Shannon Dean Lucas, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

629586 Issued in TX

Practice address

3345 Plaza 10 Dr
Suite E
Beaumont, TX 77707-2554

Phone

(409) 838-2626

Fax

(409) 838-1980

NPI assigned

Jan 28, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Baptist Physician NetworkGroup PAC ID 0547333890, 121 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Baptist Beaumont Hospital Hospital, Beaumont, TX, CCN 450346
• Christus Southeast Texas- St Elizabeth Hospital, Beaumont, TX, CCN 450034
• Christus Jasper Memorial Hospital Hospital, Jasper, TX, CCN 450573
• Riceland Medical Center Hospital, Winnie, TX, CCN 451328

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as individual

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

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 and National Provider Directory roles.

• Baptist Physician Network

  • Specialist
  • Beaumont, TX
  • NPI 1558485532
  Medicare reassignment Care Compare group NPD
• Beaumont Emergency Medicine Associates PLLC

  • Emergency Medical Services (Emergency Medicine) Physician
  • Beaumont, TX
  • NPI 1881716983
  NPD (past)
• Emergency Health Services Associates, P.a.

  • Emergency Medicine Physician
  • Beaumont, TX
  • NPI 1225088479
  NPD (past)
• Port Arthur Emergency Physicians

  • Emergency Medicine Physician
  • Port Arthur, TX
  • NPI 1255491627
  NPD (past)
• Texas Em-I Medical Services, PA

  • Emergency Medicine Physician
  • Beaumont, TX
  • NPI 1548336332
  NPD (past)

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

• Baptist Hospitals of Southeast Texas

  • General Acute Care Hospital
  • Beaumont, TX
  • NPI 1093744187
  Care Compare affiliation
• Christus Health Southeast Texas

  • Rural Acute Care Hospital
  • Jasper, TX
  • NPI 1598749707
  Care Compare affiliation
• Christus Health Southeast Texas

  • General Acute Care Hospital
  • Beaumont, TX
  • NPI 1679557888
  Care Compare affiliation
• Winnie Community Hospital, LLC

  • Critical Access Hospital
  • Winnie, TX
  • NPI 1295781227
  Care Compare affiliation

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

{
    "created_epoch": "1138406400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1185840000000",
    "number": "1790756898",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3619 11TH ST",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777059233",
            "telephone_number": "409-749-0377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3345 PLAZA 10 DR",
            "address_2": "SUITE E",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777072554",
            "telephone_number": "409-838-2626",
            "fax_number": "409-838-1980"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUCAS",
        "first_name": "SHANNON",
        "middle_name": "DEAN",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-28",
        "last_updated": "2007-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "629586",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "146102201",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Loving Nova Transit
• Lovoi & Sons Pharmacies, Inc.
• Ashley Lowe, LVN
• Christy Theriot Lowrance, PA
• Cristal Lozano, PHARMD
• Julia Therese Luchini
• Marisa Luevano Diaz
• Luis G. Taylor, M.D. PLLC
• Luis Glenn Taylor, M.D., P.a.
• Harrison Daniel Luke, D.D.S.

• Family Nurse Practitioner in Beaumont, TX
• Providers in Beaumont, 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 Jul 31, 2007; 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.