Shelley Hiesberger, NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

118768 Issued in MO

Practice address

760 NW Blue Parkway
Lee's Summit, MO 64086-5713

Phone

(913) 297-7472

Fax

(816) 347-2657

NPI assigned

Oct 5, 2009

Last updated

Jun 2, 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 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

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.

• Complete Coverage LLC

  • Family Medicine Physician
  • Lee's Summit, MO
  • NPI 1467725341
  NPD (past)

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

{
    "created_epoch": "1254700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1622592000000",
    "number": "1831424100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "760 NW BLUE PARKWAY",
            "city": "LEE'S SUMMIT",
            "state": "MO",
            "postal_code": "640865713",
            "telephone_number": "913-297-7472",
            "fax_number": "816-347-2657"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "760 NW BLUE PARKWAY",
            "city": "LEE'S SUMMIT",
            "state": "MO",
            "postal_code": "640865713",
            "telephone_number": "913-297-7472",
            "fax_number": "816-347-2657"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HIESBERGER",
        "first_name": "SHELLEY",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-10-05",
        "last_updated": "2021-06-02",
        "certification_date": "2021-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "118768",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Madelyn Joy Hershberger, LPC
• Christina Nicole Hess
• Isabella Hess, MS, PLPC
• Megan Hickey
• Sheila Y Hicks, CRNA
• Highs and Lows LLC
• David John Hilbert, DC
• Hill Pro-Motion Physical Therapy
• Hill Pro-Motion Physical Therapy, LLC
• Amy Hill

• Family Nurse Practitioner in Lee's Summit, MO
• Providers in Lee's Summit, 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 Jun 2, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.