NPIMap

Individual provider Active NPI

Cynthia Anne Shaughnessy

  • Family Nurse Practitioner
  • Springfield, MO
National Provider Identifier
1063060374
Registry record updated Sep 23, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
2019036875 Issued in MO
Practice address
1911 S National Ave Ste 301
Springfield, MO 65804-2213
Phone
(417) 886-5000
NPI assigned
Aug 29, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 2008003733 MO
Family Nurse Practitioner 363LF0000X 2019036875 MO Primary

Addresses

Primary practice location

1911 S National Ave Ste 301
Springfield, MO 65804-2213

Mailing address

1911 S National Ave Ste 301
Springfield, MO 65804-2213
Phone (417) 886-5000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20191113000175 MO Practitioner - Nurse Practitioner 5395022693 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Springfield Nephrology Associates IncGroup PAC ID 6901905553, 13 clinicians

Practice addresses (Care Compare)

1911 S National Ave
Suite 301
Springfield, MO 65804-2213
Phone (417) 886-5000

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2008003733MOMDRegistered Nurse
2019036875MOMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Springfield Nephrology Associates Inc CurrentSince Oct 7, 2019 Accepting new patients
Ozarks Medical Center Past Accepting new patients

Locations

500 Porter Ave
Aurora, MO 65605
Phone (417) 678-2122

2101 W Broadway St
Bolivar, MO 65613
Phone (417) 326-3112

156 Evergreen Pkwy
Lebanon, MO 65536
Phone (417) 344-6100

120 Hospital Dr
Ste 250
Lebanon, MO 65536
Phone (417) 533-6710

825 E US Highway 60
Ste B
Monett, MO 65708
Phone (417) 354-1111

1200 N Main St
Ste B
Mountain Grove, MO 65711

1235 E Cherokee St
Springfield, MO 65804
Phone (417) 820-2115

2003 E Sunshine St
Springfield, MO 65804
Phone (417) 882-2413

1911 S National Ave
Springfield, MO 65804

3359 W Kearney St
Springfield, MO 65803
Phone (417) 866-7266

1911 S National Ave
Ste 301
Springfield, MO 65804
Phone (417) 725-8250

1449 Gibson Ave
West Plains, MO 65775
Phone (417) 255-0701

803 W Broadway St
West Plains, MO 65775
Phone (417) 255-1413

Interoperability endpoints

  • Direct secure messaging: cshaughnessy16947@direct.acumenmd.com

Organizations & group practices 2

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.

Hospital & facility affiliations 14

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1567036800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569196800000",
    "number": "1063060374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1911 S NATIONAL AVE STE 301",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658042213",
            "telephone_number": "417-886-5000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1911 S NATIONAL AVE STE 301",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658042213",
            "telephone_number": "417-886-5000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAUGHNESSY",
        "first_name": "CYNTHIA",
        "middle_name": "ANNE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-29",
        "last_updated": "2019-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MO",
            "license": "2008003733",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "2019036875",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, MO

Sources for this page

Verify at the official NPI Registry.