JAMIE SHANAHAN (APRN, FNP-C) – Family Nurse Practitioner, NPI 1134644636

JAMIE SHANAHAN (APRN, FNP-C) is a healthcare provider. based in Austin, Texas. specializing in Family Nurse Practitioner. They hold the professional credentials APRN, FNP-C. They hold a License No. AP134638 (TX). The NPI Number for JAMIE SHANAHAN (APRN, FNP-C) is 1134644636

Main info

Female
9 Years Of Experience
Accepts Medicare Assignment
Name
JAMIE SHANAHAN (APRN, FNP-C)
NPI
1134644636
Phone
(512) 324-0000
Address
4900 MUELLER BLVD
Enumeration Date
7 August 2017
Last Update Date
6 November 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8338822737
Graduation Year
2017 (9 years ago)
PAC ID
9335412832
Group Practice PAC ID
2668559436
Professional Enrollment ID
I20170905002986
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience40
Completeness75
Years active:8State licenses:1Digital endpointsOther names

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Provider Addresses for JAMIE SHANAHAN (APRN, FNP-C)

  • Dell Children's Medical Center of Central Texas, 4900, Mueller Boulevard, Delwood, Austin, Travis County, Texas, 78723, United States

    AUSTIN, TX 787233079

    Phone: (512) 324-0000

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2017-09-05

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
I20170905002986INurse 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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 78723)

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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: 2668559436View full group profile
NameSpecialtyState
-CO
-TX
O B S T E T R I C S/ G Y N E C O L O G YTX
-TX
-TX
P S Y C H I A T R YTX
Physician AssistantTX
Physician AssistantTX
General Surgery, Colorectal Surgery (Proctology)TX
Nurse PractitionerTX

Reviews

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Frequently asked questions

What identifier follows JAMIE SHANAHAN (APRN, FNP-C) across health systems?
The NPI 1134644636 uniquely identifies JAMIE SHANAHAN (APRN, FNP-C) in U.S. healthcare data.
Is JAMIE SHANAHAN (APRN, FNP-C)'s NPI status active today?
Active status means JAMIE SHANAHAN (APRN, FNP-C)'s NPI record is not deactivated in the public file.
How should patients interpret JAMIE SHANAHAN (APRN, FNP-C)'s specialty?
The extract shows Family Nurse Practitioner for JAMIE SHANAHAN (APRN, FNP-C). Clinical services aligned with this taxonomy classification.
What geographic area is tied to JAMIE SHANAHAN (APRN, FNP-C)?
JAMIE SHANAHAN (APRN, FNP-C) is associated with Austin, Texas in the same public data insurers reference.
Who maintains JAMIE SHANAHAN (APRN, FNP-C)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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