JOHNNY LEE HEDGES AG-ACNP-BC
NPI 1811606858
Nurse Practitioner in San Angelo, TX
About Johnny Lee Hedges Ag-acnp-bc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JOHNNY LEE HEDGES AG-ACNP-BC (NPI 1811606858) is an individual nurse practitioner in San Angelo, Texas, licensed in Texas (1099256) and active in the NPI registry since November 2022. He is enrolled in Medicare PECOS, is affiliated with Shannon Medical Center, and is a graduate of Other (2022).
NPPES Registry Identity
Specialties & Licenses
Accepted 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
Johnny Lee Hedges Ag-acnp-bc 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.
Medicare Billing Reassignment
Medicare enrollment records show Johnny Hedges reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
San Angelo, TX 76903
- Reassigned Medicare billing, Texas enrollment
- 671 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.
Areas of Expertise CMS Part B claims 6
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Hospital Affiliations CMS Care Compare 5
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Shannon Medical Center
Acute Care Hospitals · San Angelo, TXReagan Memorial Hospital
Critical Access Hospitals · Big Lake, TXBallinger Memorial Hospital
Critical Access Hospitals · Ballinger, TXLillian M Hudspeth Memorial Hospital
Critical Access Hospitals · Sonora, TXHeart Of Texas Memorial Hospital
Critical Access Hospitals · Brady, TXPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 76903 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
SAN ANGELO, TX 76903
SAN ANGELO, TX 76903
SAN ANGELO, TX 76903
SAN ANGELO, TX 76903
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 Johnny Hedges's NPI number?
The NPI number for Johnny Hedges is 1811606858. It was assigned to this individual provider in the NPPES registry on November 18, 2022.
Where is Johnny Hedges located?
Johnny Hedges practices at 102 N Magdalen St, San Angelo, TX 76903. The listed phone number is (325) 655-2200.
What is Johnny Hedges's specialty?
The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.
Is Johnny Hedges enrolled in Medicare?
Yes. Johnny Hedges 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 Johnny Hedges's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Johnny Hedges 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 Johnny Hedges's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Johnny Hedges 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 2 other insurers list Johnny Hedges 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 Johnny Hedges affiliated with any hospitals?
According to CMS data, Johnny Hedges is affiliated with Shannon Medical Center, Reagan Memorial Hospital, Ballinger Memorial Hospital, Lillian M Hudspeth Memorial Hospital and Heart Of Texas Memorial Hospital.
When was this NPI record last updated?
The NPPES record for Johnny Hedges was last updated on November 18, 2022. 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.
# Johnny Lee Hedges, AG-ACNP-BC · NPI 1811606858
Nurse Practitioner physician in San Angelo, Texas. Individual provider, active in the CMS NPPES registry since November 18, 2022.
## Identity
- **NPI:** 1811606858 (Entity type: Individual)
- **Enumerated:** November 18, 2022
- **Primary specialty:** Nurse Practitioner · taxonomy 363L00000X
- **State license:** 1099256 (Texas)
- **Sole proprietor:** No
## Practice location
- **Address:** 102 N MAGDALEN ST, San Angelo, TX 76903-5400
- **Phone:** (325) 655-2200
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Shannon Clinic (NPI 1770587149, San Angelo, TX), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2022
## Record status
- **NPPES last updated:** November 18, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1811606858) · Data from the CMS NPPES public registry.