SHANNON R DOUGREY CPNP
NPI 1609065093
Nurse Practitioner - Primary Care in Fort Worth, TX

Active since October 22, 2007PECOS Enrolled
1401 W PULASKI ST, FORT WORTH, TX 76104(682) 885-8012 Get Directions Write a Review

NPPES record last updated: October 5, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Oct 5, 2022, Sep 11, 2018, Aug 3, 2017 (3 updates tracked since 2017).

About Shannon R Dougrey Cpnp NPPES

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

SHANNON R DOUGREY CPNP (NPI 1609065093) is an individual primary care provider in Fort Worth, Texas, licensed in Texas (AP116321) and active in the NPI registry since October 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1609065093
Entity TypeIndividualFemale
Primary Taxonomy363LP2300X
Provider Legal NameSHANNON R DOUGREYCredential: CPNP
Location Address1401 W PULASKI STFort Worth, TX 76104-2717
Mailing AddressPo Box 99213Fort Worth, TX 76199-0213 · (682) 885-4446
Sole ProprietorNo
Enumeration DateOctober 22, 2007
Last NPPES UpdateOctober 5, 20223 updates tracked since enumeration
NPPES CertifiedOctober 5, 2022
NPI 1609065093 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · Primary CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP2300X
License Licensed in TX · AP116321
Also ListedNurse Practitioner · PediatricsTaxonomy 363LP0200X · License AP116321 (TX)
1401 W PULASKI ST, Fort Worth, TX 76104

Accepted 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)

Shannon R Dougrey Cpnp 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 76104 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
$87.20 typical visit price
range $56.47 – $171.07
Typical copayment $21.80 (range $14.11 – $42.76)
Most-billed visit code 99203
Established Patient
$99.68 typical visit price
range $18.18 – $139.68
Typical copayment $24.92 (range $4.54 – $34.92)
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 20

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

Nurse Practitioner (Pediatrics)
1401 W PULASKI ST
FORT WORTH, TX 76104
Nurse Practitioner (Pediatrics)
1401 W PULASKI ST
FORT WORTH, TX 76104
Nurse Practitioner (Primary Care)
1401 W PULASKI ST
FORT WORTH, TX 76104
Pediatrics
1401 W PULASKI ST
FORT WORTH, TX 76104
Pediatrics
1401 W PULASKI ST
FORT WORTH, TX 76104
Nurse Practitioner (Family)
1401 W PULASKI ST
FORT WORTH, TX 76104
Nurse Practitioner (Pediatrics)
1401 W PULASKI ST
FORT WORTH, TX 76104
Pediatrics
1401 W PULASKI ST
FORT WORTH, TX 76104

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1609065093, enumerated as an "individual" on October 22, 2007.

The provider is located at 1401 W PULASKI ST FORT WORTH, TX 76104 and the phone number is (682) 885-8012.

Nurse Practitioner with taxonomy code 363LP2300X and a focus in Primary Care.

The provider might be accepting Accepts: Imperial Insurance Companies, Inc.. Please consult your insurance carrier or call the provider to verify.