Active NPI
Shelby Elizabeth Likes, FNP
- Nurse Practitioner
- Kennett, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 2021015301
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 420137853 | Medicaid | MO |
Other names 1
- Shelby Elizabeth Bacon
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
Enrollment records 1
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 100
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| 2016021485 | MO | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Honour Brite LLC | Current | Accepting new patients | |
| McPherson Medical & Diagnostic, LLC | Current | Accepting new patients | |
| Signify Health, LLC | Nurse Practitioner | Current | Accepting new patients |
| McPherson Medical & Diagnostic, LLC | Current | Accepting new patients | |
| McPherson Medical & Diagnostic, LLC | Current | Accepting new patients | |
| McPherson Medical & Diagnostic, LLC | Past | Accepting new patients | |
| Eustasis Foundation, Inc | Past | 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.
-
- Clinic/Center
- Malden, MO
- NPI 1003407883
-
- Multi-Specialty Clinic/Center
- Springfield, MO
- NPI 1548760820
-
- Family Medicine Physician
- Kennett, MO
- NPI 1124679774
-
- Family Medicine Physician
- Gideon, MO
- NPI 1497189864
-
- Voluntary or Charitable Agency
- Springfield, MO
- NPI 1386257780
-
- Family Medicine Physician
- Steele, MO
- NPI 1164440806
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.