Shawntay Sparks, ACNP-BC - Medicare Nurse Practitioner in Mineral Wells, TX

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Shawntay Sparks, ACNP-BC is a medicare enrolled "Nurse Practitioner - Acute Care" in Mineral Wells, Texas. She graduated from nursing school in 2021 and has 3 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Concord Medical Group Pllc, Providence Health Alliance, Concord Medical Group Of Texas Pllc and her current practice location is 400 Sw 25th Ave, Mineral Wells, Texas. You can reach out to her office (for appointments etc.) via phone at (325) 647-6979.

Shawntay Sparks is licensed to practice in Texas (license number 1044883) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1144899741.

Contact Information

Shawntay Sparks, ACNP-BC
400 Sw 25th Ave,
Mineral Wells, TX 76067-8246
(325) 647-6979
Not Available

Map and Direction




Provider's Profile

Full NameShawntay Sparks
GenderFemale
SpecialityNurse Practitioner
Experience3 Years
Location400 Sw 25th Ave, Mineral Wells, Texas
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Shawntay Sparks graduated from nursing school in 2021
  NPI Data:
  • NPI Number: 1144899741
  • Provider Enumeration Date: 06/18/2021
  • Last Update Date: 06/18/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 0749685865
  • Enrollment ID: I20210826002898

Medical Identifiers

Medical identifiers for Shawntay Sparks such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1144899741NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LA2100XNurse Practitioner - Acute Care 1044883 (Texas)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Palo Pinto General HospitalMineral wells, TXHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Concord Medical Group Pllc0446296818125
Providence Health Alliance6305731068111
Concord Medical Group Of Texas Pllc7810117223258

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. Shawntay Sparks allows following entities to bill medicare on her behalf.
Entity NameProvidence Health Alliance
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1932210838
PECOS PAC ID: 6305731068
Enrollment ID: O20040220000307
Entity NameConcord Medical Group Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1083630610
PECOS PAC ID: 0446296818
Enrollment ID: O20050707000531
Entity NameComprehensive Hospitalist Services Of Texas Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1295062198
PECOS PAC ID: 8022150036
Enrollment ID: O20100128000411
Entity NameConcord Medical Group Of Texas Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1750790762
PECOS PAC ID: 7810117223
Enrollment ID: O20141007002567
Entity NameConcord North Texas Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1952761173
PECOS PAC ID: 2860791688
Enrollment ID: O20160429000472
Entity NameSouth Central Physicians Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1427611854
PECOS PAC ID: 6507195492
Enrollment ID: O20211104000616
Entity NameTexan Family Health Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1972255156
PECOS PAC ID: 8729472139
Enrollment ID: O20220301001968

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. Shawntay Sparks 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
Shawntay Sparks, ACNP-BC
1 Creekwood Cir,
Brownwood, TX 76801-6651

Ph: (325) 647-6979		Shawntay Sparks, ACNP-BC
400 Sw 25th Ave,
Mineral Wells, TX 76067-8246

Ph: (325) 647-6979

Reviews and Comments


Nurse Practitioner Nurses in Mineral Wells, TX

Kayme Mcintosh, APRN, AGNP-C
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 107 Sw 7th Ave, Mineral Wells, TX 76067
Phone: 817-381-5410    Fax: 817-631-0291
Vicki D Brooks, NP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 214 Sw 26th Ave, Suite D, Mineral Wells, TX 76067
Phone: 940-325-9485    Fax: 940-325-4325
Jessa C Foster, FNP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 202 Sw 25th Ave Ste 300, Mineral Wells, TX 76067
Phone: 940-329-8029    
Betsy J Figg, FNP-C
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 202 Sw 25th Ave Ste 1000, Mineral Wells, TX 76067
Phone: 940-325-7891    
Terry Chris Erwin, FNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 109 Nw 2nd St, Mineral Wells, TX 76067
Phone: 940-654-6200    Fax: 940-325-2202
Raetta Dawn Bridges, FNP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 400 Sw 25th Ave, Mineral Wells, TX 76067
Phone: 940-325-7891    

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.