Active NPI
Shannon Ray Mueller, D.P.M.
- Foot & Ankle Surgery Podiatrist
- Granbury, TX
National Provider Identifier
1528066255
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- License
- DPM 1659
- Practice address
- 1201 Medical Plaza CT
Granbury, TX 76048-5684 - Phone
- (817) 578-8555
- Fax
- (817) 573-6234
- NPI assigned
- Jul 7, 2005
- Last updated
- Feb 12, 2016
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Foot & Ankle Surgery Podiatrist | 213ES0103X | DPM 1659 | TX | Primary |
| Foot Surgery Podiatrist | 213ES0131X | DPM 1659 | TX |
Addresses
Primary practice location
1201 Medical Plaza CT
Granbury, TX 76048-5684
Mailing address
1201 Medical Plaza CT
Granbury, TX 76048-5684
Phone (817) 578-8555
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: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Podiatry
- Education
- Des Moines University of Osteopathic Medicine and Health Sciences, 1999
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
1201 Medical Plaza CT
Granbury, TX 76048-5684
Merit-based Incentive Payment System (MIPS)
- Final score
- 92.38 of 100
- Quality
- 84.75
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of nail tissue | 489 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1659 | NE | MD | Addiction (Substance Use Disorder) Counselor |
| DPM 1659 | TX | MD | Foot Surgery Podiatrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Brazos Foot and Ankle Clinic P.a. | Foot & Ankle Surgery | Current | Accepting new patients |
Locations
1201 Medical Plaza Ct
Granbury, TX 76048
Phone (817) 279-9044
Interoperability endpoints
- shannon.mueller@dm-tx.direct.office.nextgen.com
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1120694400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1455235200000",
"number": "1528066255",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1201 MEDICAL PLAZA CT",
"city": "GRANBURY",
"state": "TX",
"postal_code": "760485684",
"telephone_number": "817-578-8555",
"fax_number": "817-573-6234"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1201 MEDICAL PLAZA CT",
"city": "GRANBURY",
"state": "TX",
"postal_code": "760485684",
"telephone_number": "817-578-8555",
"fax_number": "817-573-6234"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MUELLER",
"first_name": "SHANNON",
"middle_name": "RAY",
"name_prefix": "Mr.",
"credential": "D.P.M.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-07-07",
"last_updated": "2016-02-12",
"status": "A"
},
"taxonomies": [
{
"code": "213ES0103X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "TX",
"license": "DPM 1659",
"primary": true
},
{
"code": "213ES0131X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot Surgery",
"state": "TX",
"license": "DPM 1659",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Granbury, TX
- Linda Renee Morton, LVN
- Karl Moser, LPC
- MSPF II Granbury O.E., L.P. (Harbor Lakes Plaza Nursing and Rehabilitation Center)
- Adrienne Mucha, FNP
- Nicole Alison Mueller, D.O.
- Lucia Munoz
- Wanda E Murga, LCDC
- Cassidy Murray
- Radha P. Narayanan, M.D.
- National Vision Inc (America's Best Contacts & Eyeglasses)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2016; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.