Individual provider Active NPI

Deena Shelton, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Saint Joseph, MO
National Provider Identifier
1821742503
Registry record updated Sep 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
2022014095 Issued in MO
Practice address
724 N 22ND St
Saint Joseph, MO 64506-2604
Phone
(816) 364-1501
NPI assigned
Feb 10, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 2022014095 MO Primary

Addresses

Primary practice location

724 N 22ND St
Saint Joseph, MO 64506-2604

Mailing address

724 N 22ND St
Saint Joseph, MO 64506-2604
Phone (816) 364-1501

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address dshelton@fgcnow.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO, KS2 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

Enrollment IDStateProvider typePAC IDDetails
I20220927001928 MO Practitioner - Nurse Practitioner 8325424427 Reassigns benefits to 2 organizations
I20240924003632 KS Practitioner - Nurse Practitioner 8325424427 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of Missouri, Kansas City, School of Medicine, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Family Guidance Center for Behavioral HealthcareGroup PAC ID 6800707571, 18 clinicians

Practice addresses (Care Compare)

1405 W Grand Ave
Quail Run Nursing Facility
Cameron, MO 64429-1118
Phone (816) 632-2151

1642 Main St
Suite 3
Atchison, KS 66002-2686
Phone (913) 360-0806

724 N 22ND St
Saint Joseph, MO 64506-2604
Phone (816) 364-1501

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2022014095MOMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mainstream Mental Health Psychiatric/Mental Health CurrentSince Jul 3, 2024 Accepting new patients
Family Guidance Center for Behavioral Healthcare CurrentSince Jun 21, 2022 Accepting new patients
Sunrice Chiropractic LLC PastSince Jun 22, 2012 Accepting new patients

Locations

1642 Main St
#3
Atchison, KS 66002
Phone (913) 360-0806

1642 Main St
Ste 3
Atchison, KS 66002
Phone (913) 360-0806

1405 W Grand Ave
Cameron, MO 64429
Phone (816) 632-2151

724 N 22nd St
Saint Joseph, MO 64506
Phone (816) 396-5800

Organizations & group practices 3

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": "1644451200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725580800000",
    "number": "1821742503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "724 N 22ND ST",
            "city": "SAINT JOSEPH",
            "state": "MO",
            "postal_code": "645062604",
            "telephone_number": "816-364-1501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "724 N 22ND ST",
            "city": "SAINT JOSEPH",
            "state": "MO",
            "postal_code": "645062604",
            "telephone_number": "816-364-1501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHELTON",
        "first_name": "DEENA",
        "credential": "PMHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-02-10",
        "last_updated": "2024-09-06",
        "certification_date": "2024-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MO",
            "license": "2022014095",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "dshelton@fgcnow.org",
            "affiliation": "N",
            "endpointDescription": "work email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "724 N 22nd St",
            "city": "Saint Joseph",
            "state": "MO",
            "country_code": "US",
            "postal_code": "645062604",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Saint Joseph, MO

Sources for this page

Verify at the official NPI Registry.