TONYA SHANKLE
NPI 1639535149
Social Worker - Clinical in Austin, TX

Active since January 13, 2016PECOS Enrolled
10816 CROWN COLONY DR STE 100, AUSTIN, TX 78747(541) 519-6191 Get Directions Write a Review

NPPES record last updated: March 3, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Mar 3, 2023, Apr 15, 2021, Mar 18, 2021 and 3 more (6 updates tracked since 2016).

About Tonya Shankle NPPES

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

TONYA SHANKLE (NPI 1639535149) is an individual clinical provider in Austin, Texas, licensed in Texas (64687) and active in the NPI registry since January 2016. She is enrolled in Medicare PECOS and maintains a secondary practice location in Kyle.

NPPES Registry Identity

NPI1639535149
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameTONYA SHANKLE
Location Address10816 CROWN COLONY DR STE 100Austin, TX 78747-1639
Mailing Address183 Hiver CirKyle, TX 78640-5501 · (737) 303-6780
Sole ProprietorNo
Enumeration DateJanuary 13, 2016
Last NPPES UpdateMarch 3, 20236 updates tracked since enumeration
NPPES CertifiedMarch 3, 2023
✔ NPI 1639535149 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in TX · 64687
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
10816 CROWN COLONY DR STE 100, Austin, TX 78747

Secondary Practice Location 1

Location 1183 Hiver CirKyle, TX 78640-5501 · Phone (373) 036-7807

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Tonya Shankle 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

2

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

Professional
896 ROBIN RANCH RD
Lockhart, TX 78644
  • Reassigned Medicare billing, Texas enrollment
  • 3 clinicians in this Medicare group
Clinical
1738 WYNKOOP ST STE 303
Denver, CO 80202
  • Reassigned Medicare billing, Texas enrollment
  • 484 clinicians in this Medicare group

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 78747 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
$0.00 typical visit price
range $57.88 – $174.00
Typical copayment $0.00 (range $14.47 – $43.50)
Most-billed visit code NA
Established Patient
$71.95 typical visit price
range $18.88 – $142.23
Typical copayment $17.98 (range $4.72 – $35.55)
Most-billed visit code 99213
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 11

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

Social Worker (Clinical)
10816 CROWN COLONY DR STE 100
AUSTIN, TX 78747
Counselor (Professional)
10816 CROWN COLONY DR STE 100
AUSTIN, TX 78747
Counselor (Professional)
10816 CROWN COLONY DR STE 100
AUSTIN, TX 78747
Counselor (Professional)
10816 CROWN COLONY DR STE 100
AUSTIN, TX 78747
Social Worker (Clinical)
10816 CROWN COLONY DR STE 100
AUSTIN, TX 78747
Counselor (Professional)
10816 CROWN COLONY DR STE 100
AUSTIN, TX 78747
Counselor (Professional)
10816 CROWN COLONY DR STE 100
AUSTIN, TX 78747
Counselor
10816 CROWN COLONY DR STE 100
AUSTIN, TX 78747

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 Tonya Shankle's NPI number?

The NPI number for Tonya Shankle is 1639535149. It was assigned to this individual provider in the NPPES registry on January 13, 2016.

Where is Tonya Shankle located?

Tonya Shankle practices at 10816 Crown Colony Dr Ste 100, Austin, TX 78747. The listed phone number is (541) 519-6191.

What is Tonya Shankle's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Tonya Shankle enrolled in Medicare?

Yes. Tonya Shankle is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Tonya Shankle's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Tonya Shankle reassigns Medicare benefits to 2 organizations: Pegasus Schools, Inc (Lockhart, TX) and Sondermind Provider Network LLC (Denver, CO). Each 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 Tonya Shankle's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Tonya Shankle 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 3 other insurers list Tonya Shankle 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 Tonya Shankle was last updated on March 3, 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.