SHELLEY GASCH FNP-C
NPI 1568988145
Nurse Practitioner in Port Lavaca, TX

Active since August 16, 2017PECOS EnrolledAccepts Medicare Assignment
95.19/100
CMS Quality Rating
94 BAY FRONT LN, PORT LAVACA, TX 77979(361) 648-0321(361) 648-0321 Get Directions Write a Review

NPPES record last updated: June 4, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jun 4, 2021, Aug 16, 2017 (2 updates tracked since 2017).

About Shelley Gasch Fnp-c NPPES

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

SHELLEY GASCH FNP-C (NPI 1568988145) is an individual nurse practitioner in Port Lavaca, Texas, licensed in New York (347573) and active in the NPI registry since August 2017. She is enrolled in Medicare PECOS and is a graduate of Other (2018).

NPPES Registry Identity

NPI1568988145
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameSHELLEY GASCHCredential: FNP-C
Location Address94 BAY FRONT LNPort Lavaca, TX 77979-2704
Mailing Address200 Corporate BlvdLafayette, LA 70508-3870 · (800) 893-9698
Fax(361) 648-0321
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateAugust 16, 2017
Last NPPES UpdateJune 4, 20212 updates tracked since enumeration
NPPES CertifiedJune 4, 2021
✔ NPI 1568988145 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in NY · 347573
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 · FamilyTaxonomy 363LF0000X · License ARNP9456214 (FL)
94 BAY FRONT LN, Port Lavaca, TX 77979

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

Shelley Gasch Fnp-c 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 ID8729354170
PECOS Enrollment IDI20171030002550
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

5

Medicare enrollment records show Shelley Gasch reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

General Acute Care Hospital
2 COULTER RD
Clifton Springs, NY 14432
  • Reassigned Medicare billing, New York enrollment
  • 872 clinicians in this Medicare group
General Acute Care Hospital
1200 DRIVING PARK AVE
Newark, NY 14513
  • Reassigned Medicare billing, New York enrollment
  • 679 clinicians in this Medicare group
Emergency Medicine
510 SOUTH FOURTH STREET
Fulton, NY 13069
  • Reassigned Medicare billing, New York enrollment
  • 129 clinicians in this Medicare group
Urgent Care
7375 OSWEGO RD, SUITE1
Liverpool, NY 13090
  • Reassigned Medicare billing, New York enrollment
  • Medicare enrollment name: Wellnow Urgent Care, P.C.
  • 511 clinicians in this Medicare group
Clinic/Center
SUNRISE LODGE
Edna Bay, AK 99901
  • Reassigned Medicare billing, Texas enrollment
  • 640 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.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
58 services58 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
36 services33 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
34 services34 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 77979 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.

95.19/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality70.62
Promoting Interoperability100
Improvement Activities40

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 Shelley Gasch's NPI number?

The NPI number for Shelley Gasch is 1568988145. It was assigned to this individual provider in the NPPES registry on August 16, 2017.

Where is Shelley Gasch located?

Shelley Gasch practices at 94 Bay Front Ln, Port Lavaca, TX 77979. The listed phone number is (361) 648-0321.

What is Shelley Gasch's specialty?

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

Is Shelley Gasch enrolled in Medicare?

Yes. Shelley Gasch 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 Shelley Gasch's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Shelley Gasch reassigns Medicare benefits to 5 organizations: Clifton Springs Sanitarium Co (Clifton Springs, NY), Newark Wayne Community Hospital (Newark, NY), Port City Emergency Physicians LLP (Fulton, NY), Wellnow Urgent Care, PC (Liverpool, NY) and Southeast Alaska Regional Health Consortium (Edna Bay, AK). 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 Shelley Gasch's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Shelley Gasch accept?

Health plans from Blue Cross and Blue Shield of Texas, CHRISTUS Health Plan, Moda Health Plan, Inc., Oscar Health and Oscar Insurance Company and 1 other insurer list Shelley Gasch 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 Shelley Gasch was last updated on June 4, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.