SHANNON TREVINO NP
NPI 1407112055
Nurse Practitioner in Waltham, MA

Q: What is Shannon Trevino's NPI number?

The NPI number for Shannon Trevino is 1407112055. It was assigned to this individual provider in the NPPES registry on April 9, 2012. The provider is also known as Shannon Lenahan Rn.

Q: What is Shannon Trevino's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Q: When was this NPI record last updated?

The NPPES record for Shannon Trevino was last updated on March 16, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since April 09, 2012PECOS Enrolled

221 CRESCENT ST STE 202, WALTHAM, MA 02453(866) 849-0692 Get Directions Write a Review

NPPES record last updated: March 16, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Aug 7, 2026, Jul 20, 2026, May 14, 2025 and 9 more (12 updates tracked since 2018).

On this page

About Shannon Trevino Np NPPES

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

SHANNON TREVINO NP (NPI 1407112055) is an individual nurse practitioner in Waltham, Massachusetts, licensed in Colorado (0994056) and active in the NPI registry since April 2012. She is enrolled in Medicare PECOS and maintains a secondary practice location in Houston.

NPPES Registry Identity

NPI1407112055

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameSHANNON TREVINOCredential: NP

Location Address221 CRESCENT ST STE 202Waltham, MA 02453-3425

Mailing AddressPo Box 211699Eagan, MN 55121-3699 · (866) 849-0692

Phone(866) 849-0692

Sole ProprietorNo

Enumeration DateApril 9, 2012

Last NPPES UpdateMarch 16, 202312 updates tracked since enumeration

NPPES CertifiedMarch 16, 2023

✔ NPI 1407112055 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in CO · 0994056

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Also ListedRegistered NurseTaxonomy 163W00000X · License 183243 (CO), 760780 (CA)

221 CRESCENT ST STE 202, Waltham, MA 02453

Open in Google Maps ↗

Other Names 1

Former Name (1)Shannon Lenahan Rn

Secondary Practice Location 1

Location 120405 State Highway 249 Ste 325Houston, TX 77070-2893 · Phone (866) 849-0692 · Fax (888) 973-8821

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Shannon Trevino Np 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

Medicare enrollment records show Shannon Trevino reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Devoted Medical Group Professional Corporation

1,241 mi

Primary Care

880 SW 145TH AVE STE 202
Pembroke Pines, FL 33027

Reassigned Medicare billing, Colorado enrollment
49 clinicians in this Medicare group

NPI 1245838168 (866) 849-0692

Devoted Medical Group Of Texas Inc

1,597 mi

Primary Care

20405 STATE HIGHWAY 249 STE 325
Houston, TX 77070

Reassigned Medicare billing, Texas enrollment
122 clinicians in this Medicare group

NPI 1982202800 (617) 958-1611

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 02453 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

$97.64 typical visit price

range $63.72 – $189.86

Typical copayment $24.41 (range $15.93 – $47.46)

Most-billed visit code 99203

Established Patient

$111.18 typical visit price

range $21.07 – $155.29

Typical copayment $27.79 (range $5.26 – $38.82)

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 12

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

DEVOTED HEALTH INSURANCE COMPANY OF DELAWARE

Health Maintenance Organization