DR. TONYA LYNN BREAUX SHROPSHIRE PHD, DNP, MPH, FNP
NPI 1508691775
Nurse Practitioner - Family in Pelham, AL
About Dr. Tonya Lynn Breaux Shropshire Phd, Dnp, Mph, Fnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. TONYA LYNN BREAUX SHROPSHIRE PHD, DNP, MPH, FNP (NPI 1508691775) is an individual family provider in Pelham, Alabama, licensed in Alabama (1-103836) and active in the NPI registry since September 2024. She is enrolled in Medicare PECOS, is affiliated with East Jefferson General Hospital, and is a graduate of Other (2021).
NPPES Registry Identity
Specialties & Licenses 2
Accepted 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
Dr. Tonya Lynn Breaux Shropshire Phd, Dnp, Mph, 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.
Medicare Billing Reassignments
3Medicare enrollment records show Tonya Breaux Shropshire reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Centre, AL 35960
- Reassigned Medicare billing, Alabama enrollment
- 276 clinicians in this Medicare group
Florence, AL 35630
- Reassigned Medicare billing, Alabama enrollment
- 179 clinicians in this Medicare group
New Orleans, LA 70163
- Reassigned Medicare billing, Louisiana enrollment
- 313 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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
East Jefferson General Hospital
Acute Care Hospitals · Metairie, LAPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 35124 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 2
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Tonya Breaux Shropshire's NPI number?
The NPI number for Tonya Breaux Shropshire is 1508691775. It was assigned to this individual provider in the NPPES registry on September 5, 2024.
Where is Tonya Breaux Shropshire located?
Tonya Breaux Shropshire practices at 300 Big Mountain Cir, Pelham, AL 35124. The listed phone number is (205) 644-8289.
What is Tonya Breaux Shropshire's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Tonya Breaux Shropshire enrolled in Medicare?
Yes. Tonya Breaux Shropshire 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 Tonya Breaux Shropshire's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Tonya Breaux Shropshire reassigns Medicare benefits to 3 organizations: Rural Urgent Care LLC (Centre, AL), Fast Pace Medical Clinic PLLC (Florence, AL) and East Jefferson Physicians Group LLC (New Orleans, LA). 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 Tonya Breaux Shropshire's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Tonya Breaux Shropshire accept?
Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Blue Cross and Blue Shield of Alabama and 2 other insurers list Tonya Breaux Shropshire 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 Tonya Breaux Shropshire affiliated with any hospitals?
According to CMS data, Tonya Breaux Shropshire is affiliated with East Jefferson General Hospital.
When was this NPI record last updated?
The NPPES record for Tonya Breaux Shropshire was last updated on June 5, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.
# Dr. Tonya Lynn Breaux Shropshire, PHD, DNP, MPH, FNP · NPI 1508691775
Family physician in Pelham, Alabama. Individual provider, active in the CMS NPPES registry since September 5, 2024.
## Identity
- **NPI:** 1508691775 (Entity type: Individual)
- **Enumerated:** September 5, 2024
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 1-103836 (Alabama)
- **Sole proprietor:** No
## Practice location
- **Address:** 300 BIG MOUNTAIN CIR, Pelham, AL 35124-4102
- **Phone:** (205) 644-8289
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Rural Urgent Care LLC (NPI 1932586476, Centre, AL); Fast Pace Medical Clinic PLLC (NPI 1639679962, Florence, AL); East Jefferson Physicians Group LLC (NPI 1922293372, New Orleans, LA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2021
## Record status
- **NPPES last updated:** June 5, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1508691775) · Data from the CMS NPPES public registry.