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CODY HAMRA
NPI 1699560748
Nurse Practitioner - Psychiatric/Mental Health in San Angelo, TX

Active since April 10, 2025PECOS EnrolledAccepts Medicare Assignment
3555 KNICKERBOCKER RD, SAN ANGELO, TX 76904(325) 747-8033 Get Directions Write a Review

NPPES record last updated: February 4, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Feb 4, 2026, Apr 10, 2025 (2 updates tracked since 2025).

About Cody Hamra NPPES

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

CODY HAMRA (NPI 1699560748) is an individual psychiatric/mental health provider in San Angelo, Texas, licensed in Texas (1226337) and active in the NPI registry since April 2025. He is enrolled in Medicare PECOS, is affiliated with Shannon Medical Center, and is a graduate of Other (2025).

NPPES Registry Identity

NPI1699560748
Entity TypeIndividualMale
Primary Taxonomy363LP0808X
Provider Legal NameCODY HAMRA
Location Address3555 KNICKERBOCKER RDSan Angelo, TX 76904-7610
Mailing Address3555 Knickerbocker RdSan Angelo, TX 76904-7610 · (325) 747-8033
Phone(325) 747-8033
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateApril 10, 2025
Last NPPES UpdateFebruary 4, 20262 updates tracked since enumeration
NPPES CertifiedFebruary 4, 2026
✔ NPI 1699560748 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in TX · 1226337
3555 KNICKERBOCKER RD, San Angelo, TX 76904
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Cody Hamra 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 ID2365922317
PECOS Enrollment IDI20260218000240
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 Reassignment

Medicare enrollment records show Cody Hamra reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Shannon Clinic
3.8 mi
Family Medicine
120 E BEAUREGARD AVE
San Angelo, TX 76903
  • Reassigned Medicare billing, Texas enrollment
  • 671 clinicians in this Medicare group
NPI 1770587149 (325) 658-1511

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

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Shannon Medical Center

Acute Care Hospitals · San Angelo, TX
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450571
Location120 E Harris Ave.San Angelo, TX 76903 · Tom Green County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 76904 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.

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.

BRIAN FRANCIS DOOLEY MB BCH BAO
Student in an Organized Health Care Education/Training Program
3555 KNICKERBOCKER RD
SAN ANGELO, TX 76904
Tom Green County (325) 747-7670
SARA ELIZABETH HALFMANN M.D.
Pediatrics
3555 KNICKERBOCKER RD
SAN ANGELO, TX 76904
Tom Green County (325) 949-9555
DR. CHRISTIAN GUTIERREZ MD
Student in an Organized Health Care Education/Training Program
3555 KNICKERBOCKER RD
SAN ANGELO, TX 76904
Tom Green County (325) 747-1511
KRISTENE AMANDA LEEK FNP-C
Nurse Practitioner (Family)
3555 KNICKERBOCKER RD
SAN ANGELO, TX 76904
Tom Green County (325) 224-5366
DR. NATALIA HOLGERSON MD
Student in an Organized Health Care Education/Training Program
3555 KNICKERBOCKER RD
SAN ANGELO, TX 76904
Tom Green County (325) 747-7670
MR. THOMAS KENT ROBERSON LPC
Counselor (Professional)
3555 KNICKERBOCKER RD
SAN ANGELO, TX 76904
Tom Green County (325) 747-2225
WILLIAM PRICKETT LPA
Psychologist
3555 KNICKERBOCKER RD
SAN ANGELO, TX 76904
Tom Green County (325) 747-2225
DR. REBECCA CRENSHAW MD
Psychiatry & Neurology (Neurology)
3555 KNICKERBOCKER RD
SAN ANGELO, TX 76904
Tom Green County (325) 949-9555

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 Cody Hamra's NPI number?

The NPI number for Cody Hamra is 1699560748. It was assigned to this individual provider in the NPPES registry on April 10, 2025.

Where is Cody Hamra located?

Cody Hamra practices at 3555 Knickerbocker Rd, San Angelo, TX 76904. The listed phone number is (325) 747-8033.

What is Cody Hamra's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Cody Hamra enrolled in Medicare?

Yes. Cody Hamra is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Cody Hamra's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Cody Hamra reassigns Medicare benefits to Shannon Clinic (San Angelo, TX). The 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 Cody Hamra's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Cody Hamra accept?

Health plans from Blue Cross and Blue Shield of Texas and UnitedHealthcare list Cody Hamra 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.

Is Cody Hamra affiliated with any hospitals?

According to CMS data, Cody Hamra is affiliated with Shannon Medical Center.

When was this NPI record last updated?

The NPPES record for Cody Hamra was last updated on February 4, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months 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.