Last NPPES UpdateJanuary 23, 2024
NPPES CertifiedJanuary 23, 2024
NPI 1306015433 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
Licenses Licensed in TX · 578384 Licensed in TX · AP116100
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
7200 CAMBRIDGE ST FL 10, Houston, TX 77030

Secondary Practice Location 1

Location 16620 Main St, Suite 1350Houston, TX 77030-2348 · Phone (713) 798-4696 · Fax (713) 798-3739

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

Sherly V. Sebastian Np 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 ID6406928555
PECOS Enrollment IDI20080707000156
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.

Areas of Expertise CMS Part B claims 2

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.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
58 services51 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
31 services31 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Chi St Luke's Health Baylor College Of Medicine Me

Acute Care Hospitals · Houston, TX
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number450193
Location6720 Bertner Ave, Ste Mc1-266Houston, TX 77030 · Harris County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 77030 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
$90.40 typical visit price
range $58.24 – $176.98
Typical copayment $22.60 (range $14.56 – $44.24)
Most-billed visit code 99203
Established Patient
$102.71 typical visit price
range $18.60 – $143.93
Typical copayment $25.67 (range $4.65 – $35.98)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

91.34/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality81.64
Promoting Interoperability89.13
Improvement Activities40

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.

Psychiatry & Neurology (Neurology)
7200 CAMBRIDGE ST FL 10
HOUSTON, TX 77030
Nurse Anesthetist, Certified Registered
7200 CAMBRIDGE ST FL 10
HOUSTON, TX 77030
Nurse Anesthetist, Certified Registered
7200 CAMBRIDGE ST FL 10
HOUSTON, TX 77030
Transplant Surgery
7200 CAMBRIDGE ST FL 10
HOUSTON, TX 77030
Surgery (Surgical Oncology)
7200 CAMBRIDGE ST FL 10
HOUSTON, TX 77030
Nurse Anesthetist, Certified Registered
7200 CAMBRIDGE ST FL 10
HOUSTON, TX 77030
Hospitalist
7200 CAMBRIDGE ST FL 10
HOUSTON, TX 77030
Nurse Practitioner (Critical Care Medicine)
7200 CAMBRIDGE ST FL 10
HOUSTON, TX 77030

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 Sherly Sebastian's NPI number?

The NPI number for Sherly Sebastian is 1306015433. It was assigned to this individual provider in the NPPES registry on February 22, 2008.

Where is Sherly Sebastian located?

Sherly Sebastian practices at 7200 Cambridge St Fl 10, Houston, TX 77030. The listed phone number is (137) 981-7507.

What is Sherly Sebastian's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Sherly Sebastian enrolled in Medicare?

Yes. Sherly Sebastian 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 Sherly Sebastian accept?

Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and Ambetter from Superior HealthPlan and 5 other insurers list Sherly Sebastian 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 Sherly Sebastian affiliated with any hospitals?

According to CMS data, Sherly Sebastian is affiliated with Chi St Luke's Health Baylor College Of Medicine Me.

When was this NPI record last updated?

The NPPES record for Sherly Sebastian was last updated on January 23, 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.