NPivot
Jeffrey Shackelton is one of 71 pathologists practicing in Austin, Texas .
Jeffrey Shackelton practices with Mountain West Derm - Blackhart PLLC.
Registry record (NPPES)
NPI
1699902726
Type
Type 1 · Individual
Primary taxonomy
Dermatology · 207N00000X
Address on file
640 W. Moana Lane Reno, NV 89509 (775) 324-0699
Enumerated
Jun 16, 2009
Record last updated
Nov 9, 2021
License states listed
NV, OR
Medicare (CMS)
Enrollment
Medicare-enrolled in AK, ID, NV, OR, TX, WADermatology, Pathology
Revalidation due
No date set by CMS
The registry stops here. NPivot keeps going.
Part D prescribing
Procedure volumes by CPT code
Group affiliations and colleagues
Full enrollment history
See the full profile free
Free account. No card, no call.
Practice locations
7801 N Lamar Blvd Suite D81 82
Austin , TX 78752
(512) 868-3376
More pathologists in Austin
Updated August 2026. Practice locations and specialty come from the CMS Doctors and Clinicians file, the registry record from NPPES, and enrollment from CMS Medicare enrollment files. NPI records are corrected at the source, through NPPES.
NPivot · NPI lookup & provider intelligence
NPivot uses data from public CMS, NPPES & HRSA sources and is not affiliated with, endorsed by, or sponsored by CMS, HRSA, or any government agency. © 2026 NPivot · a Next Tier Careers product.