SHANNON CLINIC
NPI 1245230465
Clinic/Center - Rural Health in Ozona, TX

Active since July 29, 2005
102 NORTH AVENUE H, OZONA, TX 76943(325) 392-3788(325) 392-5445 Get Directions Write a Review

NPPES record last updated: February 27, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Feb 27, 2020, Jan 21, 2020, Mar 12, 2019 and 1 more (4 updates tracked since 2017).

About Shannon Clinic NPPES

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

SHANNON CLINIC (NPI 1245230465) is a healthcare organization registered as a rural health in Ozona, Texas and active in the NPI registry since July 2005. The organization lists Ricardo Villarreal, Cao, as its authorized official.

NPPES Registry Identity

NPI1245230465
Entity TypeOrganization
Primary Taxonomy261QR1300X
Legal Business NameSHANNON CLINIC
Location Address102 NORTH AVENUE HOzona, TX 76943-0907
Mailing AddressPo Box 22000San Angelo, TX 76902-7200 · (325) 658-1511 · Fax (325) 481-2166
Fax(325) 392-5445
Organization SubpartNo
Authorized OfficialRicardo VillarrealCao · (325) 481-8248
Enumeration DateJuly 29, 2005
Last NPPES UpdateFebruary 27, 20204 updates tracked since enumeration
✔ NPI 1245230465 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities
Taxonomy Code261QR1300X
102 NORTH AVENUE H, Ozona, TX 76943

Other Identifiers 1

Medicaid149090601TX

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Shannon Clinic is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

662

Medicare enrollment records show 662 clinicians reassign Medicare billing to Shannon Clinic, which bills Medicare for the services they deliver. Of these, 1 practice at this address. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 51

Nurse Practitioner121
Diagnostic Radiology76
Internal Medicine55
Obstetrics/Gynecology47
Family Practice42
Emergency Medicine40
Anesthesiology25
Pediatric Medicine25
43 other specialties231

Nearest to this location (20)

See all 662
Family Practice
NPI 1760482905
104 NORTH AVENUE H
Ozona, TX 76943
(325) 392-3788
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1275365405
102 N US HIGHWAY 277
Eldorado, TX 76936
(325) 853-2507
✔ PECOS✔ Accepts Medicare37 mi
Family Practice
NPI 1962535617
5730 SHERWOOD WAY
San Angelo, TX 76901
(325) 944-3851
✔ PECOS✔ Accepts Medicare64 mi
Physical Medicine and Rehabilitation
NPI 1962963033
6046 APPALOOSA TRL
San Angelo, TX 76901
(817) 284-9850
✔ PECOS✔ Accepts Medicare64 mi
Orthopedic Surgery
NPI 1912564527
PO BOX 22000
San Angelo, TX 76902
(325) 747-1511
✔ PECOS✔ Accepts Medicare64 mi
General Practice
NPI 1376547216
4235 SUNSET DR
San Angelo, TX 76904
(325) 481-2197
✔ PECOS✔ Accepts Medicare64 mi
Physical Therapist in Private Practice
NPI 1013396597
4450 SUNSET DR
San Angelo, TX 76901
(325) 481-2240
64 mi
Gastroenterology
NPI 1487635066
4450 SUNSET DRIVE
San Angelo, TX 76904
(325) 658-1511
✔ PECOS✔ Accepts Medicare64 mi
Otolaryngology
NPI 1891899076
4450 SUNSET DR
San Angelo, TX 76901
(325) 658-1511
✔ PECOS✔ Accepts Medicare64 mi
Occupational Therapist in Private Practice
NPI 1811261639
4450 SUNSET DR
San Angelo, TX 76901
(325) 747-2240
64 mi
Ophthalmology
NPI 1093799330
4450 SUNSET DRIVE
San Angelo, TX 76904
(325) 481-2286
✔ PECOS✔ Accepts Medicare64 mi
Pain Management
NPI 1255788261
3605 EXECUTIVE DR STE 101
San Angelo, TX 76904
(325) 747-2247
✔ PECOS✔ Accepts Medicare65 mi
Urology
NPI 1356383269
3605 EXECUTIVE DR
San Angelo, TX 76904
(325) 949-9555
✔ PECOS✔ Accepts Medicare65 mi
Qualified Audiologist
NPI 1083701890
3605 EXECUTIVE DR
San Angelo, TX 76904
(325) 949-9555
✔ Accepts Medicare65 mi
Dermatology
NPI 1790244820
3605 EXECUTIVE DR
San Angelo, TX 76904
(325) 747-2215
✔ PECOS✔ Accepts Medicare65 mi
Obstetrics/Gynecology
NPI 1538274766
3605 EXECUTIVE DR
San Angelo, TX 76904
(325) 949-9555
✔ PECOS✔ Accepts Medicare65 mi
Podiatry
NPI 1053339713
3605 EXECUTIVE DR
San Angelo, TX 76904
(325) 949-9555
✔ PECOS✔ Accepts Medicare65 mi
Psychiatry
NPI 1306038971
1636 HUNTERS GLEN
San Angelo, TX 76901
(325) 949-5722
✔ PECOS✔ Accepts Medicare65 mi
Clinical Social Worker
NPI 1730908328
3555 KNICKERBOCKER RD
San Angelo, TX 76904
(325) 747-1511
✔ PECOS✔ Accepts Medicare65 mi
Mental Health Counselor
NPI 1760061097
3555 KNICKERBOCKER RD
San Angelo, TX 76904
(325) 747-2225
✔ PECOS✔ Accepts Medicare65 mi
See all 662 clinicians

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Clinic's NPI number?

The NPI number for Shannon Clinic is 1245230465. It was assigned to this organization in the NPPES registry on July 29, 2005.

Where is Shannon Clinic located?

Shannon Clinic is located at 102 North Avenue H, Ozona, TX 76943. The listed phone number is (325) 392-3788.

What is Shannon Clinic's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rural Health, with taxonomy code 261QR1300X.

Is Shannon Clinic enrolled in Medicare?

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

How many clinicians bill Medicare through Shannon Clinic?

According to the CMS Revalidation Reassignment List (October 2026 release), 662 clinicians in 51 Medicare specialties reassign their Medicare billing to Shannon Clinic. A 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 the clinician's services. The largest specialties are Nurse Practitioner (121), Diagnostic Radiology (76) and Internal Medicine (55). Of these, 1 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Shannon Clinic accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 1 other insurer list Shannon Clinic 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 Clinic was last updated on February 27, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years 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.