Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mr. Shawn R Agenbroad-Elander, FNP-C

Individual provider Family Nurse Practitioner · NPI 1164655171

Mr. Shawn R Agenbroad-Elander, FNP-C is a Nurse Practitioner in Austin, Texas. Qualified in 2009, 17 years ago. Practices with Privia Medical Group Gulf Coast PLLC, a 538-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Texas.

Years since qualifying
17
Licensed in
TX
In the registry since
2009
What do these letters mean?
FNP-C — Family Nurse Practitioner, Certified
A family nurse practitioner certified by the AANP.

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Practice location Address checks out

4303 Victory Dr
Austin, TX 78704-7507
Phone: (512) 462-3627
Fax: (512) 462-2898
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence AP118041 (TX)

Record details

NPI number1164655171
Entity typeIndividual (Type 1)
GenderMale
Credentials FNP-C
Sole proprietorNo
NPI enumeratedAugust 25, 2009
Last updated in NPPESJanuary 10, 2018

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2009 (17 years in practice)
Group practice Privia Medical Group Gulf Coast Pllc — 538 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations3 on file with Medicare

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