AMANDA DAWN SHANNON (MSN, APRN, FNP-C) – Nurse Practitioner, NPI 1205394228
Nurse Practitioner
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Profile Insights
NPPES metrics only — not quality of care.
22,204 NURSE PRACTITIONER in TX
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Provider Addresses for AMANDA DAWN SHANNON (MSN, APRN, FNP-C)
South Clear Creek Road, Killeen, Bell County, Texas, 76549, United States
KILLEEN, TX 765494985
Phone: (254) 634-4325
Type: Location
239 W BUSINESS 190
COPPERAS COVE, TX 765222912
Phone: (254) 542-9000
Fax: (254) 542-9001
Type: Location
1705, Robertson Avenue, Copperas Cove, Coryell County, Texas, 76522, United States
COPPERAS COVE, TX 765224405
Phone: (254) 258-3366
Type: Mailing
2300 S Clear Creek Rd Ste 101
Killeen, TX 765494985
Phone: (254) 634-4325
Type: Location
PO BOX 844658
DALLAS, TX 752844658
Phone: (254) 724-2111
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 21 Open Payments records for all available years, with a total value of $370.
Total Amount is formed as General ($370) + Research ($0) + Ownership ($0) = $370.
Last reported payment date: 2024-11-26 • Largest payer in this snapshot: Lilly USA, LLC ($234).
Total Amount
$370
General + Research + Ownership
Payments
21
Total payment records
General Amount
$370
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-26
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Lilly USA, LLC | $234 |
| Novo Nordisk Inc | $95 |
| Dexcom, Inc. | $23 |
| Dynavax Technologies Corporation | $18 |
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: 2019-09-27
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20190927001910 | I | Nurse Practitioner | TX | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 203 | 151 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 153 | 128 | $0 |
| 36415 | Insertion of needle into vein for collection of blood sample | 65 | 62 | $0 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 40 | 40 | $0 |
| 81003 | Automated urinalysis test | 25 | 23 | $0 |
Insurance plans in this area (ZIP 76549)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Radiation Oncology | TX | |
| U R O L O G Y | TX | |
| General Surgery | OK | |
| Certified Registered Nurse Anesthetist (Crna) | TX | |
| - | TX | |
| Anesthesiology Assistant | TX | |
| - | TX | |
| - | TX | |
| O B S T E T R I C S/ G Y N E C O L O G Y | TX | |
| - | TX |
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