Shannon N. Chavez, DNP-FNPBC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

63200 Issued in NM

Practice address

3005 Hillrise Dr
Las Cruces, NM 88011-4703

Phone

(575) 525-3980

NPI assigned

Aug 19, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NM

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

Specialty

Nurse Practitioner

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Southwest Pain Center LLCGroup PAC ID 0244487874, 7 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

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.

• Southwest Pain Center, LLC

  • Interventional Pain Medicine Physician
  • Las Cruces, NM
  • NPI 1821351750
  Medicare reassignment Care Compare group NPD
• Relatyv Mobile Medical LLC

  • Other Specialist/Technologist
  • Las Cruces, NM
  • NPI 1497543300
  Medicare reassignment NPD
• Relatyv Mobile Medical LLC

  • Other Specialist/Technologist
  • Fort Wayne, IN
  • NPI 1891683074
  NPD
• Acosta Urgent Cares

  • Urgent Care Clinic/Center
  • Las Cruces, NM
  • NPI 1669176095
  NPD (past)

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

{
    "created_epoch": "1629331200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706745600000",
    "number": "1104592138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3005 HILLRISE DR",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880114703",
            "telephone_number": "575-525-3980"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3005 HILLRISE DR",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880114703",
            "telephone_number": "575-525-3980"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAVEZ",
        "first_name": "SHANNON",
        "middle_name": "N.",
        "name_prefix": "Dr.",
        "credential": "DNP-FNPBC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-08-19",
        "last_updated": "2024-02-01",
        "certification_date": "2024-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NM",
            "license": "63200",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "63200",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Minerva Chavez, BT
• Oscar Chavez Jr.
• Pablo Alfonso Chavez, ABOC
• Rick A. Chavez, MSW
• Ryan Alec Chavez
• Sylvia Chavez, BSW
• Virginia M Chavez, LISW, LADAC
• Xavier Chavez, LMSW
• Lizzette Chavira
• Renee Cheeseman, RN

• Family Nurse Practitioner in Las Cruces, NM
• Providers in Las Cruces, NM by specialty
• Family Nurse Practitioner in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.