Shannan Wayne Clawson
Individual provider Active NPI Family Nurse Practitioner · Andrews, TX
NPI 1972073906 · NPPES record last updated May 2, 2023
Key facts
- NPI
- 1972073906
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- AP139843 (TX)
- Practice address
- 700 Hospital Dr
Andrews, TX 79714-3638 - Phone
- (432) 523-6624
- NPI assigned
- Dec 3, 2018
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 11
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Andrews County Hospital District
Practice addresses (Care Compare)
1411 N Main St
Andrews, TX 79714-3696
720 Hospital Dr
Andrews, TX 79714-3617
Hospital & facility affiliations
- Permian Regional Medical Center Andrews County Ho
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20190312000394 | TX | Practitioner - Nurse Practitioner | 8729327689 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AP139843 | TX | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Andrews County Hospital District | Current | Accepting new patients | |
| Andrews County Hospital District | Current |
Accepting new patients | |
| Andrews County Hospital District | Current |
Accepting new patients | |
| Andrews County Hospital District | Past | Accepting new patients | |
| Andrews County Hospital District | Past | Accepting new patients | |
| Andrews County Hospital District | Past | Accepting new patients | |
| Permian Physician Services | Past | Accepting new patients | |
| Andrews County Hospital District | Past | Accepting new patients | |
| Andrews County Hospital District | Past | Accepting new patients | |
| MCH Professional Care | Past |
Accepting new patients |
Locations
700 Hospital Dr
Andrews, TX 79714
Phone (432) 523-6624
700 Hospital Dr
Ste Rhc
Andrews, TX 79714
1411 N Main St
Andrews, TX 79714
Phone (432) 464-2200
Interoperability endpoints
- sclawson@permian.medalliesdirect.net
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | AP139843 | TX | Yes |
Addresses
Primary practice location
700 Hospital Dr
Andrews, TX 79714-3638
Mailing address
700 Hospital Dr
Andrews, TX 79714-3638
Phone (432) 523-6624
Other providers in Andrews, TX
- James William Browne
- Heather Marie Casebeer
- Daniel A Champagne
- Elizabeth Nicole Chapman
- City of Andrews
- Amanda Compton
- Mary Lou Cornejo
- Meagan Leighann Cunningham
- Debra Ann Davis
- Suhail Sami Daye
All providers in Andrews, TX · Family Nurse Practitioner in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 2, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.