Active NPI
Nicole Tsein Shen, M.D.
- Gastroenterology Physician
- Saint Louis, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- 2020008440
- Practice address
- 1034 S Brentwood Blvd Ste 555
Saint Louis, MO 63117-1265 - Phone
- (724) 816-3152
- NPI assigned
- Mar 28, 2013
- 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 |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | 2020008440 | MO | Primary |
Addresses
Primary practice location
1034 S Brentwood Blvd Ste 555
Saint Louis, MO 63117-1265
Mailing address
40 Loren Woods Dr
Saint Louis, MO 63124-1903
Phone (724) 816-3152
Other practice location 1
11155 Dunn Rd Ste 309E
Saint Louis, MO 63136-6111
Phone (314) 953-8799
Electronic endpoints 3
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| FHIR URL | https://fhir.ssmhc.com/fhir/api/FHIR/DSTU2/ | Other | |
| Direct Messaging Address | nshen362599@direct-ehr-ssmhc.com | Direct | |
| FHIR URL | https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2/ | Health Information Exchange (HIE) |
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: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Gastroenterology
- Education
- University of Missouri, Columbia School of Medicine, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
11155 Dunn Rd
Suite 309E
Saint Louis, MO 63136-6111
Phone (314) 953-8799
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 39 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 57 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fairview Heights Medical Group SC | Current | Accepting new patients | |
| Fairview Heights Medical Group SC | Current | Accepting new patients | |
| Fyigi,LLC | Gastroenterology | Current | Accepting new patients |
Locations
11155 Dunn Rd
Ste 309E
Saint Louis, MO 63136
Phone (314) 741-9010
11155 Dunn Rd
Ste 109N
Saint Louis, MO 63136
Phone (314) 837-3784
1034 S Brentwood Blvd
Ste 555
Saint Louis, MO 63117
Phone (314) 252-0392
Organizations & group practices 3
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.
-
- Multi-Specialty Clinic/Center
- Saint Louis, MO
- NPI 1679503668
-
- Multi-Specialty Clinic/Center
- Saint Louis, MO
- NPI 1073022000
-
- Gastroenterology Physician
- Saint Louis, MO
- NPI 1245087360
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Saint Louis, MO
- NPI 1639186760
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1364428800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1765238400000",
"number": "1073856027",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "40 LOREN WOODS DR",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631241903",
"telephone_number": "724-816-3152"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1034 S BRENTWOOD BLVD STE 555",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631171265",
"telephone_number": "724-816-3152"
}
],
"practiceLocations": [
{
"address_1": "11155 Dunn Rd Ste 309E",
"address_purpose": "LOCATION",
"city": "Saint Louis",
"state": "MO",
"postal_code": "631366111",
"country_code": "US",
"telephone_number": "314-953-8799",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SHEN",
"first_name": "NICOLE",
"middle_name": "TSEIN",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-03-28",
"last_updated": "2025-12-09",
"certification_date": "2025-12-09",
"status": "A"
},
"taxonomies": [
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "MO",
"license": "2020008440",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "FHIR",
"endpointTypeDescription": "FHIR URL",
"endpoint": "https://fhir.ssmhc.com/fhir/api/FHIR/DSTU2/",
"affiliation": "N",
"use": "OTHER",
"useDescription": "Other",
"useOtherDescription": "FHIR API",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "CCD",
"address_1": "12266 De Paul Dr Ste 300",
"city": "Bridgeton",
"state": "MO",
"country_code": "US",
"postal_code": "630442562",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "nshen362599@direct-ehr-ssmhc.com",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "nshen362599@direct-ehr-ssmhc.com",
"address_1": "12266 De Paul Dr Ste 300",
"city": "Bridgeton",
"state": "MO",
"country_code": "US",
"postal_code": "630442562",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "FHIR",
"endpointTypeDescription": "FHIR URL",
"endpoint": "https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2/",
"affiliation": "N",
"endpointDescription": "BJC",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "11155 Dunn Rd Ste 309E",
"city": "Saint Louis",
"state": "MO",
"country_code": "US",
"postal_code": "631366111",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Saint Louis, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2025; 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.