Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Shane David Statham

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1902422603

Shane David Statham is a Nurse Practitioner in Wichita Falls, Texas. Qualified in 2020, 6 years ago. Practices with North Texas Arthritis and Rheumatology PLLC, a 2-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Texas.

Years since qualifying
6
Licensed in
TX
In the registry since
2020
Specialties on file
2
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Practice location Address checks out

5800 Kell Blvd Ste 500
Wichita Falls, TX 76310-1618
Phone: (940) 260-8976
Fax: (888) 510-8976
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 1017571 (TX)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1902422603
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJune 18, 2020
Last updated in NPPESOctober 23, 2024
Certification dateOctober 23, 2024
Mailing address5800 Kell Blvd Ste 500, Wichita Falls, TX 76310-1618

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice North Texas Arthritis And Rheumatology Pllc — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Wichita Falls