Melanie Shockley

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

2020016732 Issued in MO

Practice address

1306 Platte Falls Rd Ste C
Platte City, MO 64079-7323

Phone

(816) 431-2150

NPI assigned

Jul 31, 2020

Last updated

Feb 17, 2021By 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 2

Addresses

Medicare fee-for-service enrollment

Enrolled in MO, FL2 enrollments

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 2

Specialty

Nurse Practitioner

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Innovative Infusions LLCGroup PAC ID 6608054044, shared by 7 NPIs, 102 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science - Nursing, Nurse Practitioner

State licenses

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.

• Innovative Infusions, LLC

  dba Paragon Infusion Centers

  • Infusion Therapy Clinic/Center
  • Independence, MO
  • NPI 1053034983
  Medicare reassignment NPD
• Innovative Infusions, LLC.

  dba Paragon Infusion Centers

  • Infusion Therapy Clinic/Center
  • Fort Myers, FL
  • NPI 1699428490
  Medicare reassignment NPD
• Premise Health of Missouri Medical PC

  dba Caesars Health Center No Kansas City

  • Multi-Specialty Clinic/Center
  • Kansas City, MO
  • NPI 1922776632
  Medicare reassignment
• Innovative Infusions, LLC

  dba Paragon Infusion Centers

  • Infusion Therapy Clinic/Center
  • Saint Louis, MO
  • NPI 1134821309
  NPD
• Innovative Infusions, LLC

  dba Paragon Infusion Centers

  • Infusion Therapy Clinic/Center
  • Indianapolis, IN
  • NPI 1093512246
  NPD
• Innovative Infusions, LLC

  dba Paragon Infusion Centers

  • Infusion Therapy Clinic/Center
  • Clearwater, FL
  • NPI 1629705975
  NPD
• Innovative Infusions, LLC

  dba Paragon Infusion Centers

  • Infusion Therapy Clinic/Center
  • Saint Louis, MO
  • NPI 1023710209
  NPD (past)
• Innovative Infusions, LLC

  dba Paragon Infusion Centers

  • Infusion Therapy Clinic/Center
  • Kansas City, MO
  • NPI 1922721851
  NPD (past)
• Innovative Infusions, LLC

  dba Paragon Infusion Centers

  • Infusion Therapy Clinic/Center
  • Dallas, TX
  • NPI 1811299944
  NPD (past)

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

{
    "created_epoch": "1596153600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613520000000",
    "number": "1770193161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1306 PLATTE FALLS RD STE C",
            "city": "PLATTE CITY",
            "state": "MO",
            "postal_code": "640797323",
            "telephone_number": "816-431-2150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1306 PLATTE FALLS RD STE C",
            "city": "PLATTE CITY",
            "state": "MO",
            "postal_code": "640797323",
            "telephone_number": "816-431-2150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHOCKLEY",
        "first_name": "MELANIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-31",
        "last_updated": "2021-02-17",
        "certification_date": "2021-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KS",
            "license": "53-79528-072",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "2020016732",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Second Opinion Consulting, LLC
• Jamie Michele Senter
• Serc Rehabilitation Partners LLC (SERC - Platte City, MO)
• Kelsey Faith Settle
• Tracy Marie Shippee, OTR/L
• Britney Nichole Simms-Mosley
• Alexis Marie Slaughter
• Jackson T Small
• Karla Smith
• Takesha S Smith

• Family Nurse Practitioner in Platte City, MO
• Providers in Platte City, MO by specialty
• Family Nurse Practitioner in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2021; 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.