Individual provider Active NPI

Shiny Michael, FNP-BC

  • Family Nurse Practitioner
  • McKinney, TX
National Provider Identifier
1669986667
Registry record updated Apr 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP135279 Issued in TX
Practice address
6717 Eldorado Pkwy Ste 120
McKinney, TX 75070-5734
Phone
(972) 369-0744
NPI assigned
Nov 29, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 20, 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 AP135279 TX Primary

Addresses

Primary practice location

6717 Eldorado Pkwy Ste 120
McKinney, TX 75070-5734

Mailing address

6717 Eldorado Pkwy Ste 120
McKinney, TX 75070-5734
Phone (972) 369-0744

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address smichael48329@Direct.TexasHealth.org

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
I20180611000471 TX Practitioner - Nurse Practitioner 4688929938 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Texas Health Physicians GroupGroup PAC ID 4385535954, 1,364 clinicians

Practice addresses (Care Compare)

6717 Eldorado Pkwy
Suite 120
McKinney, TX 75070-5734
Phone (972) 369-0744

Hospital & facility affiliations

  • Texas Health Presbyterian Hospital Allen Hospital, Allen, TX, CCN 450840
  • Medical Center of McKinney Hospital, McKinney, TX, CCN 450403

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Texas Health Physicians Group CurrentSince Apr 1, 2022 Accepting new patients
Texas Health Physicians Group CurrentSince Apr 1, 2022 Accepting new patients
Texas Health Physicians Group Current Accepting new patients
Texas Health Physicians Group Past Accepting new patients

Locations

1600 Hospital Pkwy
Bedford, TX 76022
Phone (817) 355-7803

4333 N Josey Ln
Ste 104
Carrollton, TX 75010
Phone (972) 394-4500

140 S Custer Rd
Ste 100
McKinney, TX 75072
Phone (469) 459-9124

6717 Eldorado Pkwy
Ste 120
McKinney, TX 75070
Phone (972) 369-0744

Interoperability endpoints

  • Direct secure messaging: smichael48329@direct.texashealth.org

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.

Hospital & facility affiliations 2

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": "1511913600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650412800000",
    "number": "1669986667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6717 ELDORADO PKWY STE 120",
            "city": "MCKINNEY",
            "state": "TX",
            "postal_code": "750705734",
            "telephone_number": "972-369-0744"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6717 ELDORADO PKWY STE 120",
            "city": "MCKINNEY",
            "state": "TX",
            "postal_code": "750705734",
            "telephone_number": "972-369-0744"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MICHAEL",
        "first_name": "SHINY",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-11-29",
        "last_updated": "2022-04-20",
        "certification_date": "2022-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP135279",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "smichael48329@Direct.TexasHealth.org",
            "affiliation": "N",
            "address_1": "6717 Eldorado Pkwy Ste 120",
            "city": "McKinney",
            "state": "TX",
            "country_code": "US",
            "postal_code": "750705734",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in McKinney, TX

Sources for this page

Verify at the official NPI Registry.