TANIA SHINOHARA (N.P.) – Family Nurse Practitioner, NPI 1073503454

TANIA SHINOHARA (N.P.) is a healthcare provider. based in Montgomery, Texas. specializing in NURSE PRACTITIONER. They hold the professional credentials N.P.. They hold a License No. AP125195 (TX). The NPI Number for TANIA SHINOHARA (N.P.) is 1073503454

Main info

Female
26 Years Of Experience
Accepts Medicare Assignment
Name
TANIA SHINOHARA (N.P.)
NPI
1073503454
Phone
(936) 582-5660
Address
15320 HIGHWAY 105 W STE 120
Enumeration Date
26 October 2005
Last Update Date
9 September 2024

Doctor Profile

Medical School Name
MARYMOUNT UNIVERSITY
Secondary Phone
9037315030
Graduation Year
2000 (26 years ago)
PAC ID
4385687565
Group Practice PAC ID
6305901927
Professional Enrollment ID
I20141122000239
Address ID
TX758018495PA4002XLOOP301
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience69
Completeness75
Years active:20State licenses:1Digital endpointsOther names

22,204 NURSE PRACTITIONER in TX

Provider Addresses for TANIA SHINOHARA (N.P.)

  • 15320 HIGHWAY 105 W STE 120

    MONTGOMERY, TX 773562602

    Phone: (936) 582-5660

    Fax: (936) 582-5661

    Type: Mailing

  • 15320 HIGHWAY 105 W STE 105

    MONTGOMERY, TX 773562602

    Phone: (936) 582-5660

    Fax: (936) 582-5661

    Type: Location

  • 4002 S LOOP 256 STE A

    PALESTINE, TX 758018492

    Phone: (903) 731-5442

    Fax: (903) 723-3325

    Type: Mailing

  • 4002 S LOOP 256

    PALESTINE, TX 758018491

    Phone: (903) 731-5030

    Fax: (903) 731-5037

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $13.

Total Amount is formed as General ($13) + Research ($0) + Ownership ($0) = $13.

Last reported payment date: 2023-07-18 • Largest payer in this snapshot: PFIZER INC. ($13).

Total Amount

$13

General + Research + Ownership

Payments

1

Total payment records

General Amount

$13

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-07-18

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
PFIZER INC.$13
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: 2014-11-22

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20050608000685INurse PractitionerVATBD
I20141122000239INurse 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
J1100Injection, dexamethasone sodium phosphate, 1 mg86082$0
99214Established patient office or other outpatient visit, 30-39 minutes165141$0
96372Injection of drug or substance under skin or into muscle9388$0
99204New patient office or other outpatient visit, 45-59 minutes6666$0
87804Detection test by immunoassay with direct visual observation for influenza virus6432$0
View full utilization report →

Insurance plans in this area (ZIP 77356)

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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: 6305901927View full group profile
NameSpecialtyState
Family PracticeTX
O B S T E T R I C S/ G Y N E C O L O G YMI
-TX
-TX
Orthopedic SurgeryTX
Nurse PractitionerTX
Cardiovascular Disease (Cardiology)TN
Cardiovascular Disease (Cardiology), Nuclear MedicineTX
Orthopedic SurgeryTX
Cardiovascular Disease (Cardiology)TN

Reviews

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Frequently asked questions

Can I verify TANIA SHINOHARA (N.P.) with an NPI only?
You can start verification with NPI 1073503454 for TANIA SHINOHARA (N.P.), then check state licensing separately.
Does the file indicate TANIA SHINOHARA (N.P.) is practicing under active NPI?
Directory data currently reports TANIA SHINOHARA (N.P.) as active.
What taxonomy line describes TANIA SHINOHARA (N.P.)?
For research purposes, treat TANIA SHINOHARA (N.P.) as Family Nurse Practitioner in this dataset. Clinical services aligned with this taxonomy classification.
Where is TANIA SHINOHARA (N.P.) based?
TANIA SHINOHARA (N.P.) is tied to Montgomery, Texas in the data we show; additional addresses may exist on the full record.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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