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DAWN STEVENSON AGNP-C
NPI 1770960312
Nurse Practitioner - Gerontology in San Angelo, TX

Active since May 04, 2015PECOS EnrolledAccepts Medicare Assignment
3350 EXECUTIVE DR, SAN ANGELO, TX 76904(325) 747-2388(325) 747-2389 Get Directions Write a Review

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

Record update history: Mar 19, 2026, May 25, 2023 (2 updates tracked since 2023).

About Dawn Stevenson Agnp-c NPPES

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

DAWN STEVENSON AGNP-C (NPI 1770960312) is an individual gerontology provider in San Angelo, Texas, licensed in Texas (1229115) and active in the NPI registry since May 2015. She is enrolled in Medicare PECOS, is affiliated with Shannon Medical Center, and is a graduate of Other (2025).

NPPES Registry Identity

NPI1770960312
Entity TypeIndividualFemale
Primary Taxonomy363LG0600X
Provider Legal NameDAWN STEVENSONCredential: AGNP-C
Location Address3350 EXECUTIVE DRSan Angelo, TX 76904-6878
Mailing Address3350 Executive DrSan Angelo, TX 76904-6878 · (325) 747-2388 · Fax (325) 747-2389
Phone(325) 747-2388
Fax(325) 747-2389
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateMay 4, 2015
Last NPPES UpdateMarch 19, 20262 updates tracked since enumeration
NPPES CertifiedMarch 19, 2026
✔ NPI 1770960312 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · GerontologyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LG0600X
License✔ Licensed in TX · 1229115
3350 EXECUTIVE DR, San Angelo, TX 76904
Open in Google Maps ↗

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

Dawn Stevenson Agnp-c 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 ID6507334166
PECOS Enrollment IDI20260501002756
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 6

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

MARY ELLEN WILSON CNS-BC
Clinical Nurse Specialist (Adult Health)
3350 EXECUTIVE DR, SUITE 100
SAN ANGELO, TX 76904
Tom Green County (325) 245-4501
MELISSA WATSON FNP-C
Nurse Practitioner (Family)
3350 EXECUTIVE DR, SUITE 108
SAN ANGELO, TX 76904
Tom Green County (325) 245-4541
DR. KAI M SUN D.O.
Internal Medicine (Cardiovascular Disease)
3350 EXECUTIVE DR, SUITE 100
SAN ANGELO, TX 76904
Tom Green County (325) 245-4501
MICHAEL SCOTT BLANC M.D.
Internal Medicine (Interventional Cardiology)
3350 EXECUTIVE DR, SUITE 100
SAN ANGELO, TX 76904
Tom Green County (325) 245-4501
JOHN ALLEN MCFATE MD
Surgery (Plastic and Reconstructive Surgery)
3350 EXECUTIVE DR
SAN ANGELO, TX 76904
Tom Green County (325) 747-2880
ANNA KOSZTOWSKI MD
Internal Medicine (Rheumatology)
3350 EXECUTIVE DR
SAN ANGELO, TX 76904
Tom Green County (325) 747-2071

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 Dawn Stevenson's NPI number?

The NPI number for Dawn Stevenson is 1770960312. It was assigned to this individual provider in the NPPES registry on May 4, 2015.

Where is Dawn Stevenson located?

Dawn Stevenson practices at 3350 Executive Dr, San Angelo, TX 76904. The listed phone number is (325) 747-2388.

What is Dawn Stevenson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.

Is Dawn Stevenson enrolled in Medicare?

Yes. Dawn Stevenson 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 Dawn Stevenson affiliated with any hospitals?

According to CMS data, Dawn Stevenson is affiliated with Shannon Medical Center.

When was this NPI record last updated?

The NPPES record for Dawn Stevenson was last updated on March 19, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.