1. Home
  2. Directory
  3. Texas
  4. Tyler
  5. Nurse Practitioner
  6. NPI Profile
Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

SHANNON PARKER FNP-C
NPI 1053744987
Nurse Practitioner - Family in Tyler, TX

Active since August 14, 2013PECOS Enrolled
1000 S BECKHAM AVE, TYLER, TX 75701(903) 595-5514(903) 262-3715 Get Directions Write a Review

NPPES record last updated: September 1, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Sep 1, 2026, Aug 11, 2026, Jul 14, 2020 (3 updates tracked since 2020).

About Shannon Parker Fnp-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SHANNON PARKER FNP-C (NPI 1053744987) is an individual family provider in Tyler, Texas, licensed in Texas (AP124123) and active in the NPI registry since August 2013. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1053744987
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameSHANNON PARKERCredential: FNP-C
Location Address1000 S BECKHAM AVETyler, TX 75701-1908
Mailing Address1000 S Beckham AveTyler, TX 75701-1908 · (903) 595-5514 · Fax (903) 262-3715
Phone(903) 595-5514
Fax(903) 262-3715
Sole ProprietorNo
Enumeration DateAugust 14, 2013
Last NPPES UpdateSeptember 1, 20263 updates tracked since enumeration
NPPES CertifiedSeptember 1, 2026
✔ NPI 1053744987 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
Licenses✔ Licensed in TX · AP124123✔ Licensed in TX · 651266
1000 S BECKHAM AVE, Tyler, TX 75701
Open in Google Maps ↗

Other Identifiers 1

Other651266TX · Texas Board Of Nursing

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, Imperial Insurance Companies, Inc., UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Shannon Parker Fnp-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

4

Medicare enrollment records show Shannon Parker reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Etmc Physician Group Inc.
Same address
Cardiovascular Disease
1000 S BECKHAM AVE
Tyler, TX 75701
  • Reassigned Medicare billing, Texas enrollment
  • 636 clinicians in this Medicare group
NPI 1609382662 (903) 590-5611
Healthtexas Provider Network
76 mi
Family Medicine
6435 S FM 549, STE 201
Heath, TX 75032
  • Reassigned Medicare billing, Texas enrollment
  • 3,167 clinicians in this Medicare group
NPI 1538164116 (972) 771-9155
Cook Children's Physician Network
123 mi
Pediatrics
801 7TH AVE
Fort Worth, TX 76104
  • Reassigned Medicare billing, Texas enrollment
  • Medicare enrollment name: Cook Childrens Physician Network
  • 1,186 clinicians in this Medicare group
NPI 1083472062 (682) 885-6483
Pediatric Urgent Care PA
150 mi
Urgent Care
1640 LAKE WOODLANDS DR, SUITE E
The Woodlands, TX 77380
  • Reassigned Medicare billing, Texas enrollment
  • 56 clinicians in this Medicare group
NPI 1598059776 (214) 729-5600

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 75701 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$84.92 typical visit price
range $54.84 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.05 typical visit price
range $17.52 – $136.11
Typical copayment $24.26 (range $4.38 – $34.02)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

MUHAMMAD KAFEEL SARWAR M.D.
Internal Medicine
1000 S BECKHAM AVE
TYLER, TX 75701
Smith County (903) 590-5611
JOHN GLYNN JEANSONNE CRNA
Nurse Anesthetist, Certified Registered
1000 S BECKHAM AVE
TYLER, TX 75701
Smith County (903) 526-1068
MAHIDER GEDAMU
Nurse Practitioner (Acute Care)
1000 S BECKHAM AVE
TYLER, TX 75701
Smith County (903) 597-0351
ARAMISH SAEED KHAN
Student in an Organized Health Care Education/Training Program
1000 S BECKHAM AVE
TYLER, TX 75701
Smith County (903) 594-2269
DR. FARZAD FAKOURI M.D. , MPH
Internal Medicine
1000 S BECKHAM AVE
TYLER, TX 75701
Smith County (903) 590-5611
ARNULFO DUARTE DO
Internal Medicine
1000 S BECKHAM AVE
TYLER, TX 75701
Smith County (903) 590-5611
HAROLD RICHIE BANDALAN CRNA
Nurse Anesthetist, Certified Registered
1000 S BECKHAM AVE
TYLER, TX 75701
Smith County (903) 526-1068
TYLER REGIONAL HOSPITAL LLC
Surgery (Trauma Surgery)
1000 S BECKHAM AVE
TYLER, TX 75701
Smith County (903) 597-0351

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 Shannon Parker's NPI number?

The NPI number for Shannon Parker is 1053744987. It was assigned to this individual provider in the NPPES registry on August 14, 2013.

Where is Shannon Parker located?

Shannon Parker practices at 1000 S Beckham Ave, Tyler, TX 75701. The listed phone number is (903) 595-5514.

What is Shannon Parker's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Shannon Parker enrolled in Medicare?

Yes. Shannon Parker is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Shannon Parker's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Shannon Parker reassigns Medicare benefits to 4 organizations: Etmc Physician Group Inc. (Tyler, TX), Healthtexas Provider Network (Heath, TX), Cook Children's Physician Network (Fort Worth, TX) and Pediatric Urgent Care PA (The Woodlands, 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 Shannon Parker's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Shannon Parker accept?

Health plans from Blue Cross and Blue Shield of Texas, Imperial Insurance Companies, Inc. and UnitedHealthcare list Shannon Parker 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 Shannon Parker was last updated on September 1, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 57 days 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.