SHANNA SUZANNE ODONNELL FNP
NPI 1609887439
Nurse Practitioner - Family in Port Lavaca, TX

Q: What is Shanna Odonnell's NPI number?

The NPI number for Shanna Odonnell is 1609887439. It was assigned to this individual provider in the NPPES registry on August 10, 2006.

Q: What is Shanna Odonnell's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Shanna Odonnell was last updated on June 19, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since August 10, 2006PECOS EnrolledAccepts Medicare Assignment

1016 N VIRGINIA ST, PORT LAVACA, TX 77979(361) 552-0325(361) 500-6904 Get Directions Write a Review

NPPES record last updated: June 19, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jun 19, 2025, Sep 5, 2024, Apr 5, 2019 (3 updates tracked since 2019).

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About Shanna Suzanne Odonnell Fnp NPPES

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

SHANNA SUZANNE ODONNELL FNP (NPI 1609887439) is an individual family provider in Port Lavaca, Texas, licensed in Texas (AP114865) and active in the NPI registry since August 2006. She is enrolled in Medicare PECOS, is affiliated with Memorial Medical Center, and is a graduate of Other (2006).

NPPES Registry Identity

NPI1609887439

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameSHANNA SUZANNE ODONNELLCredential: FNP

Location Address1016 N VIRGINIA STPort Lavaca, TX 77979-3000

Mailing Address1016 N Virginia StPort Lavaca, TX 77979-3000 · (361) 552-0325 · Fax (361) 500-6904

Phone(361) 552-0325

Fax(361) 500-6904

Sole ProprietorNo

Medical School CMSOtherGraduated 2006

Enumeration DateAugust 10, 2006

Last NPPES UpdateJune 19, 20253 updates tracked since enumeration

NPPES CertifiedJune 19, 2025

✔ NPI 1609887439 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

Licenses✔ Licensed in TX · AP114865✔ Licensed in TX · 686322

1016 N VIRGINIA ST, Port Lavaca, TX 77979

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.Insurance ›

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

Shanna Suzanne Odonnell Fnp 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 ID5698779569

PECOS Enrollment IDI20060907000189

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.

Memorial Medical Center

Critical Access Hospitals · Port Lavaca, TX

OwnershipGovernment - Local

CMS Certification Number451356

Location701 N Virginia StPort Lavaca, TX 77979 · Calhoun County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 77979 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.

Referred Medical Equipment & Supplies CMS DME claims 5

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Humidifier, heated, used with positive airway pressure device E0562

DME-Other DME · category DE001N

1 supplier11 claims11 services$18.75 avg. paid by Medicare

Nebulizer, with compressor E0570

DME-Other DME · category DE000N

1 supplier12 claims12 services$7.59 avg. paid by Medicare

Continuous positive airway pressure (cpap) device E0601

DME-Other DME · category DE001N

1 supplier13 claims13 services$49.56 avg. paid by Medicare

Elevating leg rests, pair (for use with capped rental wheelchair base) K0195

DME-Wheelchairs · category DD021N

1 supplier12 claims12 services$10.82 avg. paid by Medicare

Power wheelchair, group 2 standard, captains chair, patient weight capacity up to and including 300 pounds K0823

DME-Wheelchairs · category DD009N

1 supplier12 claims12 services$188.88 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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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.

ANGELA MARIE-GARCIA DOBBINS PA-C

Physician Assistant (Medical)