Shana Kristin Del Vecchio, NP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

132O39 Issued in MO

Practice address

901 S National Ave
Taylor Health & Wellness Center
Springfield, MO 65897

Phone

(417) 836-4000

Fax

(417) 836-4133

NPI assigned

Nov 1, 2006

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Miss Shana Kristin Bodey Former name

Medicare fee-for-service enrollment

Enrolled in MO

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 1997

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Missouri State UniversityGroup PAC ID 7214919661, 14 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Magers Family Health and Wellness Center

  • Family Medicine Physician
  • Springfield, MO
  • NPI 1073600334
  Medicare reassignment Care Compare group NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1043397169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 S NATIONAL AVE",
            "address_2": "TAYLOR HEALTH & WELLNESS CENTER",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "65897",
            "telephone_number": "417-836-4000",
            "fax_number": "417-836-4133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 S NATIONAL AVE",
            "address_2": "TAYLOR HEALTH & WELLNESS CENTER",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "65897",
            "telephone_number": "417-836-4000",
            "fax_number": "417-836-4133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEL VECCHIO",
        "first_name": "SHANA",
        "middle_name": "KRISTIN",
        "name_prefix": "Mrs.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MO",
            "license": "132O39",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHANA",
            "last_name": "BODEY",
            "middle_name": "KRISTIN",
            "prefix": "MISS",
            "credential": "RN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Ronald Coleman Dees, ACNPC-AG
• Connie D. Deeter, FNP
• Timothy A. Deffer, MD
• Michaela J Degroat, MS, LPC
• Camryn Deke, M.S. CF-SLP
• Edefer Anonuevo Dela Cruz, RPT
• Karen May Dela Cruz, OTR
• Maria C. Dela Rosa, MD
• Nelson M. Dela Rosa, MD
• David M Delahay Jr., MD

• Nurse Practitioner in Springfield, MO
• Providers in Springfield, MO by specialty
• Nurse Practitioner in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.