Individual provider Active NPI

Shavonne Hill, FNP

  • Family Nurse Practitioner
  • Mansfield, TX
National Provider Identifier
1659767655
Registry record updated Dec 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP126315 Issued in TX
Practice address
1021 Matlock Rd Ste 101
Mansfield, TX 76063-6567
Phone
(817) 267-6290
Fax
(817) 267-0950
NPI assigned
Apr 7, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2025

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 AP126315 TX Primary

Addresses

Primary practice location

1021 Matlock Rd Ste 101
Mansfield, TX 76063-6567

Mailing address

3030 Harwood Rd Ste 100
Bedford, TX 76021-3703
Phone (817) 267-6290

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address shavonne.hill.1@29952.direct.athenahealth.com Direct

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
I20150513000913 TX Practitioner - Nurse Practitioner 6002136124 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Mid Cities Neurology Associates, P.a.Group PAC ID 0749379592, 12 clinicians
Green Oaks Physical Therapy Limited PartnershipGroup PAC ID 4688582141, shared by 2 NPIs, 208 clinicians

Practice addresses (Care Compare)

1021 Matlock Rd
Suite 101
Mansfield, TX 76063-6567
Phone (817) 267-6290

2000 FM
663 Suite 160
Midlothian, TX 76065-6559
Phone (469) 856-2476

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Medhealth CurrentSince Sep 4, 2018 Accepting new patients
Mid Cities Neurology Associates, P.a. CurrentSince Jan 6, 2025 Accepting new patients
Post Acute Specialists of Texas PA Family CurrentSince Aug 12, 2024 Accepting new patients
Medhealth Current Accepting new patients

Locations

2911 Medical Arts St
Ste 10
Austin, TX 78705
Phone (512) 474-5551

3030 Harwood Rd
Ste 100
Bedford, TX 76021
Phone (817) 267-6290

1305 Airport Fwy
Ste 205
Bedford, TX 76021
Phone (817) 267-6290

4525 Heritage Trace Pkwy
Ste 117
Fort Worth, TX 76244
Phone (817) 267-6290

5224 S State Highway 360
Grand Prairie, TX 75052
Phone (972) 522-0691

1021 Matlock Rd
Ste 101
Mansfield, TX 76063
Phone (817) 225-6888

2800 E Broad St
Ste 404
Mansfield, TX 76063
Phone (817) 261-3000

2800 E Broad St
Ste 504
Mansfield, TX 76063
Phone (817) 225-0410

Interoperability endpoints

  • Direct secure messaging: shavonne.hill.1@29952.direct.athenahealth.com

Organizations & group practices 4

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": "1428364800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764892800000",
    "number": "1659767655",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3030 HARWOOD RD STE 100",
            "city": "BEDFORD",
            "state": "TX",
            "postal_code": "760213703",
            "telephone_number": "817-267-6290",
            "fax_number": "817-267-0950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1021 MATLOCK RD STE 101",
            "city": "MANSFIELD",
            "state": "TX",
            "postal_code": "760636567",
            "telephone_number": "817-267-6290",
            "fax_number": "817-267-0950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HILL",
        "first_name": "SHAVONNE",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-04-07",
        "last_updated": "2025-12-05",
        "certification_date": "2025-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP126315",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "shavonne.hill.1@29952.direct.athenahealth.com",
            "affiliation": "N",
            "endpointDescription": "Athena Direct Address - used for all locations",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1021 Matlock Rd Ste 101",
            "city": "Mansfield",
            "state": "TX",
            "country_code": "US",
            "postal_code": "760636567",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Mansfield, TX

Sources for this page

Verify at the official NPI Registry.