Individual provider Active NPI

Christopher A Stallard, FNP-C, AGACNP-BC

  • Family Nurse Practitioner
  • San Angelo, TX
National Provider Identifier
1134480908
Registry record updated Sep 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP121260 Issued in TX
Practice address
2626 N Bryant Blvd
San Angelo, TX 76903-2861
Phone
(325) 747-1511
NPI assigned
Jun 7, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2025

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 AP121260 TX Primary

Addresses

Primary practice location

2626 N Bryant Blvd
San Angelo, TX 76903-2861

Mailing address

2626 N Bryant Blvd
San Angelo, TX 76903-2861
Phone (325) 747-1511

Other practice location 1

120 E Beauregard Ave
San Angelo, TX 76903-5919
Phone (325) 747-1511

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
I20151005000957 TX Practitioner - Nurse Practitioner 7416265871 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Shannon ClinicGroup PAC ID 0840103727, 550 clinicians
The West Texas Rehabilitation CenterGroup PAC ID 2860301215, shared by 5 NPIs, 444 clinicians

Practice addresses (Care Compare)

2626 N Bryant Blvd
San Angelo, TX 76903-2861
Phone (325) 747-1511

4601 Hartford St
Abilene, TX 79605-4603
Phone (325) 793-3411

Hospital & facility affiliations

  • Shannon Medical Center Hospital, San Angelo, TX, CCN 450571
  • Heart of Texas Memorial Hospital Hospital, Brady, TX, CCN 451348

Merit-based Incentive Payment System (MIPS)

Final score
82.63 of 100Reported as group
Quality
78.21
Promoting interoperability
96
Improvement activities
40
Cost
67.22

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Regional Employee Assistance Program Inc CurrentSince Sep 1, 2015 Accepting new patients
Regional Employee Assistance Program Inc CurrentSince Sep 1, 2015 Accepting new patients
Regional Employee Assistance Program Inc Current Accepting new patients
Shannon Clinic CurrentSince Apr 1, 2018 Accepting new patients
Shannon Clinic CurrentSince Apr 1, 2018 Accepting new patients

Locations

2804 Lake Rd
Ste 5
Huntsville, TX 77340
Phone (979) 696-2422

120 E Harris Ave
San Angelo, TX 76903
Phone (325) 653-6741

3535 Knickerbocker Rd
San Angelo, TX 76904
Phone (915) 947-6495

5730 Sherwood Way
San Angelo, TX 76901
Phone (325) 944-3851

120 E Beauregard Ave
San Angelo, TX 76903
Phone (915) 658-1511

2626 N Bryant Blvd
San Angelo, TX 76903
Phone (325) 481-2000

Interoperability endpoints

  • Direct secure messaging: cstallard26625@shannonhealth.direct-ci.com

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1339027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758672000000",
    "number": "1134480908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2626 N BRYANT BLVD",
            "city": "SAN ANGELO",
            "state": "TX",
            "postal_code": "769032861",
            "telephone_number": "325-747-1511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2626 N BRYANT BLVD",
            "city": "SAN ANGELO",
            "state": "TX",
            "postal_code": "769032861",
            "telephone_number": "325-747-1511"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "120 E Beauregard Ave",
            "address_purpose": "LOCATION",
            "city": "San Angelo",
            "state": "TX",
            "postal_code": "769035919",
            "country_code": "US",
            "telephone_number": "325-747-1511",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STALLARD",
        "first_name": "CHRISTOPHER",
        "middle_name": "A",
        "name_prefix": "Mr.",
        "credential": "FNP-C, AGACNP-BC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-06-07",
        "last_updated": "2025-09-24",
        "certification_date": "2025-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP121260",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Angelo, TX

Sources for this page

Verify at the official NPI Registry.