Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

SHANNON SELBO PA-C
NPI 1831478965
Physician Assistant in Southlake, TX

Active since August 07, 2011PECOS Enrolled
96.22/100
CMS Quality Rating
910 E SOUTHLAKE BLVD, SOUTHLAKE, TX 76092(817) 421-5000 Get Directions Write a Review

NPPES record last updated: July 28, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Shannon Selbo Pa-c NPPES

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

SHANNON SELBO PA-C (NPI 1831478965) is an individual physician assistant in Southlake, Texas, licensed in Texas (PA07219) and active in the NPI registry since August 2011. She is enrolled in Medicare PECOS, is affiliated with Baylor Medical Center At Trophy Club, and is a graduate of Other (2010).

NPPES Registry Identity

NPI1831478965
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameSHANNON SELBOCredential: PA-C
Location Address910 E SOUTHLAKE BLVDSouthlake, TX 76092-6388
Mailing Address504 Fisher DrTrophy Club, TX 76262-1808 · (817) 929-6194
Sole ProprietorNo
Medical School CMSOtherGraduated 2010
Enumeration DateAugust 7, 2011
Last NPPES UpdateJuly 28, 2026
NPPES CertifiedJuly 28, 2026
NPI 1831478965 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in TX · PA07219
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
910 E SOUTHLAKE BLVD, Southlake, TX 76092

Other Names 1

Former Name (1)Shannon Skinner Pa-c

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

Shannon Selbo Pa-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 ID42482291
PECOS Enrollment IDI20111011000720
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.

Baylor Medical Center At Trophy Club

Acute Care Hospitals · Trophy Club, TX
OwnershipProprietary
CMS Certification Number450883
Location2850 E State Highway 114Trophy Club, TX 76262 · Denton County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 76092 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
$87.20 typical visit price
range $56.47 – $171.07
Typical copayment $21.80 (range $14.11 – $42.76)
Most-billed visit code 99203
Established Patient
$70.45 typical visit price
range $18.18 – $139.68
Typical copayment $17.61 (range $4.54 – $34.92)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

96.22/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality93.13
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES

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

Physician Assistant (Surgical)
910 E SOUTHLAKE BLVD, 155
SOUTHLAKE, TX 76092

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 Shannon Selbo's NPI number?

The NPI number for Shannon Selbo is 1831478965. It was assigned to this individual provider in the NPPES registry on August 7, 2011. The provider is also known as Shannon Skinner Pa-C.

Where is Shannon Selbo located?

Shannon Selbo practices at 910 E Southlake Blvd, Southlake, TX 76092. The listed phone number is (817) 421-5000.

What is Shannon Selbo's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Shannon Selbo enrolled in Medicare?

Yes. Shannon Selbo 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 Shannon Selbo affiliated with any hospitals?

According to CMS data, Shannon Selbo is affiliated with Baylor Medical Center At Trophy Club.

When was this NPI record last updated?

The NPPES record for Shannon Selbo was last updated on July 28, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 days 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.