Shannon Michelle Jetton, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

AP141202 Issued in TX

Practice address

1305 Wonder World Dr Ste 101
San Marcos, TX 78666-7502

Phone

(512) 353-6430

Fax

(855) 618-2314

NPI assigned

May 13, 2019

Last updated

Nov 15, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Nurse Practitioner

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Physicians UnityGroup PAC ID 6406014919, 61 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Christus Homecare Home health agency, New Braunfels, TX, CCN 677544
• Advanced Home Health Services Home health agency, Seguin, TX, CCN 677247
• Christus Santa Rosa Hospital-San Marcos Hospital, San Marcos, TX, CCN 450272
• Ascension Seton Hays Hospital, Kyle, TX, CCN 670056

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Physicians Unity

  • Family Medicine Physician
  • Lubbock, TX
  • NPI 1679878268
  Medicare reassignment Care Compare group NPD

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

• Advanced HH, LLC

  dba Advanced Home Health Services

  • Home Health Agency
  • Seguin, TX
  • NPI 1598701716
  Care Compare affiliation
• Ascension Seton

  dba Ascension Seton Hays

  • General Acute Care Hospital
  • Kyle, TX
  • NPI 1619115383
  Care Compare affiliation
• Christus Santa Rosa Health Care Corporation

  dba Christus Santa Rosa Hospital - New Braunfels

  • General Acute Care Hospital
  • New Braunfels, TX
  • NPI 1114725033
  Care Compare affiliation
• Christus Santa Rosa Health Care Corporation

  dba Christus Santa Rosa Hospital - San Marcos

  • General Acute Care Hospital
  • San Marcos, TX
  • NPI 1447883301
  Care Compare affiliation
• LHCG CXV, LLC

  dba CHRISTUS HomeCare

  • Home Health Agency
  • New Braunfels, TX
  • NPI 1588187082
  Care Compare affiliation

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

{
    "created_epoch": "1557705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700006400000",
    "number": "1710543939",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5224 75TH ST STE D",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794242525",
            "telephone_number": "806-712-1096",
            "fax_number": "806-771-2093"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1305 WONDER WORLD DR STE 101",
            "city": "SAN MARCOS",
            "state": "TX",
            "postal_code": "786667502",
            "telephone_number": "512-353-6430",
            "fax_number": "855-618-2314"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JETTON",
        "first_name": "SHANNON",
        "middle_name": "MICHELLE",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-05-13",
        "last_updated": "2023-11-15",
        "certification_date": "2023-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP141202",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Scott Janke, PSY.D.
• James Edward Jankowski, PA
• JCS Anesthesiology PLLC
• Johnathan Jeffers, MD
• Paul Ernest Jennings, M.D.
• Esynce Jimerson
• Jodi Stauffer Therapy PLLC
• Betsey Ann-Kathleen Johnson, LCSW
• Ciara L Johnson
• Danielle Johnson, MSN, APRN, FNP-C

• Family Nurse Practitioner in San Marcos, TX
• Providers in San Marcos, TX by specialty
• Family Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.