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

Mrs. Shantrelle Denine Lavigne, NP-C

Individual provider Family Nurse Practitioner · NPI 1164183232

Mrs. Shantrelle Denine Lavigne, NP-C is a Nurse Practitioner in Dallas, Texas. Qualified in 2020, 6 years ago. Practices with Wellmed Medical Group PA, a 664-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Texas.

Years since qualifying
6
Licensed in
TX
In the registry since
2021
What do these letters mean?
NP-C — Nurse Practitioner, Certified
A nurse practitioner certified by the AANP.

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Practice location Address checks out

3107 W Camp Wisdom Rd Ste 170
Dallas, TX 75237-2643
Phone: (972) 942-7700
Fax: (972) 942-7701
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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 1057464 (TX)

Record details

NPI number1164183232
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP-C
Sole proprietorNo
NPI enumeratedDecember 31, 2021
Last updated in NPPESNovember 10, 2022
Certification dateNovember 10, 2022

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Wellmed Medical Group Pa — 664 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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