TESSA SHAMBAUGH FNP-C
NPI 1871136390
Nurse Practitioner - Family in Fort Worth, TX
About Tessa Shambaugh Fnp-c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
TESSA SHAMBAUGH FNP-C (NPI 1871136390) is an individual family provider in Fort Worth, Texas, licensed in Texas (AP143422) and active in the NPI registry since October 2019. She is enrolled in Medicare PECOS and is a graduate of Other (2019).
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
Tessa Shambaugh Fnp-c 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 Tessa Shambaugh reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Fort Worth, TX 76104
- Reassigned Medicare billing, Texas enrollment
- Medicare enrollment name: Cook Childrens Physician Network
- 1,186 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 9
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
FORT WORTH, TX 76104
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 Tessa Shambaugh's NPI number?
The NPI number for Tessa Shambaugh is 1871136390. It was assigned to this individual provider in the NPPES registry on October 28, 2019.
Where is Tessa Shambaugh located?
Tessa Shambaugh practices at 750 8th Ave Fl 6, Fort Worth, TX 76104. The listed phone number is (682) 303-0376.
What is Tessa Shambaugh's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Tessa Shambaugh enrolled in Medicare?
Yes. Tessa Shambaugh 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 Tessa Shambaugh's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Tessa Shambaugh reassigns Medicare benefits to Cook Children's Physician Network (Fort Worth, 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 Tessa Shambaugh's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Tessa Shambaugh accept?
Health plans from Antidote Health of TX and Imperial Insurance Companies, Inc. list Tessa Shambaugh 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 Tessa Shambaugh was last updated on April 6, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# Tessa Shambaugh, FNP-C · NPI 1871136390
Family physician in Fort Worth, Texas. Individual provider, active in the CMS NPPES registry since October 28, 2019.
## Identity
- **NPI:** 1871136390 (Entity type: Individual)
- **Enumerated:** October 28, 2019
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** AP143422 (Texas)
- **Sole proprietor:** No
## Practice location
- **Address:** 750 8TH AVE FL 6, Fort Worth, TX 76104-2515
- **Phone:** (682) 303-0376 · **Fax:** (682) 303-0377
## 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:** Cook Children's Physician Network (NPI 1548230923, Fort Worth, TX), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2019
## Record status
- **NPPES last updated:** April 6, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1871136390) · Data from the CMS NPPES public registry.