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MRS. SHEILA DENISE ESPARZA FNP
NPI 1316502073
Nurse Practitioner - Family in Cypress, TX

Active since May 07, 2019PECOS EnrolledAccepts Medicare Assignment
11590 BARKER CYPRESS RD, CYPRESS, TX 77433(832) 533-8440 Get Directions Write a Review

NPPES record last updated: April 24, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Aug 9, 2019, May 7, 2019 (2 updates tracked since 2019).

About Mrs. Sheila Denise Esparza Fnp NPPES

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

MRS. SHEILA DENISE ESPARZA FNP (NPI 1316502073) is an individual family provider in Cypress, Texas, licensed in Texas (AP141568) and active in the NPI registry since May 2019. She is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1316502073
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMRS. SHEILA DENISE ESPARZACredential: FNP
Location Address11590 BARKER CYPRESS RDCypress, TX 77433-1216
Mailing Address11590 Barker Cypress RdCypress, TX 77433-1216 · (832) 533-8404
Phone(832) 533-8440
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateMay 7, 2019
Last NPPES UpdateApril 24, 20252 updates tracked since enumeration
NPPES CertifiedApril 24, 2025
✔ NPI 1316502073 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in TX · AP141568
11590 BARKER CYPRESS RD, Cypress, TX 77433
Open in Google Maps ↗

Other Names 1

Former Name (1)Miss Sheila Denise Burns

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

Mrs. Sheila Denise Esparza Fnp 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 ID2365773298
PECOS Enrollment IDI20191008001666
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

4

Medicare enrollment records show Sheila Esparza reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Jaswant S Pandher, M.D., P.A.
Same address
Family Medicine
11590 BARKER CYPRESS RD
Cypress, TX 77433
  • Reassigned Medicare billing, Texas enrollment
  • Medicare enrollment name: Jaswant S Pandher MD PA
  • 6 clinicians in this Medicare group
NPI 1871806547 (832) 613-5707
Village Family Practice, L.L.P
15 mi
Family Medicine
9055 KATY FWY STE 200
Houston, TX 77024
  • Reassigned Medicare billing, Texas enrollment
  • Medicare enrollment name: Villagemd Of Southeast Texas PA
  • 207 clinicians in this Medicare group
NPI 1083619191 (713) 461-2915
Tmc Provider Group, PLLC
90 mi
Urgent Care
114 S LHS DR
Lumberton, TX 77657
  • Reassigned Medicare billing, Texas enrollment
  • 223 clinicians in this Medicare group
NPI 1770292799 (409) 227-0053
Doctors Express Of The Beaumont Area PA
91 mi
Urgent Care
3195 DOWLEN RD STE 105
Beaumont, TX 77706
  • Reassigned Medicare billing, Texas enrollment
  • 351 clinicians in this Medicare group
NPI 1841525235 (409) 860-1888

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 9

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 moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
72 services67 patients
Blood test, comprehensive group of blood chemicals 80053
A comprehensive group of blood chemicals test, also known as a comprehensive metabolic panel, is a blood test that measures your sugar level, electrolyte and fluid balance, kidney function, and liver function. This helps to check your body's overall health.
39 services39 patients
Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count 85025
A Complete Blood Cell Count is a common test that measures various components of the blood, including red cells (carry oxygen), white cells (fight infection), and platelets (help blood clot). An automated test ensures accuracy. The differential count provides detailed information about white cell types.
35 services35 patients
Blood test, lipids (cholesterol and triglycerides) 80061
A lipid panel is a blood test that measures fats and fatty substances, such as cholesterol and triglycerides. These substances are used by your body as a source of energy. High levels can lead to health issues, including heart disease.
34 services34 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
23 services23 patients
Blood test, thyroid stimulating hormone (tsh) 84443
A TSH blood test measures the level of thyroid stimulating hormone in your body. This hormone is produced by the pituitary gland and regulates how your thyroid works. It's a simple procedure where a small amount of blood is drawn from your arm for analysis.
22 services22 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 77433 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.

Other Providers at the Same Location NPPES 5

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

H K BUTTAR MD PA
Family Medicine
11590 BARKER CYPRESS RD
CYPRESS, TX 77433
Harris County (832) 533-8404
TEXAS PHYSICIAN NETWORK LLC
Internal Medicine
11590 BARKER CYPRESS RD
CYPRESS, TX 77433
Harris County (832) 533-8404
NICOLE IHEKWOABA NP
Nurse Practitioner (Primary Care)
11590 BARKER CYPRESS RD
CYPRESS, TX 77433
Harris County (832) 613-5707
DR. JASWANT SINGH PANDHER MD
Internal Medicine
11590 BARKER CYPRESS RD
CYPRESS, TX 77433
Harris County (832) 533-8404
JASWANT S PANDHER, M.D., P.A.
Family Medicine
11590 BARKER CYPRESS RD
CYPRESS, TX 77433
Harris County (832) 613-5707

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 Sheila Esparza's NPI number?

The NPI number for Sheila Esparza is 1316502073. It was assigned to this individual provider in the NPPES registry on May 7, 2019. The provider is also known as Miss Sheila Denise Burns.

Where is Sheila Esparza located?

Sheila Esparza practices at 11590 Barker Cypress Rd, Cypress, TX 77433. The listed phone number is (832) 533-8440.

What is Sheila Esparza's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Sheila Esparza enrolled in Medicare?

Yes. Sheila Esparza 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 Sheila Esparza's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sheila Esparza reassigns Medicare benefits to 4 organizations: Jaswant S Pandher, M.D., P.A. (Cypress, TX), Village Family Practice, L.L.P (Houston, TX), Tmc Provider Group, PLLC (Lumberton, TX) and Doctors Express Of The Beaumont Area PA (Beaumont, 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 Sheila Esparza's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Sheila Esparza 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 3 other insurers list Sheila Esparza 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 Sheila Esparza was last updated on April 24, 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.