Individual provider Active NPI

Sharon L Slayton, ANP

  • Nurse Practitioner
  • Poplar Bluff, MO
National Provider Identifier
1669669537
Registry record updated Nov 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
149476 Issued in MO
Practice address
2620 N. Westwood Blvd
Poplar Bluff, MO 63901-1908
Phone
(573) 727-2640
Fax
(573) 727-2408
NPI assigned
Sep 25, 2007
Last updated
Nov 11, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 11, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 149476 MO Primary
Adult Health Nurse Practitioner 363LA2200X 2007005995 MO

Addresses

Primary practice location

2620 N. Westwood Blvd
Poplar Bluff, MO 63901-1908

Mailing address

4921 Parkview PL
Suite 14C
Saint Louis, MO 63110-1032
Phone (314) 290-7501

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
I20071101000263 MO Practitioner - Nurse Practitioner 0840387239 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Missouri HB Medical Services LLCGroup PAC ID 2668813197, 77 clinicians
Butler Physician Services, LLCGroup PAC ID 6608164561, 10 clinicians

Practice addresses (Care Compare)

3100 Oak Grove Rd
Poplar Bluff, MO 63901-1573
Phone (573) 776-9290

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
50.12 of 100Reported as group
Quality
2.83
Improvement activities
40
Cost
82.51

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
149476MOMDNurse Practitioner
2007005995MOMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Missouri HB Medical Services, LLC Nurse Practitioner CurrentSince May 1, 2024 Accepting new patients
Ies HSP Missouri LLC CurrentSince May 1, 2023 Accepting new patients
Butler Physician Services, LLC Nurse Practitioner CurrentSince Sep 2, 2016 Accepting new patients

Locations

3100 Oak Grove Rd
Rombauer, MO 63901
Phone (573) 776-2000

Organizations & group practices 3

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 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": "1190678400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1573430400000",
    "number": "1669669537",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4921 PARKVIEW PL",
            "address_2": "SUITE 14C",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631101032",
            "telephone_number": "314-290-7501",
            "fax_number": "314-290-7575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2620 N. WESTWOOD BLVD",
            "city": "POPLAR BLUFF",
            "state": "MO",
            "postal_code": "639011908",
            "telephone_number": "573-727-2640",
            "fax_number": "573-727-2408"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SLAYTON",
        "first_name": "SHARON",
        "middle_name": "L",
        "credential": "ANP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-09-25",
        "last_updated": "2019-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MO",
            "license": "149476",
            "primary": true
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "MO",
            "license": "2007005995",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Poplar Bluff, MO

Sources for this page

Verify at the official NPI Registry.