SHAWNEE WALLACE DO
NPI 1861073694
Pediatrics in Houston, TX
About Shawnee Wallace Do NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SHAWNEE WALLACE DO (NPI 1861073694) is an individual pediatrics provider in Houston, Texas, licensed in Texas (V2321) and active in the NPI registry since April 2021. She is enrolled in Medicare PECOS and is a graduate of University Of North Texas Hsc, College Of Osteopathic Med (2021).
NPPES Registry Identity
Specialties & Licenses
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
Shawnee Wallace Do 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 Reassignments
3Medicare enrollment records show Shawnee Wallace reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Houston, TX 77030
- Reassigned Medicare billing, Texas enrollment
- Medicare enrollment name: Texas Childrens Physician Group
- 2,498 clinicians in this Medicare group
Houston, TX 77024
- Reassigned Medicare billing, Texas enrollment
- 408 clinicians in this Medicare group
San Antonio, TX 78229
- Reassigned Medicare billing, Texas enrollment
- 1,452 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 77030 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.
HOUSTON, TX 77030
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 Shawnee Wallace's NPI number?
The NPI number for Shawnee Wallace is 1861073694. It was assigned to this individual provider in the NPPES registry on April 14, 2021.
Where is Shawnee Wallace located?
Shawnee Wallace practices at 6621 Fannin St, Houston, TX 77030. The listed phone number is (832) 824-1000.
What is Shawnee Wallace's specialty?
The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.
Is Shawnee Wallace enrolled in Medicare?
Yes. Shawnee Wallace 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 organizations bill Medicare for Shawnee Wallace's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Shawnee Wallace reassigns Medicare benefits to 3 organizations: Texas Children's Physician Group (Houston, TX), Memorial Hermann Hospital Based Physician Group (Houston, TX) and Emergency Medicine Services Of Tx, PLLC (San Antonio, TX). Each 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 Shawnee Wallace's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Shawnee Wallace accept?
Health plans from Blue Cross and Blue Shield of Texas and Oscar Insurance Company list Shawnee Wallace 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 Shawnee Wallace was last updated on June 26, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.
# Shawnee Wallace, DO · NPI 1861073694
Pediatrics physician in Houston, Texas. Individual provider, active in the CMS NPPES registry since April 14, 2021.
## Identity
- **NPI:** 1861073694 (Entity type: Individual)
- **Enumerated:** April 14, 2021
- **Primary specialty:** Pediatrics · taxonomy 208000000X
- **State license:** V2321 (Texas)
- **Sole proprietor:** No
## Practice location
- **Address:** 6621 FANNIN ST, Houston, TX 77030-2399
- **Phone:** (832) 824-1000
## 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:** 3 organizations under Medicare reassignment (form CMS-855R): Texas Children's Physician Group (NPI 1861675506, Houston, TX); Memorial Hermann Hospital Based Physician Group (NPI 1295363497, Houston, TX); Emergency Medicine Services Of Tx, PLLC (NPI 1245938729, San Antonio, TX) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of North Texas Hsc, College Of Osteopathic Med, class of 2021
## Record status
- **NPPES last updated:** June 26, 2025
---
Source: [NPI Profile](https://npiprofile.com/npi/1861073694) · Data from the CMS NPPES public registry.