SHANNON RENEE ROBINSON (AGNP-C) – Gerontology Nurse Practitioner, NPI 1013685205

SHANNON RENEE ROBINSON (AGNP-C) is a healthcare provider. based in Dallas, Texas. specializing in NURSE PRACTITIONER. They hold the professional credentials AGNP-C. They hold a License No. 1051895 (TX). The NPI Number for SHANNON RENEE ROBINSON (AGNP-C) is 1013685205

Main info

Female
6 Years Of Experience
Accepts Medicare Assignment
Name
SHANNON RENEE ROBINSON (AGNP-C)
NPI
1013685205
Phone
(248) 890-8430
Address
17740 Preston Rd Ste 200C
Enumeration Date
1 September 2021
Last Update Date
14 March 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8884020202
Graduation Year
2020 (6 years ago)
PAC ID
8325445729
Group Practice PAC ID
4284155425
Professional Enrollment ID
I20210928002290
Address ID
TX761374206FO4500XDRXX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience37
Completeness75
Years active:4State licenses:1Digital endpointsOther names

22,204 NURSE PRACTITIONER in TX

Provider Addresses for SHANNON RENEE ROBINSON (AGNP-C)

  • 17740 Preston Rd Ste 200C

    Dallas, TX 752525840

    Phone: (248) 890-8430

    Type: Location

  • 12810 Hillcrest Rd

    Dallas, TX 752301525

    Phone: (214) 613-6897

    Type: Location

  • 2508 KERMIT DR

    WYLIE, TX 750988226

    Phone: (248) 890-8430

    Type: Mailing

  • 2800 W 15TH ST

    PLANO, TX 750757526

    Phone: (972) 612-9000

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 4 Open Payments records for all available years, with a total value of $396.

Total Amount is formed as General ($396) + Research ($0) + Ownership ($0) = $396.

Last reported payment date: 2023-11-14 • Largest payer in this snapshot: GENZYME CORPORATION ($200).

Total Amount

$396

General + Research + Ownership

Payments

4

Total payment records

General Amount

$396

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-11-14

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2021-09-28

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20210928002290INurse PractitionerTXTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99309Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes327139$0
99307Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes27648$0
99306Initial nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes6357$0
View full utilization report →

Insurance plans in this area (ZIP 75252)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 4284155425View full group profile
NameSpecialtyState
Nurse PractitionerIN
Nurse PractitionerIN
Nurse PractitionerMD
Nurse PractitionerOH
Nurse PractitionerPA
Nurse PractitionerMD
Nurse PractitionerNJ
Nurse PractitionerIN
Nurse PractitionerOH
Nurse PractitionerNJ

Reviews

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Frequently asked questions

What NPI should I save for SHANNON RENEE ROBINSON (AGNP-C)?
Save NPI 1013685205 if you need a stable reference for SHANNON RENEE ROBINSON (AGNP-C).
Is SHANNON RENEE ROBINSON (AGNP-C)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
Can you summarize SHANNON RENEE ROBINSON (AGNP-C)'s specialty in plain language?
Clinically, the directory lists SHANNON RENEE ROBINSON (AGNP-C) with Gerontology Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What location shows for SHANNON RENEE ROBINSON (AGNP-C)?
We surface Dallas, Texas for SHANNON RENEE ROBINSON (AGNP-C) based on available NPPES addresses.
How can I contact SHANNON RENEE ROBINSON (AGNP-C)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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