Individual provider Active NPI

Shannon Renee Robinson, AGNP-C

  • Gerontology Nurse Practitioner
  • Plano, TX
National Provider Identifier
1013685205
Registry record updated Mar 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
1051895 Issued in TX
Practice address
2800 W 15TH St
Plano, TX 75075-7526
Phone
(972) 612-9000
NPI assigned
Sep 1, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X 1051895 TX
Gerontology Nurse Practitioner 363LG0600X 1051895 TX Primary

Addresses

Primary practice location

2800 W 15TH St
Plano, TX 75075-7526

Mailing address

2508 Kermit Dr
Wylie, TX 75098-8226
Phone (248) 890-8430

Other practice location 1

12810 Hillcrest Rd
Dallas, TX 75230-1525
Phone (214) 613-6897

Other practice location 2

17740 Preston Rd Ste 200C
Dallas, TX 75252-5840
Phone (248) 890-8430

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210928002290 TX Practitioner - Nurse Practitioner 8325445729 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Texoma Rehab PLLCGroup PAC ID 0042599151, 2 clinicians
Healing Partners Plus PLLCGroup PAC ID 4284155425, 125 clinicians
Meridian Health Partners PLLCGroup PAC ID 5597170878, 66 clinicians

Practice addresses (Care Compare)

2800 W 15TH St
Plano, TX 75075-7526
Phone (972) 612-9000

4500 Mercantile Plaza Dr
Suite 300
Fort Worth, TX 76137-4206
Phone (888) 402-0202

950 W Bethany Dr
Suite 570
Allen, TX 75013-3845
Phone (844) 941-3087

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
1051895TXMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Consonant Healing Associates of de LLC CurrentSince Jul 14, 2025 Accepting new patients
Texoma Rehab PLLC CurrentSince Aug 16, 2025 Accepting new patients
Meridian Health Partners PLLC CurrentSince Sep 4, 2025 Accepting new patients
Healing Partners Plus PLLC CurrentSince Oct 1, 2025 Accepting new patients
Cardio & Renal Therapeutics of North Texas PLLC CurrentSince Jun 1, 2023 Accepting new patients

Locations

909 Ridgebrook Rd
Ste 300
Sparks Glencoe, MD 21152
Phone (443) 483-9300

950 W Bethany Dr
Ste 570
Allen, TX 75013
Phone (402) 651-5338

405 Duncan Perry Rd
Arlington, TX 76011
Phone (817) 649-3366

2660 Brickyard Rd
Beaumont, TX 77703
Phone (406) 892-1533

9715 Plano Rd
Dallas, TX 75238
Phone (214) 343-7445

12830 Hillcrest Rd
Ste 111
Dallas, TX 75230
Phone (972) 964-9087

2416 NW 18th St
Ft Worth, TX 76106
Phone (817) 626-5454

4500 Mercantile Plaza Dr
Ste 300
Ft Worth, TX 76137
Phone (469) 688-9501

10851 Crescent Moon Dr
Houston, TX 77064
Phone (281) 890-0171

5830 Collin McKinney Pkwy
Ste 302
McKinney, TX 75070
Phone (212) 272-2774

2800 W 15th St
Plano, TX 75075
Phone (972) 238-7339

3100 S Rigsbee Dr
Plano, TX 75074
Phone (972) 423-6217

8223 Broadway
San Antonio, TX 78209
Phone (210) 828-0606

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1630454400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647216000000",
    "number": "1013685205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2508 KERMIT DR",
            "city": "WYLIE",
            "state": "TX",
            "postal_code": "750988226",
            "telephone_number": "248-890-8430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2800 W 15TH ST",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750757526",
            "telephone_number": "972-612-9000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12810 Hillcrest Rd",
            "address_purpose": "LOCATION",
            "city": "Dallas",
            "state": "TX",
            "postal_code": "752301525",
            "country_code": "US",
            "telephone_number": "214-613-6897",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "17740 Preston Rd Ste 200C",
            "address_purpose": "LOCATION",
            "city": "Dallas",
            "state": "TX",
            "postal_code": "752525840",
            "country_code": "US",
            "telephone_number": "248-890-8430",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROBINSON",
        "first_name": "SHANNON",
        "middle_name": "RENEE",
        "credential": "AGNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-09-01",
        "last_updated": "2022-03-14",
        "certification_date": "2022-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "TX",
            "license": "1051895",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "TX",
            "license": "1051895",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plano, TX

Sources for this page

Verify at the official NPI Registry.