Individual provider Active NPI

Shannon Nanelle Sandefur, FNP-BC APRN

  • Family Nurse Practitioner
  • Olathe, KS
National Provider Identifier
1043811565
Registry record updated Jan 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
53-79801-052 Issued in KS
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

Updated by the provider on Jan 19, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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 8 clinicians

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 Hospital, Norton, KS, CCN 171348

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
53-79801-052KSMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Clay County Medical Center CurrentSince Mar 20, 2024 Accepting new patients
Hospital District No. 1 of Dickinson County, Kansas Family CurrentSince Jan 1, 2025 Accepting new patients
Norton County Hospital CurrentSince Oct 18, 2024 Accepting new patients
Clay County Medical Center CurrentSince Mar 20, 2024 Accepting new patients
Ellsworth County Medical Center CurrentSince Aug 1, 2023 Accepting new patients
Ellsworth County Medical Center CurrentSince Aug 1, 2023 Accepting new patients
Rooks County Health Center Current Accepting new patients
Lincoln County Hospital Current Accepting new patients
Sumner County Hospital District No 1 CurrentSince Nov 15, 2023 Accepting new patients
Sumner County Hospital District No 1 CurrentSince Nov 15, 2023 Accepting new patients
Rooks County Health Center CurrentSince Jan 27, 2025 Accepting new patients
Mercy Hospital Inc CurrentSince Oct 15, 2023 Accepting new patients
Lincoln County Hospital CurrentSince Nov 21, 2023 Accepting new patients
Clay County Medical Center Current Accepting new patients
Rooks County Health Center CurrentSince Jan 27, 2025 Accepting new patients
Norton County Hospital Current Accepting new patients
Norton County Hospital CurrentSince Oct 18, 2024 Accepting new patients
Hospital District No. 1 of Dickinson County, Kansas CurrentSince Jan 1, 2025 Accepting new patients
Rooks County Health Center CurrentSince Jan 27, 2025 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

  • FHIR API: https://fhir-usa.unify.chbase.com/org/linchos-8c32cc73
  • Direct secure messaging: shannon.sandefur.1@11418.direct.athenahealth.com
  • Direct secure messaging: shannon.herl.p1@direct.schcmed.nextgenshare.com
  • FHIR API: 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.

View all 21

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

Verify at the official NPI Registry.