Shannon F. Klump, D.O.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

Q9405 Issued in TX

Practice address

203 Hwy 87 North, Ste a
Comfort, TX 78013

Phone

(830) 258-7654

NPI assigned

Dec 11, 2006

Last updated

Jul 27, 2022By 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: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Family Practice

Education

Arizona College of Osteopathic Medicine Mid Western University, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Peterson Medical AssociatesGroup PAC ID 1355467887, 192 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Methodist Healthcare Hill Country Healthcare at Home Home health agency, Fredericksburg, TX, CCN 457216
• Peterson Regional Medical Center Hospital, Kerrville, TX, CCN 450007
• Hill Country Memorial Hospital Hospital, Fredericksburg, TX, CCN 450604

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: shannon.klump.1@21041.direct.athenahealth.com

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.

• Peterson Medical Associates

  • Obstetrics & Gynecology Physician
  • Kerrville, TX
  • NPI 1770800575

  Family Medicine

  Medicare reassignment Care Compare group NPD

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

• Hill Country Home Health & Hospice, LLC

  dba Methodist Healthcare Hill Country Healthcare at Home

  • Home Health Agency
  • Fredericksburg, TX
  • NPI 1770284135
  Care Compare affiliation
• Methodist Healthcare System of San Antonio, LTD., L.L.P.

  dba Methodist Hospital Hill Country

  • General Acute Care Hospital
  • Fredericksburg, TX
  • NPI 1376256354
  Care Compare affiliation
• Sid Peterson Memorial Hospital

  dba Peterson Regional Medical Center

  • Rural Acute Care Hospital
  • Kerrville, TX
  • NPI 1790782704
  Care Compare affiliation

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

{
    "created_epoch": "1165795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658880000000",
    "number": "1942360730",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "575 HILL COUNTRY DR STE 101",
            "city": "KERRVILLE",
            "state": "TX",
            "postal_code": "780286024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "203 HWY 87 NORTH, STE A",
            "city": "COMFORT",
            "state": "TX",
            "postal_code": "78013",
            "telephone_number": "830-258-7654"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1305 N Milam St",
            "address_purpose": "LOCATION",
            "city": "Fredericksburg",
            "state": "TX",
            "postal_code": "786242752",
            "country_code": "US",
            "telephone_number": "830-997-7626",
            "fax_number": "830-997-2641",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KLUMP",
        "first_name": "SHANNON",
        "middle_name": "F.",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-11",
        "last_updated": "2022-07-27",
        "certification_date": "2022-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "Q9405",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hill Country Physical Medicine PLLC
• John P Ramsay MD PA
• Rebekah R Jones, LPC
• Karen G Cornett MD PA
• Frank Wilson Kiel, M.D.
• Katherine Wied Kyrouac, APRN
• Doris Marie Leist, M.D.
• Kristen Lindner, DDS
• Michael Braden, MD, PA
• Mikosh Drug Company, LLC (Comfort Pharmacy)

• Family Medicine Physician in Comfort, TX
• Providers in Comfort, TX by specialty
• Family Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2022; 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.