Shanna Nicole Roark, APRN, MSN, AGACNP-BC in Shenandoah, TX

Shanna Nicole Roark, APRN, MSN, AGACNP-BC is a medicare enrolled "Nurse Practitioner - Critical Care Medicine" in Shenandoah, Texas. Her current practice location is 1111 Medical Plaza Dr Ste 250, Shenandoah, Texas. You can reach out to her office (for appointments etc.) via phone at (281) 296-8788.

Shanna Nicole Roark is licensed to practice in Texas (license number AP145040) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1154953214.

Contact Information

	Shanna Nicole Roark, APRN, MSN, AGACNP-BC
	1111 Medical Plaza Dr Ste 250, Shenandoah, TX 77380-3477
	(281) 296-8788
	Not Available

Map and Direction

Provider's Profile

Full Name	Shanna Nicole Roark
Gender	Female
Speciality	Nurse Practitioner - Critical Care Medicine
Location	1111 Medical Plaza Dr Ste 250, Shenandoah, Texas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1154953214
Provider Enumeration Date: 02/06/2020
Last Update Date: 02/06/2020

Medicare PECOS Information:

PECOS PAC ID: 0749694537
Enrollment ID: I20210208001550

Medical Identifiers

Medical identifiers for Shanna Nicole Roark such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1154953214	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LC0200X	Nurse Practitioner - Critical Care Medicine	AP145040 (Texas)	Primary

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. Shanna Nicole Roark allows following entities to bill medicare on her behalf.

Entity Name	Memorial Hermann Medical Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1003985102 PECOS PAC ID: 7012008360 Enrollment ID: O20070801000368

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. Shanna Nicole Roark 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 Address	Practice Location Address
Shanna Nicole Roark, APRN, MSN, AGACNP-BC 319 Wild Bird Dr, Spring, TX 77373-8382 Ph: (713) 294-6309	Shanna Nicole Roark, APRN, MSN, AGACNP-BC 1111 Medical Plaza Dr Ste 250, Shenandoah, TX 77380-3477 Ph: (281) 296-8788

Reviews and Comments

Nurse Practitioner Nurses in Shenandoah, TX

Karen Lee Mackenney, RN, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 135 Vision Park Blvd, Shenandoah, TX 77384 Phone: 281-404-3000 Fax: 281-290-9824
Mrs. Ronia J Khouri, AGACNP-BC, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 9250 Pinecroft Dr, Shenandoah, TX 77380 Phone: 713-897-2300
Mr. Peter Robert Schultz, MSN, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 17189 Interstate 45 S Ste 675, Shenandoah, TX 77385 Phone: 936-270-3905 Fax: 936-271-1584
Summer Renee Shields, AGACNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 9250 Pinecroft Dr # N2.101, Shenandoah, TX 77380 Phone: 713-897-5539 Fax: 713-897-2275
Maria Ivy Claborn, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 150 Pine Forest Dr Ste 101, Shenandoah, TX 77384 Phone: 832-610-2822
Lindsay Ann Ross, N.P. Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 920 Medical Plaza Dr Ste 520, Shenandoah, TX 77380 Phone: 832-562-3974 Fax: 832-562-3974
Mrs. Maybel Herrera Delgado, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 123 Vision Park Blvd, Shenandoah, TX 77384 Phone: 281-364-0317

Shanna Nicole Roark, APRN, MSN, AGACNP-BC - Medicare Nurse Practitioner in Shenandoah, TX