Individual provider Active NPI

Karen Shahan, N.P.

  • Family Nurse Practitioner
  • Rockwall, TX
National Provider Identifier
1689118143
Registry record updated Apr 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1019068 Issued in TX
Practice address
1005 W Ralph Hall Pkwy Ste 137
Rockwall, TX 75032-6691
Phone
(972) 463-2001
Fax
(972) 463-2003
NPI assigned
Dec 16, 2016
Last updated
Apr 22, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2024

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 1019068 TX Primary
Family Nurse Practitioner 363LF0000X 209015330 IL

Addresses

Primary practice location

1005 W Ralph Hall Pkwy Ste 137
Rockwall, TX 75032-6691

Mailing address

1005 W Ralph Hall Pkwy Ste 137
Rockwall, TX 75032-6691
Phone (972) 463-2001

Other practice location 1

2025 S Chicago St
Joliet, IL 60436-3172
Phone (815) 726-2200

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address karan.shahan@att.net

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
I20210823002079 TX Practitioner - Nurse Practitioner 9335424589 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Primary Care Physicians of Texas, PAGroup PAC ID 2062402837, 7 clinicians
Legacy Healthcare Services IncGroup PAC ID 2163339722, 3,431 clinicians

Practice addresses (Care Compare)

1005 W Ralph Hall Pkwy
Suite 137
Rockwall, TX 75032-6691
Phone (972) 463-2001

800 College Pkwy
Lewisville, TX 75077-3503
Phone (972) 420-8543

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Healthtexas Provider Network CurrentSince Aug 30, 2021 Accepting new patients
Healthtexas Provider Network CurrentSince Aug 30, 2021 Accepting new patients
Primary Care Physicians of Texas, PA CurrentSince Apr 24, 2024 Accepting new patients
Healthtexas Provider Network Current Accepting new patients

Locations

4001 Worth St
#A
Dallas, TX 75246
Phone (214) 820-8665

821 N Coleman St
Ste 100
Prosper, TX 75078
Phone (469) 800-5200

1005 W Ralph Hall Pkwy
Ste 137
Rockwall, TX 75032
Phone (972) 463-2001

6900 Scenic Dr
Ste 102
Rowlett, TX 75088
Phone (972) 463-2001

600 Cooper Dr
Ste 100
Wylie, TX 75098
Phone (972) 231-1591

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/
  • Direct secure messaging: kshahan858683@direct.sw.org

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.

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": "1481846400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713744000000",
    "number": "1689118143",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1005 W RALPH HALL PKWY STE 137",
            "city": "ROCKWALL",
            "state": "TX",
            "postal_code": "750326691",
            "telephone_number": "972-463-2001",
            "fax_number": "972-463-2003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1005 W RALPH HALL PKWY STE 137",
            "city": "ROCKWALL",
            "state": "TX",
            "postal_code": "750326691",
            "telephone_number": "972-463-2001",
            "fax_number": "972-463-2003"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2025 S Chicago St",
            "address_purpose": "LOCATION",
            "city": "Joliet",
            "state": "IL",
            "postal_code": "604363172",
            "country_code": "US",
            "telephone_number": "815-726-2200",
            "fax_number": "314-536-8783",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHAHAN",
        "first_name": "KAREN",
        "name_prefix": "Mrs.",
        "credential": "N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-12-16",
        "last_updated": "2024-04-22",
        "certification_date": "2024-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1019068",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209015330",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "karan.shahan@att.net",
            "affiliation": "N",
            "address_1": "1005 W Ralph Hall Pkwy Ste 137",
            "city": "Rockwall",
            "state": "TX",
            "country_code": "US",
            "postal_code": "750326691",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Rockwall, TX

Sources for this page

Verify at the official NPI Registry.