Active NPI
Shannon Nanelle Sandefur, FNP-BC APRN
- Family Nurse Practitioner
- Olathe, KS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 53-79801-052
- Practice address
- 800 W Frontier LN
Olathe, KS 66061-7216 - Phone
- (877) 397-7800
- NPI assigned
- Nov 2, 2020
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 53-79801-052 | KS | Primary |
Addresses
Primary practice location
800 W Frontier LN
Olathe, KS 66061-7216
Mailing address
613 Covey CT
Salina, KS 67401-5411
Other practice location 1
613 Covey Ct
Salina, KS 67401-5411
Phone (785) 673-8033
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KS
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20201228001482 | KS | Practitioner - Nurse Practitioner | 6800209412 | Reassigns benefits to 15 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Norton County Hospital
Practice addresses (Care Compare)
102 E Holme St
Norton, KS 67654-1406
807 N State St
Norton, KS 67654-1403
Phone (785) 877-3305
PO Box
Suite 408
Norton, KS 67654-0408
Hospital & facility affiliations
- Norton County Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 53-79801-052 | KS | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Clay County Medical Center | Current | Accepting new patients | |
| Hospital District No. 1 of Dickinson County, Kansas | Family | Current | Accepting new patients |
| Norton County Hospital | Current | Accepting new patients | |
| Clay County Medical Center | Current | Accepting new patients | |
| Ellsworth County Medical Center | Current | Accepting new patients | |
| Ellsworth County Medical Center | Current | Accepting new patients | |
| Rooks County Health Center | Current | Accepting new patients | |
| Lincoln County Hospital | Current | Accepting new patients | |
| Sumner County Hospital District No 1 | Current | Accepting new patients | |
| Sumner County Hospital District No 1 | Current | Accepting new patients | |
| Rooks County Health Center | Current | Accepting new patients | |
| Mercy Hospital Inc | Current | Accepting new patients | |
| Lincoln County Hospital | Current | Accepting new patients | |
| Clay County Medical Center | Current | Accepting new patients | |
| Rooks County Health Center | Current | Accepting new patients | |
| Norton County Hospital | Current | Accepting new patients | |
| Norton County Hospital | Current | Accepting new patients | |
| Hospital District No. 1 of Dickinson County, Kansas | Current | Accepting new patients | |
| Rooks County Health Center | Current | Accepting new patients | |
| Hospital District No. 1 of Dickinson County, Kansas | Past | Accepting new patients |
Locations
511 NE 10th St
Abilene, KS 67410
Phone (785) 263-2100
761 W 175th St S
Caldwell, KS 67022
Phone (620) 845-6492
617 Liberty St
Clay Center, KS 67432
Phone (785) 632-2144
1602 Aylward Ave
Ellsworth, KS 67439
Phone (785) 472-3111
1604 Aylward Ave
Ellsworth, KS 67439
Phone (785) 472-3111
313 E Franklin St
Lincoln, KS 67455
Phone (785) 524-4474
624 N 2nd St
Lincoln, KS 67455
Phone (785) 524-4403
807 N State St
Norton, KS 67654
Phone (785) 877-3305
102 E Holme St
Norton, KS 67654
Phone (785) 628-3231
Interoperability endpoints
- https://fhir-usa.unify.chbase.com/org/linchos-8c32cc73
- shannon.sandefur.1@11418.direct.athenahealth.com
- shannon.herl.p1@direct.schcmed.nextgenshare.com
- https://fhir-myrecord.cerner.com/r4/47504f24-8f33-46ef-bd43-36455bc94e0b/
Organizations & group practices 21
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.
-
- Critical Access Hospital
- Abilene, KS
- NPI 1992759633
KS
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1604275200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1705622400000",
"number": "1043811565",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "613 COVEY CT",
"city": "SALINA",
"state": "KS",
"postal_code": "674015411"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "800 W FRONTIER LN",
"city": "OLATHE",
"state": "KS",
"postal_code": "660617216",
"telephone_number": "877-397-7800"
}
],
"practiceLocations": [
{
"address_1": "613 Covey Ct",
"address_purpose": "LOCATION",
"city": "Salina",
"state": "KS",
"postal_code": "674015411",
"country_code": "US",
"telephone_number": "785-673-8033",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SANDEFUR",
"first_name": "SHANNON",
"middle_name": "NANELLE",
"credential": "FNP-BC APRN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-11-02",
"last_updated": "2024-01-19",
"certification_date": "2024-01-19",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "KS",
"license": "53-79801-052",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Olathe, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2024; 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.