BRENDA SHANNON
NPI 1871316265
Nurse Practitioner - Family in Waxahachie, TX

Q: What is Brenda Shannon's NPI number?

The NPI number for Brenda Shannon is 1871316265. It was assigned to this individual provider in the NPPES registry on November 4, 2024.

Q: What is Brenda Shannon's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Brenda Shannon was last updated on November 4, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since November 04, 2024PECOS EnrolledAccepts Medicare Assignment

1000 LEGACY RANCH RD, WAXAHACHIE, TX 75165(877) 868-2528(877) 926-5332 Get Directions Write a Review

NPPES record last updated: November 4, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Brenda Shannon NPPES

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

BRENDA SHANNON (NPI 1871316265) is an individual family provider in Waxahachie, Texas, licensed in Texas (1047242) and active in the NPI registry since November 2024. She is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1871316265

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameBRENDA SHANNON

Location Address1000 LEGACY RANCH RDWaxahachie, TX 75165-1293

Mailing Address1000 Legacy Ranch RdWaxahachie, TX 75165-1293 · (877) 868-2528 · Fax (877) 926-5332

Phone(877) 868-2528

Fax(877) 926-5332

Sole ProprietorNo

Medical School CMSOtherGraduated 2024

Enumeration DateNovember 4, 2024

NPPES CertifiedNovember 4, 2024

✔ NPI 1871316265 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in TX · 1047242

1000 LEGACY RANCH RD, Waxahachie, TX 75165

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Accepted Insurance

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

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

Brenda Shannon 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 ID7012442254

PECOS Enrollment IDI20241125000948

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75165 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.

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Other Providers at the Same Location NPPES 7

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

LEIGH MARK

Nurse Practitioner (Family)