SHAWNN D NICHOLS M.D.
NPI 1164412094
Surgery - Surgical Oncology in San Antonio, TX

Q: What is Shawnn Nichols's NPI number?

The NPI number for Shawnn Nichols is 1164412094. It was assigned to this individual provider in the NPPES registry on October 22, 2005.

Q: What is Shawnn Nichols's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Surgical Oncology, with taxonomy code 2086X0206X.

Q: When was this NPI record last updated?

The NPPES record for Shawnn Nichols was last updated on September 26, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since October 22, 2005PECOS Enrolled

7400 MERTON MINTER BLVD, MEDICAL STAFF OFFICE (11M), SAN ANTONIO, TX 78229(210) 616-8385(210) 443-0322 Get Directions Write a Review

NPPES record last updated: September 26, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Sep 26, 2024, Jun 12, 2019, Apr 24, 2018 (3 updates tracked since 2018).

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About Shawnn D Nichols M.d. NPPES

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

SHAWNN D NICHOLS M.D. (NPI 1164412094) is an individual surgical oncology provider in San Antonio, Texas, licensed in Ohio (35.084414) and active in the NPI registry since October 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1164412094

Entity TypeIndividualMale

Primary Taxonomy2086X0206X

Provider Legal NameSHAWNN D NICHOLSCredential: M.D.

Location Address7400 MERTON MINTER BLVD, MEDICAL STAFF OFFICE (11M)San Antonio, TX 78229-4404

Mailing Address3551 Roger Brooke DrFort Sam Houston, TX 78234-4504 · (210) 916-3334 · Fax (210) 916-2202

Phone(210) 616-8385

Fax(210) 443-0322

Sole ProprietorNo

Enumeration DateOctober 22, 2005

Last NPPES UpdateSeptember 26, 20243 updates tracked since enumeration

NPPES CertifiedSeptember 26, 2024

✔ NPI 1164412094 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySurgery · Surgical OncologyAllopathic & Osteopathic Physicians

Taxonomy Code2086X0206X

License✔ Licensed in OH · 35.084414

Definition

A surgical oncologist is a well-qualified surgeon who has obtained additional training and experience in the multidisciplinary approach to the prevention, diagnosis, treatment, and rehabilitation of cancer patients, and devotes a major portion of his or her professional practice to these activities and cancer research.

Also ListedSurgeryTaxonomy 208600000X · License 36084412 (OH)

7400 MERTON MINTER BLVD, San Antonio, TX 78229

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Accepted Insurance

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

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Shawnn D Nichols M.d. 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78229 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

$166.88 typical visit price

range $54.84 – $166.88

Typical copayment $41.72 (range $13.71 – $41.72)

Most-billed visit code 99205

Established Patient

$68.55 typical visit price

range $17.52 – $136.11

Typical copayment $17.13 (range $4.38 – $34.02)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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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.

BENNETTA CRAWFORD LMSW

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