Mrs Mary C Shellnutt, APRN, AGCNS-BC - Medicare Clinical Nurse Specialist in Tyler, TX

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Mrs Mary C Shellnutt, APRN, AGCNS-BC is a medicare enrolled "Clinical Nurse Specialist" in Tyler, Texas. Her current practice location is 501 Saunders Ave Ste 320, Tyler, Texas. You can reach out to her office (for appointments etc.) via phone at (903) 606-5140.

Mrs Mary C Shellnutt is licensed to practice in Texas (license number AP128617) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1811366552.

Contact Information

Mrs Mary C Shellnutt, APRN, AGCNS-BC
501 Saunders Ave Ste 320,
Tyler, TX 75702-7524
(903) 606-5140
Not Available

Map and Direction




Provider's Profile

Full NameMrs Mary C Shellnutt
GenderFemale
SpecialityClinical Nurse Specialist
Location501 Saunders Ave Ste 320, Tyler, Texas
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1811366552
  • Provider Enumeration Date: 09/23/2015
  • Last Update Date: 03/12/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 8729439831
  • Enrollment ID: I20240112001015

Medical Identifiers

Medical identifiers for Mrs Mary C Shellnutt such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1811366552NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
364SA2200XClinical Nurse Specialist - Adult Health AP128617 (Texas)Secondary
364S00000XClinical Nurse Specialist AP128617 (Texas)Primary
364SG0600XClinical Nurse Specialist - Gerontology AP128617 (Texas)Secondary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Mrs Mary C Shellnutt allows following entities to bill medicare on her behalf.
Entity NameChristus Trinity Clinic
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1285684225
PECOS PAC ID: 3072426741
Enrollment ID: O20031204001091

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Mary C Shellnutt is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mrs Mary C Shellnutt, APRN, AGCNS-BC
501 Saunders Ave Ste 320,
Tyler, TX 75702-7524

Ph: (469) 247-2365		Mrs Mary C Shellnutt, APRN, AGCNS-BC
501 Saunders Ave Ste 320,
Tyler, TX 75702-7524

Ph: (903) 606-5140

Reviews and Comments


Clinical Nurse Specialist Nurses in Tyler, TX

Ms. Amy C Sproles, P.A.-C
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Medicare: Medicare Enrolled
Practice Location: 800 E Dawson St, Tyler, TX 75701
Phone: 903-593-8441    
Giovanna Calil Skylar, PMHNP-BC
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Practice Location: 9846 Hwy 31 E, Tyler, TX 75705
Phone: 903-592-8001    
Matthew Steven Rich, MSN, RN, AGCNS-BC
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Medicare: Accepting Medicare Assignments
Practice Location: 2323 W Front St, Tyler, TX 75702
Phone: 903-597-1351    Fax: 903-597-1351
Dr. Mary Frances Skeels, CNS/PMH
Clinical Nurse Specialist
Medicare: Not Enrolled in Medicare
Practice Location: 409 W Ferguson St, Tyler, TX 75702
Phone: 903-596-8353    Fax: 903-596-9471

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.