SHAYNA BURDEAUX DO
NPI 1386134633
Obstetrics & Gynecology in Jacksonville, TX

Q: What is Shayna Burdeaux's NPI number?

The NPI number for Shayna Burdeaux is 1386134633. It was assigned to this individual provider in the NPPES registry on May 12, 2018.

Q: What is Shayna Burdeaux's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Q: When was this NPI record last updated?

The NPPES record for Shayna Burdeaux was last updated on September 1, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since May 12, 2018PECOS EnrolledAccepts Medicare Assignment

97.58/100

CMS Quality Rating

203 NACOGDOCHES ST STE 280, JACKSONVILLE, TX 75766(903) 541-5396(903) 541-5470 Get Directions Write a Review

NPPES record last updated: September 1, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Sep 1, 2022, Aug 4, 2022, Jul 21, 2022 and 1 more (4 updates tracked since 2018).

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About Shayna Burdeaux Do NPPES

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

SHAYNA BURDEAUX DO (NPI 1386134633) is an individual obstetrics & gynecology provider in Jacksonville, Texas, licensed in Texas (T7177) and active in the NPI registry since May 2018. She is enrolled in Medicare PECOS, is affiliated with Ut Health East Texas Tyler Regional Hospital, and is a graduate of Liberty Univ College Of Osteopathic Medicine (2018).

NPPES Registry Identity

NPI1386134633

Entity TypeIndividualFemale

Primary Taxonomy207V00000X

Provider Legal NameSHAYNA BURDEAUXCredential: DO

Location Address203 NACOGDOCHES ST STE 280Jacksonville, TX 75766-2444

Mailing Address203 Nacogdoches St Ste 280Jacksonville, TX 75766-2444 · (903) 541-5396 · Fax (903) 541-5470

Phone(903) 541-5396

Fax(903) 541-5470

Sole ProprietorYes

Medical School CMSLiberty Univ College Of Osteopathic MedicineGraduated 2018

Enumeration DateMay 12, 2018

Last NPPES UpdateSeptember 1, 20224 updates tracked since enumeration

NPPES CertifiedSeptember 1, 2022

✔ NPI 1386134633 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians

Taxonomy Code207V00000X

License✔ Licensed in TX · T7177

Definition

An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

203 NACOGDOCHES ST STE 280, Jacksonville, TX 75766

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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, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Shayna Burdeaux Do 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 ID2860737814

PECOS Enrollment IDI20220818003734

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.

Hospital Affiliations CMS Care Compare

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

Ut Health East Texas Tyler Regional Hospital

Acute Care Hospitals · Tyler, TX

1/5 CMS rating

OwnershipProprietary

CMS Certification Number450083

Location1000 South Beckham AveTyler, TX 75701 · Smith County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75766 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

$126.40 typical visit price

range $54.84 – $166.88

Typical copayment $31.60 (range $13.71 – $41.72)

Most-billed visit code 99204

Established Patient

$68.55 typical visit price

range $17.52 – $136.11

Typical copayment $17.13 (range $4.38 – $34.02)

Most-billed visit code 99213

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.

97.58/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored through an Alternative Payment Model

Quality

86.53

Promoting Interoperability

100

Improvement Activities

Leave this field empty

Other Providers at the Same Location NPPES 7

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

DR. KENYA SEKONI ETIM M.D.

Family Medicine (Adult Medicine)