MRS. SHANNON RENE BEARDEN FNP
NPI 1134616436
Nurse Practitioner - Family in Texarkana, TX

Active since April 23, 2018PECOS EnrolledAccepts Medicare Assignment
2604 SAINT MICHAEL DR STE 238, TEXARKANA, TX 75503(903) 794-8820(903) 794-8878 Get Directions Write a Review

NPPES record last updated: August 7, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Aug 7, 2025, May 29, 2025, May 12, 2025 and 3 more (6 updates tracked since 2018).

About Mrs. Shannon Rene Bearden Fnp NPPES

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

MRS. SHANNON RENE BEARDEN FNP (NPI 1134616436) is an individual family provider in Texarkana, Texas, licensed in Texas (AP137261) and active in the NPI registry since April 2018. She is enrolled in Medicare PECOS, is affiliated with Christus St Michael Health System, and maintains 4 additional practice locations.

NPPES Registry Identity

NPI1134616436
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMRS. SHANNON RENE BEARDENCredential: FNP
Location Address2604 SAINT MICHAEL DR STE 238Texarkana, TX 75503-2378
Mailing Address5002 Cowhorn Creek RdTexarkana, TX 75503-9766 · (903) 614-3000 · Fax (903) 614-3525
Fax(903) 794-8878
Sole ProprietorYes
Medical School CMSOtherGraduated 2017
Enumeration DateApril 23, 2018
Last NPPES UpdateAugust 7, 20256 updates tracked since enumeration
NPPES CertifiedAugust 7, 2025
✔ NPI 1134616436 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
License✔ Licensed in TX · AP137261
2604 SAINT MICHAEL DR STE 238, Texarkana, TX 75503

Secondary Practice Locations 4

Location 12604 Saint Michael Dr Ste 345ATexarkana, TX 75503-2378 · Phone (903) 614-5750 · Fax (903) 614-5795
Location 22604 Saint Michael Dr Ste 240Texarkana, TX 75503-2378 · Phone (903) 794-8820 · Fax (903) 794-8878
Location 3700 Davey Crockett Dr Ste 500New Boston, TX 75570-2336 · Phone (903) 614-5950
Location 42604 Saint Michael Dr Ste 346Texarkana, TX 75503-2378 · Phone (903) 614-5750

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

Mrs. Shannon Rene Bearden Fnp 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.

PECOS PAC ID2567891849
PECOS Enrollment IDI20210814000150
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

3

Medicare enrollment records show Shannon Bearden reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Interventional Pain Medicine
1 MERCY LN STE 304
Hot Springs, AR 71913
  • Reassigned Medicare billing, Arkansas enrollment
  • 25 clinicians in this Medicare group
Family Medicine
520 DOUGLAS BLVD
Tyler, TX 75702
  • Reassigned Medicare billing, Texas enrollment
  • 2,745 clinicians in this Medicare group
Contractor
520 E 6TH ST
Odessa, TX 79761
  • Reassigned Medicare billing, Arkansas enrollment
  • 15 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.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
376 services226 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
37 services37 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000
An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
33 services30 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Christus St Michael Health System

Acute Care Hospitals · Texarkana, TX
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number450801
Location2600 St Michael DrTexarkana, TX 75503 · Bowie County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75503 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

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Family)
2604 SAINT MICHAEL DR STE 238
TEXARKANA, TX 75503

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 Bearden's NPI number?

The NPI number for Shannon Bearden is 1134616436. It was assigned to this individual provider in the NPPES registry on April 23, 2018.

Where is Shannon Bearden located?

Shannon Bearden practices at 2604 Saint Michael Dr Ste 238, Texarkana, TX 75503. The listed phone number is (903) 794-8820.

What is Shannon Bearden's specialty?

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

Is Shannon Bearden enrolled in Medicare?

Yes. Shannon Bearden 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 organizations bill Medicare for Shannon Bearden's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Shannon Bearden reassigns Medicare benefits to 3 organizations: Hot Springs Interventional Pain Management PA (Hot Springs, AR), Christus Trinity Clinic Texas (Tyler, TX) and Permian Premier Health Services Inc (Odessa, 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 Bearden's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Shannon Bearden accept?

Health plans from Blue Cross and Blue Shield of Texas, CHRISTUS Health Plan, Health Advantage, Octave and UnitedHealthcare list Shannon Bearden 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.

Is Shannon Bearden affiliated with any hospitals?

According to CMS data, Shannon Bearden is affiliated with Christus St Michael Health System.

When was this NPI record last updated?

The NPPES record for Shannon Bearden was last updated on August 7, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months 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.