Individual provider Active NPI

Shannon Alan Engel, DPM

  • Foot Surgery Podiatrist
  • Saint Joseph, MO
National Provider Identifier
1649220302
Registry record updated Apr 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot Surgery PodiatristTaxonomy code 213ES0131X
License
2010024608 Issued in MO
Practice address
101 Mosaic CT Ste 300
Saint Joseph, MO 64506-0015
Phone
(816) 271-1067
Fax
(816) 271-1071
NPI assigned
May 11, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot Surgery Podiatrist 213ES0131X 2010024608 MO Primary

Addresses

Primary practice location

101 Mosaic CT Ste 300
Saint Joseph, MO 64506-0015

Mailing address

101 Mosaic CT Ste 300
Saint Joseph, MO 64506-0015
Phone (816) 271-1067

Other identifiers 3

IdentifierTypeStateIssuer
37479OtherIAWELLMARK
30004069120004MedicaidKS
304286206MedicaidMO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS, MO2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20100917000295 KS Practitioner - Podiatry 1153398532 Reassigns benefits to 1 organization
I20100917000986 MO Practitioner - Podiatry 1153398532 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
College of Podiatric Med and Surgery, Des Moines University, 2002
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)

207 S Main St
Troy, KS 66087-4017
Phone (785) 985-2211

5202 Faraon St
Suite a
Saint Joseph, MO 64506-3840
Phone (816) 271-1067

5301 Faraon St
Saint Joseph, MO 64506-3512
Phone (816) 271-7546

5325 Faraon St
Saint Joseph, MO 64506-3488
Phone (816) 271-3500

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

820 Ravenhill Dr
Suite 103
Atchison, KS 66002-9230
Phone (816) 271-1200

901 Heartland Rd
Saint Joseph, MO 64506-6201

Hospital & facility affiliations

  • Mosaic Life Care at St Joseph Hospital, Saint Joseph, MO, CCN 260006
  • Amberwell Atchison Association Hospital, Atchison, KS, CCN 171382
  • Mosaic Medical Center - Maryville Hospital, Maryville, MO, CCN 261340

Merit-based Incentive Payment System (MIPS)

Final score
84.76 of 100Reported as group
Quality
74.35
Promoting interoperability
100
Improvement activities
40
Cost
74.85

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of tissue54
Removal of skin lesions12
Removal of nail tissue1023

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

State licenses

LicenseStateTypeSpecialty
00777IAMDMental Health Counselor
2010024608MOMDFoot Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Heartland Regional Medical Center Current Accepting new patients
Iowa Foot & Ankle Center, PC Podiatrist Past Accepting new patients

Locations

5202 Faraon St
Ste A
Saint Joseph, MO 64506
Phone (816) 271-1070

5301 Faraon St
Ste 120
Saint Joseph, MO 64506
Phone (816) 271-6406

5202 Faraon St
Saint Joseph, MO 64506
Phone (316) 835-2231

901 Heartland Rd
Ste 2800
Saint Joseph, MO 64506
Phone (816) 271-1213

5325 Faraon St
Rm 1144
Saint Joseph, MO 64506

Interoperability endpoints

  • Direct secure messaging: shannon.engel@direct.mymlc.com

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.

Hospital & facility affiliations 3

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": "1147305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775606400000",
    "number": "1649220302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 MOSAIC CT STE 300",
            "city": "SAINT JOSEPH",
            "state": "MO",
            "postal_code": "645060015",
            "telephone_number": "816-271-1067",
            "fax_number": "816-271-1071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 MOSAIC CT STE 300",
            "city": "SAINT JOSEPH",
            "state": "MO",
            "postal_code": "645060015",
            "telephone_number": "816-271-1067",
            "fax_number": "816-271-1071"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ENGEL",
        "first_name": "SHANNON",
        "middle_name": "ALAN",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-11",
        "last_updated": "2026-04-08",
        "certification_date": "2026-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0131X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot Surgery",
            "state": "MO",
            "license": "2010024608",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLMARK",
            "identifier": "37479",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30004069120004",
            "state": "KS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "304286206",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Joseph, MO

Sources for this page

Verify at the official NPI Registry.