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: August 23, 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
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

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

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.

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.

Student in an Organized Health Care Education/Training Program
3555 KNICKERBOCKER RD
SAN ANGELO, TX 76904
Pediatrics
3555 KNICKERBOCKER RD
SAN ANGELO, TX 76904
Student in an Organized Health Care Education/Training Program
3555 KNICKERBOCKER RD
SAN ANGELO, TX 76904
Nurse Practitioner (Family)
3555 KNICKERBOCKER RD
SAN ANGELO, TX 76904
Student in an Organized Health Care Education/Training Program
3555 KNICKERBOCKER RD
SAN ANGELO, TX 76904
Counselor (Professional)
3555 KNICKERBOCKER RD
SAN ANGELO, TX 76904
Psychologist
3555 KNICKERBOCKER RD
SAN ANGELO, TX 76904
Psychiatry & Neurology (Neurology)
3555 KNICKERBOCKER RD
SAN ANGELO, TX 76904

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.

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 6 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.