Individual provider Active NPI

Shannon Perryman, NP-C

  • Family Nurse Practitioner
  • Elgin, TX
National Provider Identifier
1104299155
Registry record updated Mar 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
39 Issued in TX
Practice address
902 W 2ND St
Elgin, TX 78621-2515
Phone
(512) 229-3334
NPI assigned
Nov 12, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 39 TX Primary

Addresses

Primary practice location

902 W 2ND St
Elgin, TX 78621-2515

Mailing address

4100 Bluffside LN
Round Rock, TX 78665-5005

Other practice location 1

850 Central Pkwy E Ste 275
Plano, TX 75074-5542
Phone (972) 881-4688

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
I20170403001098 TX Practitioner - Nurse Practitioner 8426355751 Reassigns benefits to 4 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
39TXMDStudent in an Organized Health Care Education/Training Program

Practice roles

OrganizationSpecialtyStatusNew patients
Medconmd1 PLLC CurrentSince Jun 16, 2017 Accepting new patients
Medical Experts of Texas, P.a. CurrentSince Jan 16, 2017 Accepting new patients
Curana Health Medical Group LLC CurrentSince Apr 2, 2018 Accepting new patients
Medconmd1 PLLC CurrentSince Jun 16, 2017 Accepting new patients

Locations

1700 Onion Creek Pkwy
Austin, TX 78748
Phone (512) 291-4900

2725 Wind River Ln
Denton, TX 76210
Phone (940) 600-2266

505 E US Highway 80
Forney, TX 75126
Phone (844) 391-7277

2508 Williams Dr
Ste 120
Georgetown, TX 78628
Phone (844) 391-7277

9903 Hunters Pond
San Antonio, TX 78224
Phone (210) 477-2200

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/10780/brand/1/csg/1/fhir/r4
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 5

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": "1447286400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773792000000",
    "number": "1104299155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4100 BLUFFSIDE LN",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "786655005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "902 W 2ND ST",
            "city": "ELGIN",
            "state": "TX",
            "postal_code": "786212515",
            "telephone_number": "512-229-3334"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "850 Central Pkwy E Ste 275",
            "address_purpose": "LOCATION",
            "city": "Plano",
            "state": "TX",
            "postal_code": "750745542",
            "country_code": "US",
            "telephone_number": "972-881-4688",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PERRYMAN",
        "first_name": "SHANNON",
        "name_prefix": "Ms.",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-11-12",
        "last_updated": "2026-03-18",
        "certification_date": "2026-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "39",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elgin, TX

Sources for this page

Verify at the official NPI Registry.