Individual provider Active NPI

Shannon Lorraine-Konopik Wassel, FNP

  • Family Nurse Practitioner
  • Lago Vista, TX
National Provider Identifier
1801375027
Registry record updated Feb 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP138399 Issued in TX
Practice address
8808 Bronco Lane
Suite 1
Lago Vista, TX 78645
Phone
(512) 267-1877
NPI assigned
Aug 8, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 17, 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 AP138399 TX Primary

Addresses

Primary practice location

8808 Bronco Lane
Suite 1
Lago Vista, TX 78645

Mailing address

8808 Bronco Lane
Suite 1
Lago Vista, TX 78645-4781
Phone (512) 267-1877

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address shannon.wassel.1@1570.direct.athenahealth.com

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
I20180928000944 TX Practitioner - Nurse Practitioner 3577814615 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Seton Family of DoctorsGroup PAC ID 0941333280, 785 clinicians

Practice addresses (Care Compare)

1400 N Ih 35
Austin, TX 78701-1926

1400 N Ih 35 LL
Cl400 Tri County Prac Assoc
Austin, TX 78701-1926
Phone (512) 324-7300

8008 Bronco LN
Suite a
Lago Vista, TX 78645-4150
Phone (512) 267-1877

Hospital & facility affiliations

  • Enhabit Home Health Home health agency, San Antonio, TX, CCN 679044
  • Ascension Seton Cedar Park Hospital, Cedar Park, TX, CCN 670043

Merit-based Incentive Payment System (MIPS)

Final score
89.53 of 100Reported as apm
Quality
79.07
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP138399TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Seton Family of Doctors CurrentSince Jun 30, 2025 Accepting new patients
Seton Family of Doctors CurrentSince Jun 30, 2025 Accepting new patients
Timberland Medical Group CurrentSince Sep 4, 2018 Accepting new patients
Timberland Medical Group Family CurrentSince Sep 4, 2018 Accepting new patients

Locations

1400 N Interstate 35
Ste 300
Austin, TX 78701
Phone (512) 324-8300

15004 Avery Ranch Blvd
#10
Austin, TX 78717
Phone (512) 255-7070

1401 Medical Pkwy
Bldg B
Cedar Park, TX 78613
Phone (512) 528-7480

6001 Kyle Pkwy
Kyle, TX 78640
Phone (512) 504-5000

7708 Lohmans Ford Rd
Ste 101
Lago Vista, TX 78645

8008 Bronco Ln
Ste 1
Lago Vista, TX 78645
Phone (512) 267-1877

Interoperability endpoints

  • Direct secure messaging: shannon.wassel.1@1570.direct.athenahealth.com
  • Direct secure messaging: shannon.wassel.1@8363.direct.athenahealth.com

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": "1533686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1645056000000",
    "number": "1801375027",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8808 BRONCO LANE",
            "address_2": "SUITE 1",
            "city": "LAGO VISTA",
            "state": "TX",
            "postal_code": "786454781",
            "telephone_number": "512-267-1877"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8808 BRONCO LANE",
            "address_2": "SUITE 1",
            "city": "LAGO VISTA",
            "state": "TX",
            "postal_code": "78645",
            "telephone_number": "512-267-1877"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WASSEL",
        "first_name": "SHANNON",
        "middle_name": "LORRAINE-KONOPIK",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-08",
        "last_updated": "2022-02-17",
        "certification_date": "2022-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP138399",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "shannon.wassel.1@1570.direct.athenahealth.com",
            "affiliation": "N",
            "endpointDescription": "AMR Direct Address",
            "address_1": "8808 Bronco Lane",
            "address_2": "Suite 1",
            "city": "Lago Vista",
            "state": "TX",
            "country_code": "US",
            "postal_code": "78645",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Lago Vista, TX

Sources for this page

Verify at the official NPI Registry.