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

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: October 18, 2026.

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
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

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignments

6

Medicare enrollment records show Desiree Shoemaker reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Family Medicine
6815 HILL CT
Azle, TX 76020
  • Reassigned Medicare billing, Texas enrollment
  • 41 clinicians in this Medicare group
General Practice
4055 VALLEY VIEW LN STE 700
Dallas, TX 75244
  • Reassigned Medicare billing, Texas enrollment
  • 1,246 clinicians in this Medicare group
Multi-Specialty
4436 MANGUM DR
Flowood, MS 39232
  • Reassigned Medicare billing, Texas enrollment
  • 33 clinicians in this Medicare group
Nurse Practitioner
120 STONE CREEK BLVD STE 300
Flowood, MS 39232
  • Reassigned Medicare billing, Texas enrollment
  • 69 clinicians in this Medicare group
Family
10 CANEBRAKE BLVD STE 110-09
Flowood, MS 39232
  • Reassigned Medicare billing, Texas enrollment
  • 35 clinicians in this Medicare group
Specialist
1108 BELMONT PL
Metairie, LA 70001
  • Reassigned Medicare billing, Texas enrollment
  • 47 clinicians in this Medicare group

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

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.

Which organizations bill Medicare for Desiree Shoemaker's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Desiree Shoemaker reassigns Medicare benefits to 6 organizations: Segue Health Of Texas PLLC (Azle, TX), Signify Health Medical Associates, PLLC (Dallas, TX), Advanced Vascular And Vein Associates, LLC (Flowood, MS), Wound Management Specialists, LLC (Flowood, MS), On-Site Health LLC (Flowood, MS) and 1 more organization, listed in the Medicare section above. 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 Desiree Shoemaker's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Desiree Shoemaker accept?

Health plans from Blue Cross and Blue Shield of Texas list Desiree Shoemaker 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 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 7 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.