Kara L Hilmes , FNP
Nurse Practitioner โข San Angelo, TX
102 N Magdalen St
San Angelo, TX 769035400
This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.
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NPI assigned on October 6, 2011; this date does not establish years in practice.
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Published CMS data list 8,597 Original Medicare Part B services in 2024.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2024. Published rows only; this is not a quality measure.
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Published Part B service records, 2024:
- J1010 โ Injection, methylprednisolone acetate, 1 mg: 5,760 service units.
- J0897 โ Injection, denosumab, 1 mg: 1,080 service units.
- 99214 โ Established patient outpatient office visit: 473 service units.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2024. Units differ by code; these are not visits or a measure of quality.
CPTยฎ only copyright 2023 American Medical Association. All rights reserved. Service names are shortened from CPT Consumer Friendly Descriptors (CMS data, 2024). CPT notice
See all 34 records in the table ยท Guide: How to read Medicare Part B data
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Published CMS data list 822 Medicare Part D prescriptions, including refills, in 2024.
Source: CMS, Medicare Part D Prescribers โ by Provider and Drug, 2024. Published rows only; this is not a quality measure.
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Published Part D records, 2024:
- Acetaminophen-Codeine (Acetaminophen With Codeine) โ 201 prescription fills, including refills.
- Gabapentin โ 168 prescription fills, including refills.
- Tizanidine Hcl โ 97 prescription fills, including refills.
Source: CMS, Medicare Part D Prescribers โ by Provider and Drug, 2024. Drug names come from pharmacy claims. Listing a drug here is not an endorsement or a recommendation.
See all 18 records in the table ยท Guide: How to read Medicare Part D prescriber data
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More Medicare Part B services than 95% of clinicians listed under Nurse Practitioner in San Angelo, TX (2024, 28 clinicians with data). Median for this group: 826. Middle half: 238 to 1,300.
More Medicare Part B services than 95% of clinicians listed under Nurse Practitioner in Texas (2024, 1,852 clinicians with data). Median for this group: 219. Middle half: 83 to 548.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2024. Billing and prescribing volume is not a quality rating.
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Medicare Part B services went from 3,467 in 2020 to 8,597 in 2024.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2020โ2024.
Practice Location & Contact Primary Location
102 N Magdalen St
San Angelo, TX 769035400
Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.
CMS Doctors and Clinicians lists 3 distinct group names: Dora Roberts Rehabilitation Center; Shannon Clinic; The West Texas Rehabilitation Center. See the list
Source: CMS Doctors and Clinicians National Downloadable File, release date unavailable.
Listings do not confirm current availability, employment or a shared ownership network.
Medicare Profile & Education
Source: CMS Doctors and Clinicians National Downloadable File
2011
What Public CMS Data Show
Nurse Practitioner: NPPES taxonomy is a reported classification, not proof of board certification.
Medicare patients
491 people with Original Medicare in 2024
It gives a sense of how many people with Medicare this clinician treated that year.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider, 2024.
Medicare-allowed amount
About $184,979 in 2024
The total amount Medicare approved for these services in 2024. It includes what Medicare paid and what patients or their other insurance owed, such as the deductible and coinsurance.
It shows the total cost of this clinician's Original Medicare services under Medicare's fee rules.
What this does not show: Medicare-allowed amount
This is not the clinician's income. Part of it can go to a clinic or group practice, staff, equipment or drugs. It is not the price you will pay.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2024.
Paid by Medicare
About $142,713 in 2024
The part of the Medicare-allowed amount that Medicare itself paid in 2024, after patients' deductibles and coinsurance.
The gap between the allowed amount and this number is roughly what patients and their other insurance paid.
What this does not show: Paid by Medicare
This is not the clinician's income and not a measure of quality.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2024.
30-day fills
891 standardized 30-day fills in 2024
CMS converts prescriptions to 30-day supplies so they can be compared. A 90-day prescription counts as about three 30-day fills.
What this does not show: 30-day fills
It is not a count of patients and not a measure of quality.
Part D drug cost
$9,443 in 2024
The total cost of these prescriptions in 2024, paid by Medicare drug plans, patients and other payers together.
It shows the total spending on drugs this clinician prescribed, not what any one patient paid.
What this does not show: Part D drug cost
A higher cost often reflects the type of medicines a specialty uses. It is not your out-of-pocket cost and not a measure of quality.
Source: CMS, Medicare Part D Prescribers โ by Provider and Drug, 2024.
Open Payments general payments, program year 2025
All general payments: $219.31 across 12 records.
By nature of payment
- Food and Beverage: $219.31 across 12 records.
Reporting-company totals
- Abbott Laboratories: $181.89 across 10 records.
- Averitas Pharma Inc.: $23.61 across 1 record.
- SI-BONE, INC.: $13.81 across 1 record.
A reported payment does not necessarily mean the financial relationship is improper and is not a measure of care quality. Clinicians can review and dispute these records.
Source: Calculated by T-MedInfo from CMS Open Payments general-payment records for program year 2025 (published June 30, 2026).
Years since graduation
15 years (graduated 2011)
CMS Doctors and Clinicians data list 2011 as the year this clinician finished professional school.
It tells you roughly how long ago the clinician finished school.
What this does not show: Years since graduation
It is not the number of years in practice, and more years does not mean better care.
Source: CMS Doctors and Clinicians National Downloadable File.
NPI first issued
2011
The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.
What this does not show: NPI first issued
NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.
Source: CMS NPPES NPI Registry.
Accepts Medicare assignment
CMS data list this clinician as accepting Medicare assignment. This means agreeing to take the Medicare-approved amount as full payment for covered services.
With Original Medicare, you usually pay only your deductible and coinsurance, and the office sends the claim to Medicare for you.
Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.
Source: CMS Doctors and Clinicians; Medicare.gov, โDoes your provider accept Medicare as full payment?โ
No telehealth indicator
CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.
Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.
Enrolled in Medicare (PECOS)
Kara Hilmes has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.
It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.
Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.
Can order Medicare-covered services
CMS lists Kara Hilmes as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.
Medicare pays for these items and services only when they are ordered by an eligible clinician.
What this does not show: Can order Medicare-covered services
It does not mean the clinician offers these services directly.
Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.
Compared with the same specialty in San Angelo and Texas
Billing and prescribing volume is not a quality rating.
Medicare Part B services
More Medicare Part B services than 95% of clinicians listed under Nurse Practitioner in San Angelo, TX (2024, 28 clinicians with data). Median for this group: 826. Middle half: 238 to 1,300.
More Medicare Part B services than 95% of clinicians listed under Nurse Practitioner in Texas (2024, 1,852 clinicians with data). Median for this group: 219. Middle half: 83 to 548.
Medicare-allowed amount
A higher Medicare-allowed amount than 95% of clinicians listed under Nurse Practitioner in San Angelo, TX (2024, 28 clinicians with data). Median for this group: $39,835. Middle half: $15,880 to $86,917.
A higher Medicare-allowed amount than 95% of clinicians listed under Nurse Practitioner in Texas (2024, 1,852 clinicians with data). Median for this group: $17,068. Middle half: $6,758 to $39,305.
Paid by Medicare
A higher Medicare payment amount than 95% of clinicians listed under Nurse Practitioner in San Angelo, TX (2024, 28 clinicians with data). Median for this group: $28,855. Middle half: $11,935 to $64,153.
A higher Medicare payment amount than 95% of clinicians listed under Nurse Practitioner in Texas (2024, 1,852 clinicians with data). Median for this group: $12,638. Middle half: $4,849 to $28,908.
Medicare Part D prescriptions
Close to the middle for clinicians listed under Nurse Practitioner in San Angelo, TX (2024, 28 clinicians with data). Median for this group: 1,239. Middle half: 257 to 2,189.
More Part D prescriptions than 65% of clinicians listed under Nurse Practitioner in Texas (2024, 2,095 clinicians with data). Median for this group: 274. Middle half: 77 to 1,097.
Part D drug cost
A lower Part D drug cost than 70% of clinicians listed under Nurse Practitioner in San Angelo, TX (2024, 28 clinicians with data). Median for this group: $74,431. Middle half: $8,842 to $246,546.
Close to the middle for clinicians listed under Nurse Practitioner in Texas (2024, 2,095 clinicians with data). Median for this group: $12,936. Middle half: $998 to $118,416.
38 active clinicians are listed under Nurse Practitioner with a practice address in San Angelo, TX (4,835 in Texas).
Addresses are self-reported to NPPES and may be out of date.
Telehealth indicator in San Angelo
18.4% of these 38 clinicians have the CMS telehealth indicator.
73.7% of these 38 clinicians are listed by CMS as accepting Medicare assignment.
CMS data by year
Changes may reflect reporting, coverage or privacy limits, not changes in care quality.
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Medicare Part B services
Medicare Part B services increased 148% from 3,467 in 2020 to 8,597 in 2024.
- 2020: 3,467
- 2021: 1,436
- 2022: 1,296
- 2023: 2,900
- 2024: 8,597
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Medicare-allowed amount
Medicare-allowed amount varied from year to year: $188,148 in 2020 and $184,979 in 2024.
- 2020: $188,148
- 2021: $123,971
- 2022: $116,052
- 2023: $181,149
- 2024: $184,979
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Paid by Medicare
Paid by Medicare varied from year to year: $145,785 in 2020 and $142,713 in 2024.
- 2020: $145,785
- 2021: $94,242
- 2022: $86,386
- 2023: $138,794
- 2024: $142,713
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Medicare Part D prescriptions
Medicare Part D prescriptions decreased 41% from 1,383 in 2020 to 822 in 2024.
- 2020: 1,383
- 2021: 1,230
- 2022: 919
- 2023: 983
- 2024: 822
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30-day fills
30-day fills decreased 42% from 1,527 in 2020 to 891 in 2024.
- 2020: 1,527
- 2021: 1,351
- 2022: 1,019
- 2023: 1,068
- 2024: 891
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Part D drug cost
Part D drug cost decreased 60% from $23,529 in 2020 to $9,443 in 2024.
- 2020: $23,529
- 2021: $22,910
- 2022: $19,763
- 2023: $14,758
- 2024: $9,443
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Industry payments (Open Payments)
Industry payments (Open Payments) went from $68.73 in 2021 to $219.31 in 2025.
- 2021: $68.73
- 2022: $123.13
- 2023: $90.10
- 2024: $1,582.32
- 2025: $219.31
Sources: CMS Medicare Physician & Other Practitioners (2024), CMS Medicare Part D Prescribers (2024), CMS Open Payments (2025), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.
Text: T-MedInfo ยท Report an error.
Pharma & Medical Device Financial Disclosures
Payments and other transfers of value that drug and medical device companies reported to CMS Open Payments
Program year 2025 (payments made January 1 โ December 31, 2025): 12 records totaling $219.31.
| Manufacturer | Payment Nature | Product | Type | Amount ($) |
|---|---|---|---|---|
| Abbott Laboratories |
Food and Beverage
In-kind items and services
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OCTRODE | General | $30.88 |
| Abbott Laboratories |
Food and Beverage
In-kind items and services
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OCTRODE | General | $29.04 |
| Abbott Laboratories |
Food and Beverage
In-kind items and services
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OCTRODE | General | $28.42 |
| Abbott Laboratories |
Food and Beverage
In-kind items and services
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OCTRODE | General | $28.14 |
| Averitas Pharma Inc. |
Food and Beverage
In-kind items and services
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QUTENZA | General | $23.61 |
| Abbott Laboratories |
Food and Beverage
In-kind items and services
|
OCTRODE | General | $21.30 |
| Abbott Laboratories |
Food and Beverage
In-kind items and services
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PROCLAIM | General | $19.65 |
| SI-BONE, INC. |
Food and Beverage
Cash or cash equivalent
|
โ | General | $13.81 |
| Abbott Laboratories |
Food and Beverage
In-kind items and services
|
OCTRODE | General | $10.98 |
| Abbott Laboratories |
Food and Beverage
In-kind items and services
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OCTRODE | General | $8.44 |
| Abbott Laboratories |
Food and Beverage
In-kind items and services
|
OCTRODE | General | $3.64 |
| Abbott Laboratories |
Food and Beverage
In-kind items and services
|
OCTRODE | General | $1.40 |
Source: CMS Open Payments, program year 2025, released June 30, 2026.
Performed Procedures & Service Volume
CPTยฎ is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 2016โ2023 American Medical Association. All rights reserved. Applicable FARS/HHSARS apply. Descriptions of CPT codes are the AMA's CPT Consumer Friendly Descriptors as published by CMS in the Medicare Physician & Other Practitioners โ by Provider and Service data, 2017โ2024; they are plain-language summaries, not for clinical coding or documentation. HCPCS Level II codes and descriptions are from CMS. Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not recommending their use. The AMA does not directly or indirectly practice medicine or dispense medical services. The AMA assumes no liability for data contained or not contained herein.
| HCPCS Code | Services | Patients | Submitted Charge | Medicare Allowed |
|---|---|---|---|---|
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J1010
Injection, methylprednisolone acetate, 1 mg
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5,760 | 55 | $0.55 | $0.13 |
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J0897
Injection, denosumab, 1 mg
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1,080 | 12 | $33.00 | $25.67 |
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99214
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
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473 | 293 | $249.00 | $108.68 |
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99213
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more
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180 | 139 | $176.00 | $77.50 |
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22614
Fusion of additional segment of spine
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121 | 52 | $406.25 | $53.90 |
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22853
Insertion of cage or mesh device to spine bone and disc space during spine fusion
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89 | 52 | $194.75 | $35.30 |
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62323
Injection of substance into lower spine canal using imaging guidance
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79 | 57 | $704.00 | $212.99 |
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72100
X-ray of lower and sacral spine, 2-3 views
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70 | 59 | $76.00 | $28.15 |
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72040
X-ray of upper spine, 2-3 views
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57 | 44 | $83.00 | $28.45 |
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63048
Partial removal of spine bone with release of spinal cord and/or nerves, each additional segment
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55 | 36 | $622.50 | $29.04 |
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22612
Fusion of spine in lower back
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49 | 47 | $1298.75 | $212.44 |
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22842
Placement of stabilizing device to back, 3-6 spine bone segments
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49 | 47 | $1723.75 | $105.06 |
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22845
Placement of stabilizing device to front, 2-3 spine bone segments
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46 | 45 | $1102.50 | $99.12 |
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63047
Partial removal of spine bone with release of lower spinal cord and/or nerves, 1 segment
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38 | 37 | $808.25 | $84.22 |
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62370
Electronic analysis reprogramming and refill of spinal canal drug infusion pump by physician
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31 | 13 | $364.00 | $78.44 |
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22558
Fusion of lower spine bone through abdomen with partial removal of disc
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30 | 29 | $1306.25 | $188.92 |
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22600
Fusion of spine in neck by posterior approach
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30 | 29 | $994.25 | $157.74 |
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J1040
Injection, methylprednisolone acetate, 80 mg
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29 | 27 | $41.00 | $9.36 |
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22840
Placement of stabilizing device to back of 1 spine bone in neck
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28 | 27 | $1186.50 | $102.34 |
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99222
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes
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28 | 28 | $268.00 | $106.09 |
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20974
Placement of electrical stimulation device for bone healing
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27 | 27 | $220.00 | $71.72 |
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22552
Fusion of upper spine bone with removal of disc and release of spinal cord or nerve, each additional disc
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25 | 16 | $295.50 | $54.58 |
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36415
Insertion of needle into vein for collection of blood sample
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25 | 23 | $8.00 | $7.84 |
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63685
Insertion or replacement of spinal neurostimulator generator or receiver
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24 | 24 | $488.53 | $56.33 |
|
22551
Fusion of upper spine bone with removal of disc and release of spinal cord or nerve, 1 disc
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23 | 23 | $1263.75 | $226.42 |
(top 25 shown)
Source: CMS Part B by Provider and Service, 2024; services under 11 beneficiaries omitted by CMS. Privacy limits
Submitted charges are billed amounts, not a price quote for your visit.
Medicare Part D Prescribing Profile & Medications
Medicare Part D prescriptions filled, including refills, in 2024.
| Brand Name | Generic Name | Prescriptions | Day Supply | Total Cost | Patients |
|---|---|---|---|---|---|
| Acetaminophen-Codeine | Acetaminophen With Codeine | 201 | 2,651 | $3,681.77 | 112 |
| Gabapentin | Gabapentin | 168 | 5,700 | $1,591.60 | 43 |
| Tizanidine Hcl | Tizanidine Hcl | 97 | 1,946 | $647.50 | 57 |
| Tramadol Hcl | Tramadol Hcl | 64 | 1,090 | $741.69 | 30 |
| Pregabalin | Pregabalin | 52 | 1,620 | $727.32 | 12 |
| Diclofenac Sodium | Diclofenac Sodium | 31 | 1,209 | $510.70 | โ |
| Amitriptyline Hcl | Amitriptyline Hcl | 30 | 1,200 | $183.96 | โ |
| Cefdinir | Cefdinir | 29 | 108 | $212.90 | 28 |
| Meloxicam | Meloxicam | 20 | 840 | $69.08 | โ |
| Methocarbamol | Methocarbamol | 20 | 560 | $163.33 | โ |
| Methylprednisolone | Methylprednisolone | 18 | 108 | $126.08 | 18 |
| Dexamethasone | Dexamethasone | 17 | 105 | $163.17 | 16 |
| Ibu | Ibuprofen | 16 | 480 | $0.00 | โ |
| Duloxetine Hcl | Duloxetine Hcl | 13 | 810 | $303.56 | โ |
| Baclofen | Baclofen | 12 | 360 | $127.14 | โ |
| Celecoxib | Celecoxib | 12 | 360 | $107.08 | โ |
| Alendronate Sodium | Alendronate Sodium | 11 | 308 | $30.61 | โ |
| Clindamycin Hcl | Clindamycin Hcl | 11 | 44 | $55.36 | 11 |
Source: CMS Part D by Provider and Drug, 2024; rows below 11 claims omitted by CMS; volume isn’t quality. Privacy limits
Specialties & License Numbers Reported to NPPES
NUCC Taxonomy Code: 363L00000X
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Additional State Medicaid & Healthcare Payer Identifiers
Medicare (PECOS) Enrollment & Ordering Eligibility
Source: CMS PECOSPRACTITIONER - NURSE PRACTITIONER
I20111215000922
TX
4385819523
Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.
Medicare Group Practice Enrollments
Source: CMS Doctors and Clinicians National Downloadable File
Shannon Clinic
2237 S Jackson St, San Angelo, TX 76903
Phone: 3257471511
Shannon Clinic
3501 Knickerbocker Rd, San Angelo, TX 769047610
Phone: 3257477500
Shannon Clinic
4251 Sunset Dr, San Angelo, TX 769045653
Phone: 3257472226
Shannon Clinic
102 N Magdalen, San Angelo, TX 76903
Phone: 3257471511
Dora Roberts Rehabilitation Center
306 W 3rd St, Big Spring, TX 797202429
Phone: 4322673806
The West Texas Rehabilitation Center
3001 S Jackson St, San Angelo, TX 769045129
Phone: 3257933411
Shannon Clinic
225 E Beauregard, San Angelo, TX 76903
Phone: 3257472287
Shannon Clinic
120 E Harris Ave, San Angelo, TX 769035904
Phone: 3257476741
Shannon Clinic
220 E Harris Ave, San Angelo, TX 769035906
Phone: 3257471511
Shannon Clinic
3502 Knickerbocker Rd, San Angelo, TX 769047671
Phone: 3257472222
Shannon Clinic
120 E Beauregard Ave, San Angelo, TX 769035919
Phone: 3257471511
The West Texas Rehabilitation Center
4601 Hartford St, Abilene, TX 796054603
Phone: 3257933411
Shannon Clinic
3555 Knickerbocker Rd, San Angelo, TX 769047610
Phone: 3257471511
Clinicians Sharing This Practice Address or Phone
Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.
Internal Medicine
Doctor of Medicine (M.D.)
Dietitian, Registered
Registered Dietitian
Physician Assistant
Physician Assistant
Internal Medicine
Doctor of Medicine (M.D.)
Internal Medicine
Doctor of Medicine (M.D.)
Physical Therapist
Physical Therapist, Doctor of Physical Therapy
Career & Practice History
NPI enumerated October 06, 2011.
No changes to the name, practice address, taxonomy or NPI status in this record have been observed in the monthly NPPES data files from January 2017 to August 2026.
NPI Administrative Meta
Other Nurse Practitioners in San Angelo
- Toby Redden, CNP
- Regan Darby, FNP
- Tresea Jeter, FNP-C
- Sherrie Bouissey, ANP
- Rebecca Hooper, FNP
- Catherine Barnett, NP-C
Mailing Address
Po Box 22000
San Angelo, TX 769027200
Phone: 3256581511