Individual provider Active NPI

Mary Jo Shaver, APRN

  • Family Nurse Practitioner
  • Saint Joseph, MO
National Provider Identifier
1326999418
Registry record updated Mar 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
2026002761 Issued in MO
Practice address
802 N Riverside Rd Ste 220
Saint Joseph, MO 64507-2509
Phone
(816) 271-7074
Fax
(816) 385-8083
NPI assigned
Feb 5, 2026
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 2026002761 MO Primary

Addresses

Primary practice location

802 N Riverside Rd Ste 220
Saint Joseph, MO 64507-2509

Mailing address

802 N Riverside Rd Ste 220
Saint Joseph, MO 64507-2509
Phone (816) 271-7074

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260422001845 MO Practitioner - Nurse Practitioner 4981171444 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Heartland Regional Medical CenterGroup PAC ID 6709772767, 394 clinicians

Practice addresses (Care Compare)

802 N Riverside Dr
220 Mosaic Life Care
St Joseph, MO 64507-2509
Phone (816) 271-4985

802 N Riverside Rd
220 Gastroenterology of St Joseph Mosai
Saint Jospeh, MO 64507-2509
Phone (816) 271-6000

901 Heartland Rd
Saint Joseph, MO 64506-6201

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2026002761MOMDFamily Nurse Practitioner

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 1

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": "1770249600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774828800000",
    "number": "1326999418",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "802 N RIVERSIDE RD STE 220",
            "city": "SAINT JOSEPH",
            "state": "MO",
            "postal_code": "645072509",
            "telephone_number": "816-271-7074",
            "fax_number": "816-385-8083"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "802 N RIVERSIDE RD STE 220",
            "city": "SAINT JOSEPH",
            "state": "MO",
            "postal_code": "645072509",
            "telephone_number": "816-271-7074",
            "fax_number": "816-385-8083"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAVER",
        "first_name": "MARY",
        "middle_name": "JO",
        "name_prefix": "Mrs.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-02-05",
        "last_updated": "2026-03-30",
        "certification_date": "2026-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "2026002761",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Joseph, MO

Sources for this page

Verify at the official NPI Registry.