NPIMap

Individual provider Active NPI

Shandy Baggs, ARNP

  • Nurse Practitioner
  • Shattuck, OK
National Provider Identifier
1083999403
Registry record updated Oct 17, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
74124 Issued in OK
Practice address
404 S Main
Shattuck, OK 73858
Phone
(580) 938-5400
Fax
(580) 938-5409
NPI assigned
Oct 17, 2011
Last updated
Oct 17, 2011By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 74124 OK Primary

Addresses

Primary practice location

404 S Main
Shattuck, OK 73858

Mailing address

PO Box 827
404 S Main
Shattuck, OK 73858-0827
Phone (580) 938-5400

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
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
I20111214000420 OK Practitioner - Nurse Practitioner 5395910715 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Newman Memorial Hospital, IncGroup PAC ID 2567482367, 29 clinicians

Practice addresses (Care Compare)

905 S Main St
Shattuck, OK 73858-9205
Phone (580) 938-2551

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Newman Memorial Hospital, Inc CurrentSince Dec 28, 2025 Accepting new patients
Newman Memorial Hospital, Inc. Past Accepting new patients
Summit Medical Center Past Accepting new patients
Newman Memorial Hospital, Inc Past Accepting new patients

Locations

905 S Main St
Shattuck, OK 73858
Phone (580) 938-2551

1000 15th St
Woodward, OK 73801
Phone (580) 256-2820

Interoperability endpoints

  • Direct secure messaging: sbaggs67435@direct-ehr-ssmhc.com

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 8

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": "1318809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1318809600000",
    "number": "1083999403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 827",
            "address_2": "404 S MAIN",
            "city": "SHATTUCK",
            "state": "OK",
            "postal_code": "738580827",
            "telephone_number": "580-938-5400",
            "fax_number": "580-938-5409"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "404 S MAIN",
            "city": "SHATTUCK",
            "state": "OK",
            "postal_code": "73858",
            "telephone_number": "580-938-5400",
            "fax_number": "580-938-5409"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAGGS",
        "first_name": "SHANDY",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-10-17",
        "last_updated": "2011-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "OK",
            "license": "74124",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shattuck, OK

Sources for this page

Verify at the official NPI Registry.