Individual ProviderShannon FlesherNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address6010 Balcones Dr, Ste 102, Austin, TX 78731-4270(512) 323-5362PECOS EnrollmentBased on the most recent information from CMS, provider Shannon Flesher is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records yesterday at 9:13 AM.Profile DetailsProvider ID1174802169Provider TypeIndividualFull NameFlesher, ShannonCredentialFNP-CGenderFemaleSole ProprietorNoEnumeration Date8/9/2011Last Updated11/21/2014Contact InformationPractice LocationPractice Address6010 Balcones Dr, Ste 102, Austin, TX 78731-4270Phone(512) 323-5362FaxUnlisted FaxMailing LocationMailing Address6010 Balcones Dr, Ste 102, Austin, TX 78731-4270Phone(512) 323-5362FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode363LF0000XPrimaryDescriptionNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersLicenseAP120786TexasCode363LF0000XDescriptionNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersLicense729612TexasCode247200000XDescriptionTechnician, OtherTechnologists, Technicians & Other Technical Service ProvidersLicenseUnlisted Issuer