Individual provider Active NPI

Shante R Myers

  • Family Nurse Practitioner
  • Citrus Heights, CA
National Provider Identifier
1558053256
Registry record updated May 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95024459 Issued in CA
Practice address
5959 Greenback LN Ste 500
Citrus Heights, CA 95621-4700
Phone
(916) 734-5444
NPI assigned
May 22, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 22, 2023

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 95024459 CA Primary

Addresses

Primary practice location

5959 Greenback LN Ste 500
Citrus Heights, CA 95621-4700

Mailing address

1324 Gagle Way
Sacramento, CA 95831-2863
Phone (916) 832-5705

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20231009000860 CA Practitioner - Nurse Practitioner 8022463249 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sutter Valley Medical FoundationGroup PAC ID 9830094515, 2,473 clinicians

Practice addresses (Care Compare)

2055 Town Ctr PLZ
Suite G130
West Sacramento, CA 95691-5058
Phone (916) 887-7471

2800 L St
Sacramento, CA 95816-5616

4810 Elk Grove Blvd
Suite 180
Elk Grove, CA 95758-4191
Phone (800) 972-5547

Hospital & facility affiliations

  • Sutter Medical Center, Sacramento Hospital, Sacramento, CA, CCN 050108

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
95024459CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Sutter Valley Medical Foundation CurrentSince Feb 9, 2026 Accepting new patients
Elk Grove Urgent Care Inc CurrentSince Aug 15, 2024 Accepting new patients
Sutter Valley Medical Foundation CurrentSince Feb 9, 2026 Accepting new patients
Garcia Lee and Concepcion Medical Group Inc Current Accepting new patients
Wellspace Health Current Accepting new patients
Capitol Urgent Care Inc CurrentSince Aug 15, 2024 Accepting new patients
Wellspace Health CurrentSince Sep 1, 2023 Accepting new patients
Garcia, Lee & Concepcion Medical Group CurrentSince Jan 27, 2025 Accepting new patients
Wellspace Health CurrentSince Sep 1, 2023 Accepting new patients
Natomas Urgent Care Inc. CurrentSince Aug 15, 2024 Accepting new patients
Sutter North Medical Foundation Past Accepting new patients

Locations

5959 Greenback Ln
Ste 500
Citrus Heights, CA 95621
Phone (916) 725-1177

9045 Bruceville Rd
Ste 100
Elk Grove, CA 95758
Phone (916) 479-9110

2720 Low Ct
Fairfield, CA 94534
Phone (707) 428-2731

815 Court St
Ste 7
Jackson, CA 95642
Phone (209) 257-5900

600 Coffee Rd
Modesto, CA 95355
Phone (209) 550-4755

4010 Foothills Blvd
Ste 102
Roseville, CA 95747
Phone (916) 689-4111

1820 J St
Sacramento, CA 95811
Phone (916) 550-5481

777 12th St
Ste 250
Sacramento, CA 95814
Phone (916) 469-4690

4321 Truxel Rd
Ste F4
Sacramento, CA 95834
Phone (916) 422-9110

2800 L St
Ste 500
Sacramento, CA 95816
Phone (916) 454-6850

7200 S Land Park Dr
Ste 100
Sacramento, CA 95831
Phone (916) 422-9110

2101 Stone Blvd
Ste 190
West Sacramento, CA 95691
Phone (916) 371-4939

250 W Main St
Woodland, CA 95695
Phone (916) 668-6100

Interoperability endpoints

  • Direct secure messaging: smyers238966@hpmg.direct-ci.net
  • Direct secure messaging: shante.myers.1@18067.direct.athenahealth.com
  • Direct secure messaging: shante.myers.p1@direct.wellspacehealth.nextgenshare.com

Organizations & group practices 11

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": "1684713600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684713600000",
    "number": "1558053256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1324 GAGLE WAY",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958312863",
            "telephone_number": "916-832-5705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5959 GREENBACK LN STE 500",
            "city": "CITRUS HEIGHTS",
            "state": "CA",
            "postal_code": "956214700",
            "telephone_number": "916-734-5444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MYERS",
        "first_name": "SHANTE",
        "middle_name": "R",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-05-22",
        "last_updated": "2023-05-22",
        "certification_date": "2023-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95024459",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Citrus Heights, CA

Sources for this page

Verify at the official NPI Registry.