Active NPI
Shawna Renea Nguyen, FNP
- Family Nurse Practitioner
- Springfield, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 2017039078
- Practice address
- 3045 W Republic Rd
Springfield, MO 65807-4682 - Phone
- (417) 889-0056
- NPI assigned
- Nov 28, 2017
- Sex
- Female
- Sole proprietor
- No
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 | 2017039078 | MO | Primary |
Addresses
Primary practice location
3045 W Republic Rd
Springfield, MO 65807-4682
Mailing address
3045 W Republic Rd
Springfield, MO 65807-4682
Phone (417) 889-0056
Other practice location 1
940 W Mount Vernon St
Nixa, MO 65714
Phone (417) 724-5280
Other practice location 2
940 W Mount Vernon St
Nixa, MO 65714
Phone (417) 724-5280
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Mercy Clinic Springfield Communities
Practice addresses (Care Compare)
940 W Mount Vernon St
100 MC Urgent Care Nixa
Nixa, MO 65714-9613
Phone (417) 724-5280
Hospital & facility affiliations
- Mercy Hospital Springfield
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mercy Clinic Springfield Communities | Current | Accepting new patients | |
| Minuteclinic Diagnostic of Kansas PA | Family | Current | Accepting new patients |
| Mercy Clinic Springfield Communities | Current | Accepting new patients | |
| Mercy Clinic Springfield Communities | Family | Current | Accepting new patients |
Locations
3825 S Noland Rd
Independence, MO 64055
Phone (816) 254-6002
940 W Mount Vernon St
Nixa, MO 65714
Phone (417) 724-5200
940 W Mount Vernon St
Ste 100
Nixa, MO 65714
Phone (417) 724-5220
1605 Martin Springs Dr
Rolla, MO 65401
Phone (573) 458-6379
1605 Martin Springs Dr
Ste 330
Rolla, MO 65401
Phone (573) 458-6379
3045 W Republic Rd
Springfield, MO 65807
Phone (417) 593-4150
2115 S Fremont Ave
Ste 3050
Springfield, MO 65804
Phone (417) 820-3905
Organizations & group practices 4
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.
-
- Family Medicine Physician
- Springfield, MO
- NPI 1245277631
-
- Rural Health Clinic/Center
- Willow Springs, MO
- NPI 1972771657
Family
-
- Family Medicine Physician
- Hollister, MO
- NPI 1053350454
Hospital & facility affiliations 9
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Springfield, MO
- NPI 1578504056
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1511827200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1558051200000",
"number": "1063926020",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3045 W REPUBLIC RD",
"city": "SPRINGFIELD",
"state": "MO",
"postal_code": "658074682",
"telephone_number": "417-889-0056"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3045 W REPUBLIC RD",
"city": "SPRINGFIELD",
"state": "MO",
"postal_code": "658074682",
"telephone_number": "417-889-0056"
}
],
"practiceLocations": [
{
"address_1": "940 W Mount Vernon St",
"address_purpose": "LOCATION",
"city": "Nixa",
"state": "MO",
"postal_code": "65714",
"country_code": "US",
"telephone_number": "417-724-5280",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "940 W Mount Vernon St",
"address_purpose": "LOCATION",
"city": "Nixa",
"state": "MO",
"postal_code": "65714",
"country_code": "US",
"telephone_number": "417-724-5280",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "NGUYEN",
"first_name": "SHAWNA",
"middle_name": "RENEA",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-11-28",
"last_updated": "2019-05-17",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MO",
"license": "2017039078",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Springfield, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2019; 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.