Shannon Marrero, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA09486 Issued in TX

Practice address

8876 Synergy Dr Ste 100
McKinney, TX 75070-1276

Phone

(972) 547-0047

Fax

(877) 400-6329

NPI assigned

Oct 10, 2014

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/3019/brand/1/csg/1/fhir/r4
• Direct secure messaging: shannon.marrero.1@3019.direct.athenahealth.com

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.

• Kingsley Clinic PLLC

  • Internal Medicine Physician
  • Dallas, TX
  • NPI 1770143315
  Medicare reassignment
• Next Step Orthopedics, PLLC

  • Orthopaedic Surgery Physician
  • McKinney, TX
  • NPI 1306142146
  NPD (past)
• Stonebridge First Assist

  • Surgical Assistant
  • McKinney, TX
  • NPI 1598197410
  NPD (past)

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

{
    "created_epoch": "1412899200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717718400000",
    "number": "1427452010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8876 SYNERGY DR STE 100",
            "city": "MCKINNEY",
            "state": "TX",
            "postal_code": "750701276",
            "telephone_number": "972-547-0047",
            "fax_number": "877-400-6329"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8876 SYNERGY DR STE 100",
            "city": "MCKINNEY",
            "state": "TX",
            "postal_code": "750701276",
            "telephone_number": "972-547-0047",
            "fax_number": "877-400-6329"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARRERO",
        "first_name": "SHANNON",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-10-10",
        "last_updated": "2024-06-07",
        "certification_date": "2024-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "TX",
            "license": "PA09486",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA09486",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• William Barrett Mark, PT, DPT
• Matthew Allen Markham, DDS
• Elizabeth A Marley, C.N.M.
• Deborah Marlier, PT
• Dyanna Marrero
• Marriage Fully Alive Coaching and Counseling
• Elizabeth Cristina Marron, M.D.
• Kristina Marsey, LMSW
• Barbara Pauline Marshall
• Harmonae Marshall

• Physician Assistant in McKinney, TX
• Providers in McKinney, TX by specialty
• Physician Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.