Shannon M Sikorski, FNP-BC
Individual provider Active NPI Family Nurse Practitioner · Kennett, MO
NPI 1275955494 · NPPES record last updated Sep 21, 2017
Key facts
- NPI
- 1275955494
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 2013043969 (MO)
- Practice address
- 1312 1St St
Kennett, MO 63857-2526 - Phone
- (573) 717-1080
- Fax
- (573) 888-3046
- NPI assigned
- Jan 7, 2014
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 14
Hospital & facility affiliations 5
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Sikeston Emergency Group LLC
Potosi Emergency Group, LLC
Madison Medical Center Stockhoff Memorial Nursing Home
Practice addresses (Care Compare)
1008 N Main St
Sikeston, MO 63801-5044
Phone (573) 471-1600
300 Health Way Dr
Potosi, MO 63664-1420
Phone (573) 438-5451
611 W Main St
Fredericktown, MO 63645-1111
Phone (573) 783-3341
Hospital & facility affiliations
- Washington County Memorial Hospital
- Iron County Medical Center
- Madison Medical Center
- Mercy Hospital Jefferson
- Mercy Hospital South
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MO
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20140321000589 | MO | Practitioner - Nurse Practitioner | 5193956860 | Reassigns benefits to 10 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mercy Hospital Jefferson | Current |
Accepting new patients | |
| Madison Medical Center Stockhoff Memorial Nursing Home | Current |
Accepting new patients | |
| Madison Medical Center Stockhoff Memorial Nursing Home | Current |
Accepting new patients | |
| Iron County Hospital District | Current |
Accepting new patients | |
| Potosi Emergency Group, LLC | Current |
Accepting new patients | |
| Southeastern Emergency Physicians of Memphis LLC | Current |
Accepting new patients | |
| Southeastern Emergency Services of Memphis, P.C. | Current |
Accepting new patients | |
| Iron County Hospital District | Current |
Accepting new patients | |
| Sikeston Emergency Group LLC | Current |
Accepting new patients | |
| Mercy Clinic Adult Hospitalists- Jefferson, LLC | Current |
Accepting new patients | |
| Mercy Hospital Jefferson | Current |
Accepting new patients | |
| Southeastern Emergency Physicians of Memphis LLC | Past | Accepting new patients |
Locations
7245 Raider Rd
Bonne Terre, MO 63628
Phone (573) 358-1400
1600 E Broadway
Columbia, MO 65201
Phone (573) 632-5000
1400 US Highway 61
Crystal Cty, MO 63028
Phone (636) 933-1111
1101 W Liberty St
Farmington, MO 63640
Phone (573) 705-1272
611 W Main St
Fredericktown, MO 63645
Phone (573) 773-7061
611 W Main St
Ste E
Fredericktown, MO 63645
Phone (573) 783-3341
300 Health Way Dr
Potosi, MO 63664
Phone (573) 438-2977
1008 N Main St
Sikeston, MO 63801
Phone (573) 471-1600
Interoperability endpoints
- ssikorski969390@directc.mercy.net
- shannon.sikorski.1@16878.direct.athenahealth.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 2013043969 | MO | Yes |
Addresses
Primary practice location
1312 1St St
Kennett, MO 63857-2526
Mailing address
PO Box 728
Kennett, MO 63857-0728
Other providers in Kennett, MO
- Susan Louise Shipp
- Amber Brooke Short
- Melissa Dawn Shortnacy
- Alyson Sieben-Grimes
- Beverly Kay Siegler
- Katie Erin Simmons
- Mark Simmons
- Michelle Lynn Simpson
- Ashley L Singleton
- Gayla D Singleton
All providers in Kennett, MO · Family Nurse Practitioner in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 21, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.