SHEPHDA SIGNATURE MOBILE WOUND CARE PLLC
NPI 1821965492
Nurse Practitioner - Family in Rosharon, TX

Active since October 20, 2025
1606 MOUNT CONNESS LN, ROSHARON, TX 77583(570) 886-6870(570) 886-6870 Get Directions Write a Review

NPPES record last updated: November 1, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Shephda Signature Mobile Wound Care Pllc NPPES

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

SHEPHDA SIGNATURE MOBILE WOUND CARE PLLC (NPI 1821965492) is a healthcare organization registered as a family in Rosharon, Texas and active in the NPI registry since October 2025. The organization lists Daniel Mugiro Nyanchoka, Founder, as its authorized official.

NPPES Registry Identity

NPI1821965492
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameSHEPHDA SIGNATURE MOBILE WOUND CARE PLLC
Location Address1606 MOUNT CONNESS LNRosharon, TX 77583-2989
Mailing Address1606 Mount Conness LnRosharon, TX 77583-2989 · (570) 886-6870 · Fax (570) 886-6870
Fax(570) 886-6870
Organization SubpartNo
Authorized OfficialDaniel Mugiro NyanchokaFounder · (570) 886-6870
Enumeration DateOctober 20, 2025
Last NPPES UpdateNovember 1, 2025
NPPES CertifiedNovember 1, 2025
✔ NPI 1821965492 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
1606 MOUNT CONNESS LN, Rosharon, TX 77583

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Shephda Signature Mobile Wound Care Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Shephda Signature Mobile Wound Care PLLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Nurse Practitioner
NPI 1386406056
11800 ASTORIA BLVD
Houston, TX 77089
(570) 886-6870
✔ PECOS✔ Accepts Medicare18 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Shephda Signature Mobile Wound Care PLLC's NPI number?

The NPI number for Shephda Signature Mobile Wound Care PLLC is 1821965492. It was assigned to this organization in the NPPES registry on October 20, 2025.

Where is Shephda Signature Mobile Wound Care PLLC located?

Shephda Signature Mobile Wound Care PLLC is located at 1606 Mount Conness Ln, Rosharon, TX 77583. The listed phone number is (570) 886-6870.

What is Shephda Signature Mobile Wound Care PLLC's specialty?

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

Is Shephda Signature Mobile Wound Care PLLC enrolled in Medicare?

Yes. Shephda Signature Mobile Wound Care PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Shephda Signature Mobile Wound Care PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Shephda Signature Mobile Wound Care PLLC. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Shephda Signature Mobile Wound Care PLLC accept?

Health plans from Blue Cross and Blue Shield of Texas list Shephda Signature Mobile Wound Care PLLC 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 Shephda Signature Mobile Wound Care PLLC was last updated on November 1, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.