Individual provider Active NPI

Shanna Nicole Roark, APRN, MSN, AGACNP-BC

  • Critical Care Medicine Nurse Practitioner
  • Shenandoah, TX
National Provider Identifier
1154953214
Registry record updated Aug 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Care Medicine Nurse PractitionerTaxonomy code 363LC0200X
License
AP145040 Issued in TX
Practice address
9250 Pinecroft Dr
Shenandoah, TX 77380-3218
Phone
(713) 897-2307
Fax
(713) 897-2275
NPI assigned
Feb 6, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Medicine Nurse Practitioner 363LC0200X AP145040 TX Primary

Addresses

Primary practice location

9250 Pinecroft Dr
Shenandoah, TX 77380-3218

Mailing address

930 Frostwood Dr Ste 2.200
Houston, TX 77024-2450

Other practice location 1

1111 Medical Plaza Dr Ste 250
Shenandoah, TX 77380-3477
Phone (281) 296-8788

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
I20210208001550 TX Practitioner - Nurse Practitioner 0749694537 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Memorial Hermann Medical GroupGroup PAC ID 7012008360, 760 clinicians

Practice addresses (Care Compare)

1801 N Loop W
Suite 30
Houston, TX 77008-1445
Phone (713) 802-9781

9250 Pinecroft Dr
Shenandoah, TX 77380-3218
Phone (713) 897-2307

Hospital & facility affiliations

  • Memorial Hermann Hospital System Hospital, Houston, TX, CCN 450184

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Memorial Hermann Medical Group CurrentSince Apr 25, 2022 Accepting new patients

Locations

1505 E Winding Way Dr
Ste 200
Friendswood, TX 77546
Phone (713) 366-7800

6411 Fannin St
Houston, TX 77030
Phone (713) 500-6200

1801 North Loop W
Ste 30
Houston, TX 77008
Phone (713) 802-9781

930 Frostwood Dr
Ste 2200
Houston, TX 77024

909 Frostwood Dr
Ste 1100
Houston, TX 77024
Phone (713) 338-4523

915 Gessner Rd
Ste 100
Houston, TX 77024
Phone (713) 242-2222

18951 N Memorial Dr
Humble, TX 77338
Phone (281) 319-8409

3203 Broadway St
Pearland, TX 77581
Phone (281) 485-8876

9250 Pinecroft Dr
Shenandoah, TX 77380
Phone (281) 364-2300

Organizations & group practices 1

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 6

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": "1580947200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786665600000",
    "number": "1154953214",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "930 FROSTWOOD DR STE 2.200",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770242450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9250 PINECROFT DR",
            "city": "SHENANDOAH",
            "state": "TX",
            "postal_code": "773803218",
            "telephone_number": "713-897-2307",
            "fax_number": "713-897-2275"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1111 Medical Plaza Dr Ste 250",
            "address_purpose": "LOCATION",
            "city": "Shenandoah",
            "state": "TX",
            "postal_code": "773803477",
            "country_code": "US",
            "telephone_number": "281-296-8788",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROARK",
        "first_name": "SHANNA",
        "middle_name": "NICOLE",
        "credential": "APRN, MSN, AGACNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-02-06",
        "last_updated": "2026-08-14",
        "certification_date": "2026-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LC0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Critical Care Medicine",
            "state": "TX",
            "license": "AP145040",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shenandoah, TX

Sources for this page

Verify at the official NPI Registry.