Individual provider Active NPI

Shannon Lynn Young Delacruz, FNP-C

  • Family Nurse Practitioner
  • Brownwood, TX
National Provider Identifier
1164893889
Registry record updated Sep 16, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP129021 Issued in TX
Practice address
302 E Commerce
Brownwood, TX 76801
Phone
(325) 510-3370
NPI assigned
Oct 8, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2020

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 AP129021 TX Primary

Addresses

Primary practice location

302 E Commerce
Brownwood, TX 76801

Mailing address

1501 Burnet Rd
Brownwood, TX 76801-8520
Phone (325) 646-8541

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
I20160412001031 TX Practitioner - Nurse Practitioner 9537467345 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
78.51 of 100Reported as group
Quality
63.02
Promoting interoperability
100
Improvement activities
40
Cost
65.34

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Hendrick Provider Network CurrentSince Jun 1, 2021 Accepting new patients
Regional Employee Assistance Program Inc CurrentSince Feb 27, 2016 Accepting new patients
Hendrick Provider Network CurrentSince Jun 1, 2021 Accepting new patients
Regional Employee Assistance Program Inc CurrentSince Feb 27, 2016 Accepting new patients
Hendrick Medical Center Brownwood CurrentSince Jun 1, 2024 Accepting new patients
Hendrick Medical Center Brownwood CurrentSince Jun 1, 2024 Accepting new patients
Hendrick Medical Center Brownwood Past Accepting new patients

Locations

1904 Pine St
Ste 4A
Abilene, TX 79601
Phone (325) 437-4020

300 E Commerce St
Brownwood, TX 76801
Phone (325) 510-3400

1501 Burnet Rd
Brownwood, TX 76801
Phone (325) 646-8541

302 E Commerce St
Brownwood, TX 76801
Phone (325) 510-3370

2371 Crockett Dr
Ste 104
Brownwood, TX 76801
Phone (325) 430-6319

2005 Highway 183 N
Early, TX 76802
Phone (325) 643-3010

Organizations & group practices 7

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": "1444262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600214400000",
    "number": "1164893889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1501 BURNET RD",
            "city": "BROWNWOOD",
            "state": "TX",
            "postal_code": "768018520",
            "telephone_number": "325-646-8541"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "302 E COMMERCE",
            "city": "BROWNWOOD",
            "state": "TX",
            "postal_code": "76801",
            "telephone_number": "325-510-3370"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOUNG DELACRUZ",
        "first_name": "SHANNON",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-10-08",
        "last_updated": "2020-09-16",
        "certification_date": "2020-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP129021",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brownwood, TX

Sources for this page

Verify at the official NPI Registry.