Individual provider Active NPI

Shirley Sue Connell, NURSE PRACTITIONER

  • Primary Care Nurse Practitioner
  • Abilene, TX
National Provider Identifier
1538713565
Registry record updated Oct 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
AP143057 Issued in TX
Practice address
5302 Buffalo Gap Rd
Abilene, TX 79606-4246
Phone
(325) 307-6226
Fax
(325) 307-6294
NPI assigned
Jul 29, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 830663 TX
Primary Care Nurse Practitioner 363LP2300X AP143057 TX Primary

Addresses

Primary practice location

5302 Buffalo Gap Rd
Abilene, TX 79606-4246

Mailing address

PO Box 1198
Abilene, TX 79604-1198
Phone (325) 670-4220

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
I20191007003452 TX Practitioner - Nurse Practitioner 2961733852 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hendrick Provider NetworkGroup PAC ID 9739162181, 234 clinicians

Practice addresses (Care Compare)

1201 N 18TH St
Abilene, TX 79601-2932
Phone (325) 793-3100

Hospital & facility affiliations

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

State licenses

LicenseStateTypeSpecialty
830663TXMDFamily Nurse Practitioner
AP143057TXMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Hendrick Provider Network CurrentSince Sep 13, 2019 Accepting new patients
Hendrick Medical Center Current Accepting new patients
Hendrick Provider Network CurrentSince Sep 13, 2019 Accepting new patients

Locations

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

5302 Buffalo Gap Rd
Abilene, TX 79606
Phone (325) 307-6226

1201 N 18th St
Abilene, TX 79601
Phone (325) 793-3300

125 S Park Dr
Ste H
Brownwood, TX 76801
Phone (325) 641-8648

10201 Highway 16
Comanche, TX 76442
Phone (254) 879-4910

403 W Wallace St
San Saba, TX 76877
Phone (325) 372-5701

Interoperability endpoints

  • Direct secure messaging: shirleyconnell@hmc.allscriptsdirect.net
  • Direct secure messaging: shirley.connell.1@21794.direct.athenahealth.com

Organizations & group practices 3

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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1564358400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664755200000",
    "number": "1538713565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1198",
            "city": "ABILENE",
            "state": "TX",
            "postal_code": "796041198",
            "telephone_number": "325-670-4220",
            "fax_number": "325-670-4040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5302 BUFFALO GAP RD",
            "city": "ABILENE",
            "state": "TX",
            "postal_code": "796064246",
            "telephone_number": "325-307-6226",
            "fax_number": "325-307-6294"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONNELL",
        "first_name": "SHIRLEY",
        "middle_name": "SUE",
        "credential": "NURSE PRACTITIONER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-29",
        "last_updated": "2022-10-03",
        "certification_date": "2022-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "830663",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "TX",
            "license": "AP143057",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Abilene, TX

Sources for this page

Verify at the official NPI Registry.