Individual provider Active NPI

Shawn Amersi, APRN

  • Adult Health Nurse Practitioner
  • Farmers Branch, TX
National Provider Identifier
1871301952
Registry record updated Dec 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
1065949 Issued in TX
Practice address
13988 Diplomat Dr Ste 100C
Farmers Branch, TX 75234-8807
Phone
(972) 548-7616
NPI assigned
Dec 20, 2024
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 20, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse Practitioner 363LG0600X 1065949 TX
Adult Health Nurse Practitioner 363LA2200X 1065949 TX Primary

Addresses

Primary practice location

13988 Diplomat Dr Ste 100C
Farmers Branch, TX 75234-8807

Mailing address

7915 Swenson Dr
Irving, TX 75063-0147
Phone (214) 517-9238

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
I20250124001199 TX Practitioner - Nurse Practitioner 2062941735 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

13988 Diplomat Dr
Suite 100
Farmers Branch, TX 75234-8831
Phone (972) 584-7616

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Pro Healthcare LLC CurrentSince Dec 16, 2024 Accepting new patients

Locations

820 S MacArthur Blvd
Ste 105281
Coppell, TX 75019

13988 Diplomat Dr
Ste 100
Farmers Brnch, TX 75234
Phone (214) 919-2520

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1734652800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734652800000",
    "number": "1871301952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7915 SWENSON DR",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750630147",
            "telephone_number": "214-517-9238"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13988 DIPLOMAT DR STE 100C",
            "city": "FARMERS BRANCH",
            "state": "TX",
            "postal_code": "752348807",
            "telephone_number": "972-548-7616"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AMERSI",
        "first_name": "SHAWN",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-12-20",
        "last_updated": "2024-12-20",
        "certification_date": "2024-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "TX",
            "license": "1065949",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "TX",
            "license": "1065949",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Farmers Branch, TX

Sources for this page

Verify at the official NPI Registry.