Individual provider Active NPI

Cara Michelle Shouse, APRN

  • Family Nurse Practitioner
  • Pittsburg, KS
National Provider Identifier
1629523493
Registry record updated May 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
77356-061 Issued in KS
Practice address
2425 Bradshaw Way
Pittsburg, KS 66762-8756
Phone
(620) 308-6123
Fax
(620) 308-6264
NPI assigned
Aug 22, 2016
Last updated
May 9, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 9, 2024

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 77356-061 KS Primary

Addresses

Primary practice location

2425 Bradshaw Way
Pittsburg, KS 66762-8756

Mailing address

2425 Bradshaw Way
Pittsburg, KS 66762-8756
Phone (620) 308-6123

Other practice location 1

302 N Hospital Dr
Girard, KS 66743-2000
Phone (620) 724-8291

Other names 1

  • Mrs. Cara Michelle Russell Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS
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
I20161103002233 KS Practitioner - Nurse Practitioner 0840578324 Reassigns benefits to 2 organizations

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
Renu Medical and Spa LLCGroup PAC ID 9739481573, 5 clinicians

Practice addresses (Care Compare)

2425 Bradshaw Way
Pittsburg, KS 66762-8756
Phone (620) 308-6123

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
77356-061KSMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Hospital District No 1 Crawford County CurrentSince Nov 20, 2023 Accepting new patients
Hospital District No 1 Crawford County CurrentSince Nov 20, 2023 Accepting new patients
Renu Medical & Spa, LLC CurrentSince Apr 17, 2024 Accepting new patients
Rick D. Schoeling, MD PastSince Jul 9, 2018 Accepting new patients

Locations

1015 Military Ave
Baxter Springs, KS 66713
Phone (620) 304-2080

629 S Plummer Ave
Chanute, KS 66720
Phone (316) 431-4000

120 NW 400 Hwy
Cherokee, KS 66724
Phone (620) 457-8101

109 S Main St
Fort Scott, KS 66701
Phone (620) 223-7008

1711 S National Ave
Ste E
Fort Scott, KS 66701
Phone (620) 223-0850

302 N Hospital Dr
Girard, KS 66743
Phone (620) 724-8291

307 N Hospital Dr
Ste 2
Girard, KS 66743
Phone (620) 724-7005

307 N Hospital Dr
Ste 3
Girard, KS 66743
Phone (620) 724-6699

510 Peter Pan Rd
Independence, KS 67301
Phone (620) 331-4099

826 E Madison Ave
Iola, KS 66749
Phone (620) 365-1234

113 S 13TH St
Parsons, KS 67357

1902 S US Highway 59
Bldg E
Parsons, KS 67357
Phone (620) 421-1081

2425 Bradshaw Way
Pittsburg, KS 66762

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/2602/brand/1/csg/1/fhir/r4

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 5

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": "1471824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715212800000",
    "number": "1629523493",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2425 BRADSHAW WAY",
            "city": "PITTSBURG",
            "state": "KS",
            "postal_code": "667628756",
            "telephone_number": "620-308-6123",
            "fax_number": "620-308-6264"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2425 BRADSHAW WAY",
            "city": "PITTSBURG",
            "state": "KS",
            "postal_code": "667628756",
            "telephone_number": "620-308-6123",
            "fax_number": "620-308-6264"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "302 N Hospital Dr",
            "address_purpose": "LOCATION",
            "city": "Girard",
            "state": "KS",
            "postal_code": "667432000",
            "country_code": "US",
            "telephone_number": "620-724-8291",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHOUSE",
        "first_name": "CARA",
        "middle_name": "MICHELLE",
        "name_prefix": "Mrs.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-08-22",
        "last_updated": "2024-05-09",
        "certification_date": "2024-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KS",
            "license": "77356-061",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CARA",
            "last_name": "RUSSELL",
            "middle_name": "MICHELLE",
            "prefix": "MRS.",
            "credential": "APRN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Pittsburg, KS

Sources for this page

Verify at the official NPI Registry.