Mr Shawn R Agenbroad-elander, FNP-C - Medicare Nurse Practitioner in Austin, TX

Mr Shawn R Agenbroad-elander, FNP-C is a medicare enrolled "Nurse Practitioner - Family" in Austin, Texas. He graduated from nursing school in 2009 and has 15 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Privia Medical Group Gulf Coast Pllc and his current practice location is 4303 Victory Dr, Austin, Texas. You can reach out to his office (for appointments etc.) via phone at (512) 462-3627.

Mr Shawn R Agenbroad-elander is licensed to practice in Texas (license number AP118041) and he also participates in the medicare program. He may accept medicare assignments (which means he may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and his NPI Number is 1164655171.

Contact Information

Mr Shawn R Agenbroad-elander, FNP-C
4303 Victory Dr,
Austin, TX 78704-7507
(512) 462-3627
(512) 462-2898

Map and Direction




Provider's Profile

Full NameMr Shawn R Agenbroad-elander
GenderMale
SpecialityNurse Practitioner
Experience15 Years
Location4303 Victory Dr, Austin, Texas
Accepts Medicare AssignmentsMay be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Mr Shawn R Agenbroad-elander graduated from nursing school in 2009
  NPI Data:
  • NPI Number: 1164655171
  • Provider Enumeration Date: 08/25/2009
  • Last Update Date: 01/10/2018
  Medicare PECOS Information:
  • PECOS PAC ID: 8628107992
  • Enrollment ID: I20100525000369

Medical Identifiers

Medical identifiers for Mr Shawn R Agenbroad-elander such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1164655171NPI-NPPES
AP118041OtherTXLICENSE

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family AP118041 (Texas)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Privia Medical Group Gulf Coast Pllc4688999022397

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Mr Shawn R Agenbroad-elander allows following entities to bill medicare on his behalf.
Entity NamePrivia Medical Group Gulf Coast Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1578969465
PECOS PAC ID: 4688999022
Enrollment ID: O20150206000763

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Shawn R Agenbroad-elander is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mr Shawn R Agenbroad-elander, FNP-C
4303 Victory Dr,
Austin, TX 78704-7507

Ph: (512) 462-3627
Mr Shawn R Agenbroad-elander, FNP-C
4303 Victory Dr,
Austin, TX 78704-7507

Ph: (512) 462-3627

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.