Individual provider Active NPI

Austin John Lindley-Shappet

  • Family Nurse Practitioner
  • El Centro, CA
National Provider Identifier
1760361992
Registry record updated Sep 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95036664 Issued in CA
Practice address
2026 N Imperial Ave Ste C
El Centro, CA 92243-1607
Phone
(760) 790-7665
NPI assigned
Sep 1, 2025
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 1, 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 95036664 CA Primary

Addresses

Primary practice location

2026 N Imperial Ave Ste C
El Centro, CA 92243-1607

Mailing address

2026 N Imperial Ave Ste C
El Centro, CA 92243-1607
Phone (760) 790-7665

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20251117003206 CA Practitioner - Nurse Practitioner 8224529326 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Tyson Medical IncGroup PAC ID 3072870112, 21 clinicians

Practice addresses (Care Compare)

630 S Brawley Ave
Suite 10
Brawley, CA 92227-3107
Phone (760) 623-1202

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
95036664CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Tyson Medical Inc CurrentSince Oct 22, 2025 Accepting new patients
Tyson Medical Inc CurrentSince Oct 22, 2025 Accepting new patients

Locations

207 W Legion Rd
Brawley, CA 92227
Phone (760) 351-3333

630 S Brawley Ave
Ste 10
Brawley, CA 92227
Phone (760) 623-1202

400 Mary Ave
Ste 2
Calexico, CA 92231
Phone (760) 592-4351

1044 Cherry Valley Blvd
#430
Calimesa, CA 92320
Phone (760) 592-4351

2026 N Imperial Ave
Ste C
El Centro, CA 92243
Phone (760) 592-4351

Organizations & group practices 3

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 1

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": "1756684800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756684800000",
    "number": "1760361992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2026 N IMPERIAL AVE STE C",
            "city": "EL CENTRO",
            "state": "CA",
            "postal_code": "922431607",
            "telephone_number": "760-790-7665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2026 N IMPERIAL AVE STE C",
            "city": "EL CENTRO",
            "state": "CA",
            "postal_code": "922431607",
            "telephone_number": "760-790-7665"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LINDLEY-SHAPPET",
        "first_name": "AUSTIN",
        "middle_name": "JOHN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-09-01",
        "last_updated": "2025-09-01",
        "certification_date": "2025-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95036664",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in El Centro, CA

Sources for this page

Verify at the official NPI Registry.