DESIREE L SHOEMAKER
NPI 1366399941
Nurse Practitioner in Fort Worth, TX

Q: What is Desiree Shoemaker's NPI number?

The NPI number for Desiree Shoemaker is 1366399941. It was assigned to this individual provider in the NPPES registry on March 12, 2026.

Q: What is Desiree Shoemaker's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Desiree Shoemaker was last updated on March 12, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.

Active since March 12, 2026PECOS Enrolled

9120 TYNE TRL, FORT WORTH, TX 76118(414) 708-0036 Get Directions Write a Review

NPPES record last updated: March 12, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

On this page

About Desiree L Shoemaker NPPES

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

DESIREE L SHOEMAKER (NPI 1366399941) is an individual nurse practitioner in Fort Worth, Texas, licensed in Texas (1033002) and active in the NPI registry since March 2026. She is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1366399941

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameDESIREE L SHOEMAKER

Location Address9120 TYNE TRLFort Worth, TX 76118-7576

Mailing Address9120 Tyne TrlFort Worth, TX 76118-7576

Phone(414) 708-0036

Sole ProprietorNo

Medical School CMSOtherGraduated 2025

Enumeration DateMarch 12, 2026

NPPES CertifiedMarch 12, 2026

✔ NPI 1366399941 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in TX · 1033002

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.

Also ListedNurse Practitioner · Acute CareTaxonomy 363LA2100X · License 1033002 (TX)

Also ListedNurse Practitioner · Adult HealthTaxonomy 363LA2200X · License 1033002 (TX)

Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License 1033002 (TX)

Also ListedNurse Practitioner · Primary CareTaxonomy 363LP2300X · License 1033002 (TX)

9120 TYNE TRL, Fort Worth, TX 76118

Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Desiree L Shoemaker is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2264908821

PECOS Enrollment IDI20260421000524

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 76118 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

$87.20 typical visit price

range $56.47 – $171.07

Typical copayment $21.80 (range $14.11 – $42.76)

Most-billed visit code 99203

Established Patient

$99.68 typical visit price

range $18.18 – $139.68

Typical copayment $24.92 (range $4.54 – $34.92)

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.

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 Desiree Shoemaker's NPI number?

The NPI number for Desiree Shoemaker is 1366399941. It was assigned to this individual provider in the NPPES registry on March 12, 2026.

Where is Desiree Shoemaker located?

Desiree Shoemaker practices at 9120 Tyne Trl, Fort Worth, TX 76118. The listed phone number is (414) 708-0036.

What is Desiree Shoemaker's specialty?

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

Is Desiree Shoemaker enrolled in Medicare?

Yes. Desiree Shoemaker is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Desiree Shoemaker was last updated on March 12, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.