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SHAWNA JAE RUBALCABA FNP
NPI 1609418045
Nurse Practitioner - Family in Fort Worth, TX

Active since October 16, 2019PECOS EnrolledAccepts Medicare Assignment
1101 6TH AVE STE 110, FORT WORTH, TX 76104(817) 912-8570(817) 912-8580 Get Directions Write a Review

NPPES record last updated: October 4, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Oct 4, 2024, Sep 4, 2020, Jun 10, 2020 and 1 more (4 updates tracked since 2019).

About Shawna Jae Rubalcaba Fnp NPPES

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

SHAWNA JAE RUBALCABA FNP (NPI 1609418045) is an individual family provider in Fort Worth, Texas, licensed in Texas (AP143593) and active in the NPI registry since October 2019. She is enrolled in Medicare PECOS, is affiliated with Baylor Scott & White All Saints Medical Center Fort Worth, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1609418045
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameSHAWNA JAE RUBALCABACredential: FNP
Location Address1101 6TH AVE STE 110Fort Worth, TX 76104-4929
Mailing Address1101 6th Ave Ste 110Fort Worth, TX 76104-4929 · (817) 912-8570 · Fax (817) 912-8580
Phone(817) 912-8570
Fax(817) 912-8580
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateOctober 16, 2019
Last NPPES UpdateOctober 4, 20244 updates tracked since enumeration
NPPES CertifiedOctober 4, 2024
✔ NPI 1609418045 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 · AP143593
Also ListedFamily MedicineTaxonomy 207Q00000X · License AP143593 (TX)
1101 6TH AVE STE 110, Fort Worth, TX 76104
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Baylor Scott and White Health Plan, Blue Cross and Blue Shield of Texas.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

Shawna Jae Rubalcaba 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 ID3476975251
PECOS Enrollment IDI20200624001471
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.

Areas of Expertise CMS Part B claims 4

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.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
95 services57 patients
Automated urinalysis test 81003
An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.
71 services56 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
44 services37 patients
Fitting and insertion of vaginal support device 57160
A vaginal support device is a medical tool used to provide support to pelvic organs. During the procedure, a healthcare professional will gently place the device into the appropriate area. This is typically done in a clinical setting and can help with various health conditions.
40 services13 patients

Hospital Affiliations CMS Care Compare

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

Baylor Scott & White All Saints Medical Center Fort Worth

Acute Care Hospitals · Fort Worth, TX
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450137
Location1400 Eighth AveFort Worth, TX 76104 · Tarrant County
Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 76104 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
$87.20 typical visit price
range $56.47 – $171.07
Typical copayment $21.80 (range $14.11 – $42.76)
Most-billed visit code 99203
Established Patient
$99.68 typical visit price
range $18.18 – $139.68
Typical copayment $24.92 (range $4.54 – $34.92)
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.

Other Providers at the Same Location NPPES 4

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

VICTORIA TOVAR PA
Physician Assistant
1101 6TH AVE STE 110
FORT WORTH, TX 76104
Tarrant County (817) 912-8040
DR. OSAMAH HASAN
Urology
1101 6TH AVE STE 110
FORT WORTH, TX 76104
Tarrant County (817) 912-8570
DR. ROBERT G PARHAM MD
Urology
1101 6TH AVE STE 110
FORT WORTH, TX 76104
Tarrant County (817) 912-8040
CHARLES L SECREST MD
Urology
1101 6TH AVE STE 110
FORT WORTH, TX 76104
Tarrant County (817) 912-8570

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 Shawna Rubalcaba's NPI number?

The NPI number for Shawna Rubalcaba is 1609418045. It was assigned to this individual provider in the NPPES registry on October 16, 2019.

Where is Shawna Rubalcaba located?

Shawna Rubalcaba practices at 1101 6th Ave Ste 110, Fort Worth, TX 76104. The listed phone number is (817) 912-8570.

What is Shawna Rubalcaba's specialty?

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

Is Shawna Rubalcaba enrolled in Medicare?

Yes. Shawna Rubalcaba 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 Shawna Rubalcaba accept?

Health plans from Baylor Scott and White Health Plan and Blue Cross and Blue Shield of Texas list Shawna Rubalcaba 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 Shawna Rubalcaba affiliated with any hospitals?

According to CMS data, Shawna Rubalcaba is affiliated with Baylor Scott & White All Saints Medical Center Fort Worth.

When was this NPI record last updated?

The NPPES record for Shawna Rubalcaba was last updated on October 4, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 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.