Individual provider Active NPI

Shannon Sue Stone, FNP

  • Family Nurse Practitioner
  • Vernon, TX
National Provider Identifier
1477265452
Registry record updated Dec 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1103040 Issued in TX
Practice address
4401 College Dr
Vernon, TX 76384-4004
Phone
(940) 552-9316
NPI assigned
Dec 21, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 21, 2022

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 1103040 TX Primary

Addresses

Primary practice location

4401 College Dr
Vernon, TX 76384-4004

Mailing address

2100 Center Dr Apt 411
Vernon, TX 76384-4838
Phone (269) 330-7075

Electronic endpoints 2

TypeEndpointUseAffiliation
CONNECT URL pharmacy Health Information Exchange (HIE)
CONNECT URL Pharmacy Health Information Exchange (HIE)

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
I20230111000277 TX Practitioner - Nurse Practitioner 7911377890 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Collaborative Geriatrics IncGroup PAC ID 5193827046, 45 clinicians

Practice addresses (Care Compare)

24285 Katy Fwy
Suite 300
Katy, TX 77494-1327
Phone (346) 387-7171

Merit-based Incentive Payment System (MIPS)

Final score
87.64 of 100Reported as group
Quality
76.13
Improvement activities
40
Cost
69.23

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Collaborative Geriatrics Inc CurrentSince Mar 11, 2024 Accepting new patients
Infinite Medical PC CurrentSince Dec 20, 2022 Accepting new patients

Locations

250 Skillman St
Ste 204
Brooklyn, NY 11205
Phone (513) 341-7173

250 Skillman St
Ste 202
Brooklyn, NY 11205

1201 Colonel Dr
Garland, TX 75043
Phone (210) 602-1140

15015 Cypress Wood Medical Dr
Houston, TX 77014
Phone (281) 301-1149

24285 Katy Fwy
Ste 300
Katy, TX 77494
Phone (346) 387-7171

411 Airport Rd
Sulphur Springs, TX 75482
Phone (903) 885-7668

424 Tarpey Rd
Texas City, TX 77591
Phone (409) 938-8431

4401 College Dr
Vernon, TX 76384
Phone (877) 210-2373

1405 Valhalla Dr
Wharton, TX 77488
Phone (713) 723-9068

8001 Western Hills Blvd
Wht Settlemt, TX 76108
Phone (817) 246-4953

Organizations & group practices 2

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": "1671580800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671580800000",
    "number": "1477265452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2100 CENTER DR APT 411",
            "city": "VERNON",
            "state": "TX",
            "postal_code": "763844838",
            "telephone_number": "269-330-7075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4401 COLLEGE DR",
            "city": "VERNON",
            "state": "TX",
            "postal_code": "763844004",
            "telephone_number": "940-552-9316"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STONE",
        "first_name": "SHANNON",
        "middle_name": "SUE",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-12-21",
        "last_updated": "2022-12-21",
        "certification_date": "2022-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1103040",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "pharmacy",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "4401 College Dr",
            "city": "Vernon",
            "state": "TX",
            "country_code": "US",
            "postal_code": "763844004",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Pharmacy",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "4401 College Dr",
            "city": "Vernon",
            "state": "TX",
            "country_code": "US",
            "postal_code": "763844004",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Vernon, TX

Sources for this page

Verify at the official NPI Registry.