Individual provider Active NPI

Shana Joan Stanley, FNP-C

  • Nurse Practitioner
  • Mexia, TX
National Provider Identifier
1609657378
Registry record updated Nov 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
1141085 Issued in TX
Practice address
401 E Milam St
Mexia, TX 76667-2329
Phone
(254) 562-2500
NPI assigned
Oct 10, 2023
Last updated
Nov 14, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 14, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 1141085 TX Primary

Addresses

Primary practice location

401 E Milam St
Mexia, TX 76667-2329

Mailing address

PO Box 47154
San Antonio, TX 78265-7154
Phone (254) 237-5856

Other practice location 1

215 N Main St
McGregor, TX 76657-1236
Phone (254) 405-6730

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
I20231128003071 TX Practitioner - Nurse Practitioner 4688022841 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

701 McClintic Dr
Groesbeck, TX 76642-2128
Phone (254) 729-3281

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Arete Urgent Care, PLLC CurrentSince Nov 3, 2023 Accepting new patients
South Limestone Hospital District CurrentSince Jun 3, 2024 Accepting new patients
South Limestone Hospital District CurrentSince Jun 3, 2024 Accepting new patients
Go Urgent Care LLC PastSince Aug 28, 2022 Accepting new patients
Chest Diagnostic Therapeutic SVCS & Transit Nursing of TX, Inc PastSince Oct 15, 2023 Accepting new patients

Locations

701 McClintic Dr
Lake Limestone, TX 76642
Phone (254) 729-3281

215 N Main St
McGregor, TX 76657
Phone (254) 405-6730

401 E Milam St
Mexia, TX 76667
Phone (254) 562-2500

Organizations & group practices 5

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": "1696896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699920000000",
    "number": "1609657378",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 47154",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782657154",
            "telephone_number": "254-237-5856"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 E MILAM ST",
            "city": "MEXIA",
            "state": "TX",
            "postal_code": "766672329",
            "telephone_number": "254-562-2500"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "215 N Main St",
            "address_purpose": "LOCATION",
            "city": "McGregor",
            "state": "TX",
            "postal_code": "766571236",
            "country_code": "US",
            "telephone_number": "254-405-6730",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STANLEY",
        "first_name": "SHANA",
        "middle_name": "JOAN",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-10-10",
        "last_updated": "2023-11-14",
        "certification_date": "2023-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "1141085",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mexia, TX

Sources for this page

Verify at the official NPI Registry.