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SHATERRA MCCOLLISTER CPNP-PC
NPI 1801395629
Nurse Practitioner - Pediatrics in Fort Worth, TX

Active since February 07, 2018PECOS EnrolledAccepts Medicare Assignment
801 7TH AVE, FORT WORTH, TX 76104(682) 885-4054(682) 885-7497 Get Directions Write a Review

NPPES record last updated: March 7, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 7, 2024, Apr 13, 2021, Apr 17, 2018 (3 updates tracked since 2018).

About Shaterra Mccollister Cpnp-pc NPPES

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

SHATERRA MCCOLLISTER CPNP-PC (NPI 1801395629) is an individual pediatrics provider in Fort Worth, Texas, licensed in Texas (AP135828) and active in the NPI registry since February 2018. She is enrolled in Medicare PECOS, maintains a secondary practice location in Fort Worth, and is a graduate of Other (2023).

NPPES Registry Identity

NPI1801395629
Entity TypeIndividualFemale
Primary Taxonomy363LP0200X
Provider Legal NameSHATERRA MCCOLLISTERCredential: CPNP-PC
Location Address801 7TH AVEFort Worth, TX 76104-2733
Mailing AddressPo Box 733784Dallas, TX 75373-3784 · (682) 885-1855 · Fax (682) 885-7337
Phone(682) 885-4054
Fax(682) 885-7497
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateFebruary 7, 2018
Last NPPES UpdateMarch 7, 20243 updates tracked since enumeration
NPPES CertifiedMarch 7, 2024
✔ NPI 1801395629 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0200X
License✔ Licensed in TX · AP135828
Also ListedNurse Practitioner · Primary CareTaxonomy 363LP2300X · License AP135828 (TX)
Also ListedNurse Practitioner · Women's HealthTaxonomy 363LW0102X · License AP135828 (TX)
801 7TH AVE, Fort Worth, TX 76104
Open in Google Maps ↗

Secondary Practice Location 1

Location 1801 7th AveFort Worth, TX 76104-2733 · Phone (682) 885-4054

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

Shaterra Mccollister Cpnp-pc 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 ID9638516156
PECOS Enrollment IDI20240320001003
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 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 20

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

RACHEL MARIE SOUERS M.D.
Pediatrics
801 7TH AVE
FORT WORTH, TX 76104
Tarrant County (682) 885-6726
JAMIE L COLE LCSW
Social Worker (Clinical)
801 7TH AVE, CASE MANAGEMENT
FORT WORTH, TX 76104
Tarrant County (682) 885-3991
ANNE MARCUM KIRK M.D.
Hospitalist
801 7TH AVE
FORT WORTH, TX 76104
Tarrant County (682) 885-1475
KRISTI E TUCKER FNP
Nurse Practitioner (Family)
801 7TH AVE
FORT WORTH, TX 76104
Tarrant County (682) 885-1475
ISAAC WILSON RN
Registered Nurse
801 7TH AVE
FORT WORTH, TX 76104
Tarrant County (682) 885-4000
DR. BRITTON MICHAEL DEVILLIER M.D., M.P.H.
Emergency Medicine (Pediatric Emergency Medicine)
801 7TH AVE
FORT WORTH, TX 76104
Tarrant County (682) 885-4095
DR. PHUONG THI NGUYEN M.D.
Hospitalist
801 7TH AVE
FORT WORTH, TX 76104
Tarrant County (682) 885-1475
DR. MIRIAM ALLISON BLUM DO
Hospitalist
801 7TH AVE
FORT WORTH, TX 76104
Tarrant County (682) 885-1475

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 Shaterra Mccollister's NPI number?

The NPI number for Shaterra Mccollister is 1801395629. It was assigned to this individual provider in the NPPES registry on February 7, 2018.

Where is Shaterra Mccollister located?

Shaterra Mccollister practices at 801 7th Ave, Fort Worth, TX 76104. The listed phone number is (682) 885-4054.

What is Shaterra Mccollister's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

Is Shaterra Mccollister enrolled in Medicare?

Yes. Shaterra Mccollister 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 Shaterra Mccollister was last updated on March 7, 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.