SHEILA R COLE FNP
NPI 1538220710
Nurse Practitioner - Family in Orange, TX

Active since December 12, 2006PECOS EnrolledAccepts Medicare Assignment
74.96/100
CMS Quality Rating
2014 N.10TH ST., ORANGE, TX 77630(409) 772-2222 Get Directions Write a Review

NPPES record last updated: April 5, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 5, 2024, Feb 7, 2024, Jul 22, 2022 and 1 more (4 updates tracked since 2020).

About Sheila R Cole Fnp NPPES

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

SHEILA R COLE FNP (NPI 1538220710) is an individual family provider in Orange, Texas, licensed in Texas (AP109224) and active in the NPI registry since December 2006. She is enrolled in Medicare PECOS and is a graduate of University Of Texas Medical Branch At Galveston (1998).

NPPES Registry Identity

NPI1538220710
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameSHEILA R COLECredential: FNP
Location Address2014 N.10TH ST.Orange, TX 77630
Mailing AddressPo Box 650859, Dept 710Dallas, TX 75265-5302 · (409) 747-6240
Sole ProprietorNo
Medical School CMSUniversity Of Texas Medical Branch At GalvestonGraduated 1998
Enumeration DateDecember 12, 2006
Last NPPES UpdateApril 5, 20244 updates tracked since enumeration
NPPES CertifiedApril 5, 2024
NPI 1538220710 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in TX · AP109224
Also ListedNurse PractitionerTaxonomy 363L00000X · License AP109224 (TX)
2014 N.10TH ST., Orange, TX 77630

Other Identifiers 1

Medicaid121596407TX

Accepted 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

Sheila R Cole 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 ID9032271259
PECOS Enrollment IDI20081223000292
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 77630 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
$84.92 typical visit price
range $54.84 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.05 typical visit price
range $17.52 – $136.11
Typical copayment $24.26 (range $4.38 – $34.02)
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.

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.

74.96/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality73.77
Promoting Interoperability94
Improvement Activities40
Cost47.75

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 Cole's NPI number?

The NPI number for Sheila Cole is 1538220710. It was assigned to this individual provider in the NPPES registry on December 12, 2006.

Where is Sheila Cole located?

Sheila Cole practices at 2014 N.10th St., Orange, TX 77630. The listed phone number is (409) 772-2222.

What is Sheila Cole's specialty?

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

Is Sheila Cole enrolled in Medicare?

Yes. Sheila Cole 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.

What insurance does Sheila Cole accept?

Health plans from Blue Cross and Blue Shield of Texas, Community Health Choice and Oscar Insurance Company list Sheila Cole 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 Cole was last updated on April 5, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.