Active NPI
Shannon Deann Dobsch, FNP
- Family Nurse Practitioner
- Washington, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- F10191224
- Practice address
- 1063 Bieker Rd
Washington, MO 63090-6621 - Phone
- (636) 221-2486
- NPI assigned
- Nov 20, 2019
- Last updated
- Jan 5, 2024
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | F10191224 | MO | Primary |
Addresses
Primary practice location
1063 Bieker Rd
Washington, MO 63090-6621
Mailing address
PO Box 1092
Washington, MO 63090-8092
Phone (636) 221-2486
Other practice location 1
1111 W. Pearce Bouelvard
Wentzville, MO 63385-1020
Phone (636) 856-5362
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, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1000 E Cherry St
Mercy Emergency Department
Troy, MO 63379-1513
Phone (636) 528-3221
1111 W Pearce Blvd
Wentzville, MO 63385-1020
Phone (636) 856-5363
1601 Wentzville Pkwy
130 SSM Health Urgent Care Wentzville
Wentzville, MO 63385-3923
Phone (636) 332-8475
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| F10191224 | MO | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mercy East Ambulatory Services LLC | Current | Accepting new patients | |
| Mercy Hospital Lincoln | Current | Accepting new patients | |
| Emergency Physicians of St. Luke's, LLC | Current | Accepting new patients | |
| SSM Health Care St Louis | Current | Accepting new patients | |
| SSM Health Care St. Louis | Current | Accepting new patients | |
| Cep America, LLC | Current | Accepting new patients | |
| Cep America LLC | Current | Accepting new patients | |
| Associated Physicians Group, LTD | Current | Accepting new patients | |
| Cep America LLC | Current | Accepting new patients | |
| Associated Physicians Group LTD | Current | Accepting new patients | |
| Mercy Hospital Lincoln | Current | Accepting new patients | |
| Physician Specialists of St Lukes LLC | Past | Accepting new patients |
Locations
1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 350-2663
7344 Solutions Ctr
Chicago, IL 60677
Phone (314) 989-6189
916 Talon Dr
#102
O Fallon, IL 62269
Phone (618) 628-8211
12303 De Paul Dr
Bridgeton, MO 63044
Phone (314) 344-6360
233 Clarkson Rd
Ellisville, MO 63011
Phone (636) 256-8644
1015 Bowles Ave
Fenton, MO 63026
Phone (636) 496-2000
774 Gravois Bluffs Blvd
Fenton, MO 63026
Phone (636) 343-5223
409 Lafayette Ctr
Manchester, MO 63011
Phone (636) 707-0764
300 1st Capitol Dr
Saint Charles, MO 63301
Phone (636) 669-2211
605 N Commercial Ave
Saint Clair, MO 63077
Phone (636) 629-2414
1145 Corporate Lake Dr
Saint Louis, MO 63132
Phone (314) 989-6189
845 N New Ballas Ct
Ste 120
Saint Louis, MO 63141
Phone (314) 200-0997
1000 E Cherry St
Troy, MO 63379
Phone (636) 528-3327
900 E Cherry St
Troy, MO 63379
Phone (636) 528-8585
901 Patients First Dr
Ste 1200
Washington, MO 63090
Phone (636) 390-1777
1111 W Pearce Blvd
Wentzville, MO 63385
Phone (636) 856-5362
1601 Wentzville Pkwy
Ste 130
Wentzville, MO 63385
Phone (636) 332-8455
Interoperability endpoints
- sdobsch178810@direct-ehr-ssmhc.com
Organizations & group practices 12
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.
-
dba Mercy-GoHealth Urgent Care
- Urgent Care Clinic/Center
- Chesterfield, MO
- NPI 1134673148
-
- Critical Access Hospital
- Troy, MO
- NPI 1962808733
-
dba SSM Health St Clare Fenton
- Emergency Medicine Physician
- Fenton, MO
- NPI 1275586174
-
- Physical Therapist
- Creve Couer, MO
- NPI 1902157225
-
- Emergency Medicine Physician
- Chesterfield, MO
- NPI 1215359815
-
- Emergency Medicine Physician
- Bridgeton, MO
- NPI 1851946370
-
dba Mercy Hospital Lincoln- Family Medicine
- Rural Health Clinic/Center
- Troy, MO
- NPI 1144626219
-
dba SSM Health St. Joseph Hospital - St. Charles Physician Billing
- Emergency Medicine Physician
- Saint Charles, MO
- NPI 1427002922
-
- Pain Medicine (Physical Medicine & Rehabilitation) Physician
- O'Fallon, IL
- NPI 1811940893
-
- Emergency Medicine Physician
- Fort Lauderdale, FL
- NPI 1700747946
-
- Internal Medicine Physician
- Chesterfield, MO
- NPI 1235168410
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Troy, MO
- NPI 1962808733
-
dba SSM Health St. Joseph Hospital - St. Charles
- General Acute Care Hospital
- Saint Charles, MO
- NPI 1467521146
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1574208000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1704412800000",
"number": "1821634247",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1092",
"city": "WASHINGTON",
"state": "MO",
"postal_code": "630908092",
"telephone_number": "636-221-2486"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1063 BIEKER RD",
"city": "WASHINGTON",
"state": "MO",
"postal_code": "630906621",
"telephone_number": "636-221-2486"
}
],
"practiceLocations": [
{
"address_1": "1111 W. Pearce Bouelvard",
"address_purpose": "LOCATION",
"city": "Wentzville",
"state": "MO",
"postal_code": "633851020",
"country_code": "US",
"telephone_number": "636-856-5362",
"fax_number": "636-856-5363",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DOBSCH",
"first_name": "SHANNON",
"middle_name": "DEANN",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-11-20",
"last_updated": "2024-01-05",
"certification_date": "2024-01-04",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MO",
"license": "F10191224",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Washington, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2024; 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.