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MRS. SHANNON A GANNON MSN, APRN, FNP-C
NPI 1225909559
Nurse Practitioner - Family in Lubbock, TX

Active since September 17, 2025PECOS EnrolledAccepts Medicare Assignment
4004 82ND ST STE G, LUBBOCK, TX 79423(806) 792-1050 Get Directions Write a Review

NPPES record last updated: February 3, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Feb 3, 2026, Dec 8, 2025, Sep 17, 2025 (3 updates tracked since 2025).

About Mrs. Shannon A Gannon Msn, Aprn, Fnp-c NPPES

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

MRS. SHANNON A GANNON MSN, APRN, FNP-C (NPI 1225909559) is an individual family provider in Lubbock, Texas, licensed in Texas (1073562) and active in the NPI registry since September 2025. The provider is enrolled in Medicare PECOS, is affiliated with University Medical Center, and is a graduate of Other (2025).

NPPES Registry Identity

NPI1225909559
Entity TypeIndividual
Primary Taxonomy363LF0000X
Provider Legal NameMRS. SHANNON A GANNONCredential: MSN, APRN, FNP-C
Location Address4004 82ND ST STE GLubbock, TX 79423-2065
Mailing Address5219 City Bank Pkwy Ste 35Lubbock, TX 79407-3545 · (806) 761-0333
Phone(806) 792-1050
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateSeptember 17, 2025
Last NPPES UpdateFebruary 3, 20263 updates tracked since enumeration
NPPES CertifiedFebruary 3, 2026
✔ NPI 1225909559 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 · 1073562
4004 82ND ST STE G, Lubbock, TX 79423
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mrs. Shannon A Gannon Msn, Aprn, Fnp-c 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 ID7012496730
PECOS Enrollment IDI20260211004295
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.

Hospital Affiliations CMS Care Compare

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

University Medical Center

Acute Care Hospitals · Lubbock, TX
2/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number450686
Location602 Indiana AvenueLubbock, TX 79415 · Lubbock County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 79423 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 4

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

JALYN WALL CFNP
Nurse Practitioner
4004 82ND ST STE G
LUBBOCK, TX 79423
Lubbock County (806) 792-1050
LINDSAY M BURT PA-C
Physician Assistant
4004 82ND ST STE G
LUBBOCK, TX 79423
Lubbock County (806) 792-1050
JENNIFER LYNN HOBBS FNP
Nurse Practitioner (Family)
4004 82ND ST STE G
LUBBOCK, TX 79423
Lubbock County (806) 792-1050
JESSICA LEE GRAY M.D.
Family Medicine
4004 82ND ST STE G
LUBBOCK, TX 79423
Lubbock County (806) 792-1050

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 Gannon's NPI number?

The NPI number for Shannon Gannon is 1225909559. It was assigned to this individual provider in the NPPES registry on September 17, 2025.

Where is Shannon Gannon located?

Shannon Gannon practices at 4004 82nd St Ste G, Lubbock, TX 79423. The listed phone number is (806) 792-1050.

What is Shannon Gannon's specialty?

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

Is Shannon Gannon enrolled in Medicare?

Yes. Shannon Gannon 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.

Is Shannon Gannon affiliated with any hospitals?

According to CMS data, Shannon Gannon is affiliated with University Medical Center.

When was this NPI record last updated?

The NPPES record for Shannon Gannon was last updated on February 3, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.