Amy E Shell, F.N.P- B.C.

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

2000162310 Issued in MO

Practice address

2400 Lucy Lee Pkwy Ste a
Poplar Bluff, MO 63901-2427

Phone

(573) 686-1144

Fax

(573) 686-3312

NPI assigned

Aug 21, 2006

Last updated

Dec 21, 2018By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

Nurse Practitioner

Education

Other, 2005

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Womens Health Specialists PCGroup PAC ID 6406834951, 4 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Poplar Bluff Regional Medical Center Hospital, Poplar Bluff, MO, CCN 260119

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

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.

• Womens Health Specialists, PC

  • Obstetrics & Gynecology Physician
  • Poplar Bluff, MO
  • NPI 1184686925
  Medicare reassignment Care Compare group NPD
• Poplar Bluff Regional Medical Center LLC

  dba Poplar Bluff CRNA

  • Certified Registered Nurse Anesthetist
  • Poplar Bluff, MO
  • NPI 1730330168
  Medicare reassignment NPD
• Poplar Bluff Regional Medical Center, LLC

  dba Bloomfield Medical Clinic

  • Family Medicine Physician
  • Bloomfield, MO
  • NPI 1023424041
  NPD
• Womens Health Specialists, PC

  • Rural Health Clinic/Center
  • Poplar Bluff, MO
  • NPI 1467047738
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Poplar Bluff Regional Medical Center LLC

  dba Poplar Bluff Regional Medical Center

  • General Acute Care Hospital
  • Poplar Bluff, MO
  • NPI 1700831724
  Care Compare affiliation

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

{
    "created_epoch": "1156118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1545350400000",
    "number": "1750496253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "472 REMINGTON PL",
            "city": "POPLAR BLUFF",
            "state": "MO",
            "postal_code": "639018076",
            "telephone_number": "573-300-5905",
            "fax_number": "573-686-8785"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2400 LUCY LEE PKWY STE A",
            "city": "POPLAR BLUFF",
            "state": "MO",
            "postal_code": "639012427",
            "telephone_number": "573-686-1144",
            "fax_number": "573-686-3312"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHELL",
        "first_name": "AMY",
        "middle_name": "E",
        "credential": "F.N.P- B.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-21",
        "last_updated": "2018-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MO",
            "license": "2000162310",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "428744007",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sharon K. Brandon, LLC
• Noble Leon Shaver Jr., LPC CSAC II
• Erin Kathryn Shaw, LCSW, ACSW, MSW
• Melissa Clare Shaw
• Jordyn Lexus Shearrer
• Keith Alan Shelton, RPH
• Kristin Shelton
• Breanne Gail Shepherd
• Sierra Kay Shepherd
• Sarah Sheppard

• Nurse Practitioner in Poplar Bluff, MO
• Providers in Poplar Bluff, MO by specialty
• Nurse Practitioner in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2018; 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.

Verify at the official NPI Registry.