Individual provider Active NPI

Shannon Rene Bearden, FNP

  • Family Nurse Practitioner
  • Texarkana, TX
National Provider Identifier
1134616436
Registry record updated Aug 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP137261 Issued in TX
Practice address
2604 Saint Michael Dr Ste 238
Texarkana, TX 75503-2378
Phone
(903) 794-8820
Fax
(903) 794-8878
NPI assigned
Apr 23, 2018
Last updated
Aug 7, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 7, 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 AP137261 TX Primary

Addresses

Primary practice location

2604 Saint Michael Dr Ste 238
Texarkana, TX 75503-2378

Mailing address

5002 Cowhorn Creek Rd
Texarkana, TX 75503-9766
Phone (903) 614-3000

Other practice location 1

2604 Saint Michael Dr Ste 240
Texarkana, TX 75503-2378
Phone (903) 794-8820

Other practice location 2

2604 Saint Michael Dr Ste 345A
Texarkana, TX 75503-2378
Phone (903) 614-5750

Other practice location 3

700 Davey Crockett Dr Ste 500
New Boston, TX 75570-2336
Phone (903) 614-5950

Other practice location 4

2604 Saint Michael Dr Ste 346
Texarkana, TX 75503-2378
Phone (903) 614-5750

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR, TX2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20200408000652 AR Practitioner - Nurse Practitioner 2567891849 Reassigns benefits to 2 organizations
I20210814000150 TX Practitioner - Nurse Practitioner 2567891849 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Christus Trinity Clinic TexasGroup PAC ID 3072426741, 1,540 clinicians

Practice addresses (Care Compare)

2600 Saint Michael Dr
Texarkana, TX 75503-2372
Phone (903) 614-5250

620 S Fleishel Ave
Christus Trinity Clinic
Tyler, TX 75701-2041
Phone (903) 606-4900

630 S Fleishel Ave
Tyler, TX 75701-2041
Phone (903) 606-5560

PO Box
Suite 846098
Dallas, TX 75284-6098

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP137261TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Christus Trinity Clinic Texas CurrentSince Nov 1, 2024 Accepting new patients
Hot Springs Interventional Pain Management PA CurrentSince Mar 1, 2020 Accepting new patients
Christus Trinity Clinic Texas CurrentSince Nov 1, 2024 Accepting new patients

Locations

1 Mercy Ln
Ste 304
Hot Springs National Park, AR 71913
Phone (501) 321-4772

1010 Arkansas Blvd
Texarkana, AR 71854
Phone (501) 321-4772

700 Davey Crockett Dr
Ste 500
New Boston, TX 75570
Phone (903) 614-5950

2604 Saint Michael Dr
Ste 238
Texarkana, TX 75503
Phone (903) 614-5480

2604 Saint Michael Dr
Ste 240
Texarkana, TX 75503
Phone (903) 614-5601

2604 Saint Michael Dr
Ste 345A
Texarkana, TX 75503
Phone (903) 614-5750

2604 Saint Michael Dr
Ste 346
Texarkana, TX 75503
Phone (903) 614-5600

5002 Cowhorn Creek Rd
Texarkana, TX 75503
Phone (903) 614-3008

630 S Fleishel Ave
Tyler, TX 75701
Phone (903) 510-8888

Interoperability endpoints

  • Direct secure messaging: sbearden311518@christushealth.direct-ci.net
  • Direct secure messaging: shannon.bearden.p1@direct.collom-carney.nextgenshare.com

Organizations & group practices 4

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

Hospital & facility affiliations 3

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": "1524441600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754524800000",
    "number": "1134616436",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5002 COWHORN CREEK RD",
            "city": "TEXARKANA",
            "state": "TX",
            "postal_code": "755039766",
            "telephone_number": "903-614-3000",
            "fax_number": "903-614-3525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2604 SAINT MICHAEL DR STE 238",
            "city": "TEXARKANA",
            "state": "TX",
            "postal_code": "755032378",
            "telephone_number": "903-794-8820",
            "fax_number": "903-794-8878"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2604 Saint Michael Dr Ste 240",
            "address_purpose": "LOCATION",
            "city": "Texarkana",
            "state": "TX",
            "postal_code": "755032378",
            "country_code": "US",
            "telephone_number": "903-794-8820",
            "fax_number": "903-794-8878",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2604 Saint Michael Dr Ste 345A",
            "address_purpose": "LOCATION",
            "city": "Texarkana",
            "state": "TX",
            "postal_code": "755032378",
            "country_code": "US",
            "telephone_number": "903-614-5750",
            "fax_number": "903-614-5795",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "700 Davey Crockett Dr Ste 500",
            "address_purpose": "LOCATION",
            "city": "New Boston",
            "state": "TX",
            "postal_code": "755702336",
            "country_code": "US",
            "telephone_number": "903-614-5950",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2604 Saint Michael Dr Ste 346",
            "address_purpose": "LOCATION",
            "city": "Texarkana",
            "state": "TX",
            "postal_code": "755032378",
            "country_code": "US",
            "telephone_number": "903-614-5750",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BEARDEN",
        "first_name": "SHANNON",
        "middle_name": "RENE",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-04-23",
        "last_updated": "2025-08-07",
        "certification_date": "2025-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP137261",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Texarkana, TX

Sources for this page

Verify at the official NPI Registry.