Individual provider Active NPI

Shannon Nichole Matsuno, NP

  • Psychiatric/Mental Health Nurse Practitioner
  • Austin, TX
National Provider Identifier
1376200030
Registry record updated Dec 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
AP1071993 Issued in TX
Practice address
8300 N Lamar Blvd Ste 200a
Austin, TX 78753-5976
Phone
(888) 201-5112
Fax
(512) 782-9316
NPI assigned
Nov 17, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 23, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X AP1071993 TX
Registered Nurse 163W00000X 872145 TX
Psychiatric/Mental Health Nurse Practitioner 363LP0808X AP1071993 TX Primary

Addresses

Primary practice location

8300 N Lamar Blvd Ste 200a
Austin, TX 78753-5976

Mailing address

8300 N Lamar Blvd Ste 200a
Austin, TX 78753-5976
Phone (512) 782-9312

Other practice location 1

1225 North Loop W Ste 935
935
Houston, TX 77008-1763
Phone (281) 903-5897

Other names 1

  • Shannon Skolaut Former name

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
I20230202002324 TX Practitioner - Nurse Practitioner 9133591092 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Total MD Physicians Group, PLLCGroup PAC ID 7012313521, 127 clinicians

Practice addresses (Care Compare)

8300 N Lamar Blvd
Suite 200a
Austin, TX 78753-5976
Phone (512) 782-9312

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
872145TXMDRegistered Nurse
AP1071993TXMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Total MD Physicians Group, PLLC CurrentSince Dec 1, 2022 Accepting new patients

Locations

4301 W William Cannon Dr
#300
Austin, TX 78749
Phone (512) 222-8868

8300 N Lamar Blvd
Ste 200A
Austin, TX 78753
Phone (512) 575-9555

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.

NPI Registry JSON

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

{
    "created_epoch": "1637107200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1766448000000",
    "number": "1376200030",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8300 N LAMAR BLVD STE 200A",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787535976",
            "telephone_number": "512-782-9312",
            "fax_number": "512-782-9316"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8300 N LAMAR BLVD STE 200A",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787535976",
            "telephone_number": "888-201-5112",
            "fax_number": "512-782-9316"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1225 North Loop W Ste 935",
            "address_2": "935",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770081763",
            "country_code": "US",
            "telephone_number": "281-903-5897",
            "fax_number": "281-984-0739",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MATSUNO",
        "first_name": "SHANNON",
        "middle_name": "NICHOLE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-11-17",
        "last_updated": "2025-12-23",
        "certification_date": "2025-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "AP1071993",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TX",
            "license": "872145",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TX",
            "license": "AP1071993",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHANNON",
            "last_name": "SKOLAUT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.