SHATERRA MCCOLLISTER CPNP-PC
NPI 1801395629
Nurse Practitioner - Pediatrics in Fort Worth, TX
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 4 additional practice locations, and is a graduate of Other (2023).
NPPES Registry Identity
Specialties & Licenses 3
Secondary Practice Locations 4
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
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.
Medicare Billing Reassignment
Medicare enrollment records show Shaterra Mccollister reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Grand Prairie, TX 75051
- Reassigned Medicare billing, Texas enrollment
- 808 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.
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.
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.
FORT WORTH, TX 76104
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.
Which organization bills Medicare for Shaterra Mccollister's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Shaterra Mccollister reassigns Medicare benefits to Dallas County Hospital District (Grand Prairie, TX). The 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 Shaterra Mccollister's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Shaterra Mccollister accept?
Health plans from Blue Cross and Blue Shield of Texas list Shaterra Mccollister 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 Shaterra Mccollister was last updated on August 17, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Shaterra Mccollister, CPNP-PC · NPI 1801395629
Pediatrics physician in Fort Worth, Texas. Individual provider, active in the CMS NPPES registry since February 7, 2018.
## Identity
- **NPI:** 1801395629 (Entity type: Individual)
- **Enumerated:** February 7, 2018
- **Primary specialty:** Nurse Practitioner - Pediatrics · taxonomy 363LP0200X
- **State license:** AP135828 (Texas)
- **Sole proprietor:** No
## Practice location
- **Address:** 801 7TH AVE, Fort Worth, TX 76104-2733
- **Phone:** (682) 885-4054 · **Fax:** (682) 885-7497
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Dallas County Hospital District (NPI 1194090001, Grand Prairie, TX), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2023
## Record status
- **NPPES last updated:** August 17, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1801395629) · Data from the CMS NPPES public registry.