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SHONTELL ANITA WHITE AGPCNP
NPI 1578429510
Nurse Practitioner in Grand Prairie, TX

Active since January 03, 2026PECOS EnrolledAccepts Medicare Assignment
3404 PARHAM DR, GRAND PRAIRIE, TX 75052(309) 779-8135 Get Directions Write a Review

NPPES record last updated: January 3, 2026. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Shontell Anita White Agpcnp NPPES

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

SHONTELL ANITA WHITE AGPCNP (NPI 1578429510) is an individual nurse practitioner in Grand Prairie, Texas, licensed in Texas (891095) and active in the NPI registry since January 2026. She is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1578429510
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameSHONTELL ANITA WHITECredential: AGPCNP
Location Address3404 PARHAM DRGrand Prairie, TX 75052-8053
Mailing Address3404 Parham DrGrand Prairie, TX 75052-8053 · (309) 779-8135
Phone(309) 779-8135
Sole ProprietorYes
Medical School CMSOtherGraduated 2025
Enumeration DateJanuary 3, 2026
NPPES CertifiedJanuary 3, 2026
✔ NPI 1578429510 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in TX · 891095
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.
3404 PARHAM DR, Grand Prairie, TX 75052
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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

Shontell Anita White Agpcnp 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 ID9234607987
PECOS Enrollment IDI20260511003307
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 75052 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
$88.19 typical visit price
range $57.18 – $172.86
Typical copayment $22.04 (range $14.29 – $43.21)
Most-billed visit code 99203
Established Patient
$100.80 typical visit price
range $18.48 – $141.20
Typical copayment $25.20 (range $4.62 – $35.30)
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 Shontell White's NPI number?

The NPI number for Shontell White is 1578429510. It was assigned to this individual provider in the NPPES registry on January 3, 2026.

Where is Shontell White located?

Shontell White practices at 3404 Parham Dr, Grand Prairie, TX 75052. The listed phone number is (309) 779-8135.

What is Shontell White's specialty?

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

Is Shontell White enrolled in Medicare?

Yes. Shontell White 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.

When was this NPI record last updated?

The NPPES record for Shontell White was last updated on January 3, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.