Individual provider Active NPI

Shelby Elizabeth Likes, FNP

  • Nurse Practitioner
  • Kennett, MO
National Provider Identifier
1710560628
Registry record updated Aug 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
2021015301 Issued in MO
Practice address
901 W Commercial St
Kennett, MO 63857-1100
Phone
(573) 717-1072
NPI assigned
Apr 29, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2025

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 2021015301 MO Primary
Registered Nurse 163W00000X 2016021485 MO

Addresses

Primary practice location

901 W Commercial St
Kennett, MO 63857-1100

Mailing address

503 N 12TH Ave
Ozark, MO 65721-9307

Other identifiers 1

IdentifierTypeStateIssuer
420137853MedicaidMO

Other names 1

  • Shelby Elizabeth Bacon Former name

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
I20220516001672 MO Practitioner - Nurse Practitioner 1254718174 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

100 N Main St
Gideon, MO 63848-9253
Phone (573) 448-3800

Merit-based Incentive Payment System (MIPS)

Final score
94.1 of 100Reported as group
Quality
82.5
Promoting interoperability
100
Improvement activities
40
Cost
81.16

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing

State licenses

LicenseStateTypeSpecialty
2016021485MOMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Honour Brite LLC CurrentSince Mar 18, 2024 Accepting new patients
McPherson Medical & Diagnostic, LLC CurrentSince May 1, 2025 Accepting new patients
Signify Health, LLC Nurse Practitioner CurrentSince May 15, 2022 Accepting new patients
McPherson Medical & Diagnostic, LLC CurrentSince May 1, 2025 Accepting new patients
McPherson Medical & Diagnostic, LLC Current Accepting new patients
McPherson Medical & Diagnostic, LLC Past Accepting new patients
Eustasis Foundation, Inc PastSince Aug 30, 2020 Accepting new patients

Locations

223 S 3rd St
Hayti, MO 63851
Phone (573) 359-2019

2300 Main St
Fl 9
Kansas City, MO 64108
Phone (800) 416-1767

304 Teaco Rd
Ste A
Kennett, MO 63857
Phone (573) 559-3591

901 W Commercial St
Kennett, MO 63857
Phone (573) 695-2181

2102 Main St
Scott City, MO 63780
Phone (573) 264-0042

3600 S National Ave
Springfield, MO 65807
Phone (417) 322-6622

3100 S National Ave
Ste 103
Springfield, MO 65807
Phone (417) 322-6622

216 W Main St
Steele, MO 63877
Phone (573) 695-2181

216 W Main St
Ste B
Steele, MO 63877
Phone (573) 695-2181

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

Organizations & group practices 7

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1619654400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756425600000",
    "number": "1710560628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "503 N 12TH AVE",
            "city": "OZARK",
            "state": "MO",
            "postal_code": "657219307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 W COMMERCIAL ST",
            "city": "KENNETT",
            "state": "MO",
            "postal_code": "638571100",
            "telephone_number": "573-717-1072"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIKES",
        "first_name": "SHELBY",
        "middle_name": "ELIZABETH",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-04-29",
        "last_updated": "2025-08-29",
        "certification_date": "2025-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MO",
            "license": "2021015301",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MO",
            "license": "2016021485",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "420137853",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHELBY",
            "last_name": "BACON",
            "middle_name": "ELIZABETH",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Kennett, MO

Sources for this page

Verify at the official NPI Registry.