Active NPI
Melissa M Shands, FNP-BC
- Family Nurse Practitioner
- Perryville, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 2016020300
- Practice address
- 212 Hospital LN Ste 202
Perryville, MO 63775-4204 - Phone
- (573) 768-3449
- NPI assigned
- Jun 22, 2016
- 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 | 2016020300 | MO | Primary |
Addresses
Primary practice location
212 Hospital LN Ste 202
Perryville, MO 63775-4204
Mailing address
17921 BCR 262
Sedgewickville, MO 63781-3023
Phone (573) 301-3435
Other practice location 1
1508 Edgemont Blvd
Perryville, MO 63775-1231
Phone (573) 768-3220
Other practice location 2
212 Hospital Ln Ste 101A
Perryville, MO 63775-4204
Phone (573) 547-7888
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, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1508 Edgemont Blvd
Primary Care/Convenient Care
Perryville, MO 63775-1231
Phone (573) 768-3220
Hospital & facility affiliations
- Mercy Hospital Perry
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2016020300 | MO | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mercy Hospital Perry | Current | Accepting new patients | |
| Mercy Hospital Perry | Current | Accepting new patients | |
| Mercy Hospital Perry | Current | Accepting new patients | |
| Mercy Hospital Perry | Past | Accepting new patients |
Locations
434 N West St
Perryville, MO 63775
Phone (573) 547-2530
206 Hospital Ln
Ste 201
Perryville, MO 63775
Phone (573) 547-4899
1508 Edgemont Blvd
Perryville, MO 63775
Phone (573) 339-2000
212 Hospital Ln
Ste 101A
Perryville, MO 63775
Phone (573) 547-7888
212 Hospital Ln
Ste 202
Perryville, MO 63775
Phone (573) 331-3333
212 Hospital Ln
Ste 101
Perryville, MO 63775
Phone (573) 547-7888
212 Hospital Ln
Ste 200
Perryville, MO 63775
Phone (573) 768-3410
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.
-
- Critical Access Hospital
- Perryville, MO
- NPI 1063117158
-
- Rural Health Clinic/Center
- Perryville, MO
- NPI 1639858855
-
- Rural Health Clinic/Center
- Perryville, MO
- NPI 1720767940
-
- Rural Health Clinic/Center
- Perryville, MO
- NPI 1215613880
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Perryville, MO
- NPI 1063117158
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1466553600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1743465600000",
"number": "1417308362",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17921 BCR 262",
"city": "SEDGEWICKVILLE",
"state": "MO",
"postal_code": "637813023",
"telephone_number": "573-301-3435"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "212 HOSPITAL LN STE 202",
"city": "PERRYVILLE",
"state": "MO",
"postal_code": "637754204",
"telephone_number": "573-768-3449"
}
],
"practiceLocations": [
{
"address_1": "1508 Edgemont Blvd",
"address_purpose": "LOCATION",
"city": "Perryville",
"state": "MO",
"postal_code": "637751231",
"country_code": "US",
"telephone_number": "573-768-3220",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "212 Hospital Ln Ste 101A",
"address_purpose": "LOCATION",
"city": "Perryville",
"state": "MO",
"postal_code": "637754204",
"country_code": "US",
"telephone_number": "573-547-7888",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SHANDS",
"first_name": "MELISSA",
"middle_name": "M",
"credential": "FNP-BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-06-22",
"last_updated": "2025-04-01",
"certification_date": "2025-04-01",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MO",
"license": "2016020300",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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- Carrie G Schubert, LPC
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- Shannon'S Neighborhood Mainstreet Station
- Chase Andrew Silvers, D.O.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 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.