Individual provider Active NPI

Shayla Sanders, FNP-BC

  • Family Nurse Practitioner
  • Kansas City, MO
National Provider Identifier
1841607900
Registry record updated Apr 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
2014023980 Issued in MO
Practice address
1501 Westport Rd
Kansas City, MO 64111-4366
Phone
(816) 282-0131
Fax
(816) 282-0136
NPI assigned
Jul 21, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 12, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 2014023980 MO Primary

Addresses

Primary practice location

1501 Westport Rd
Kansas City, MO 64111-4366

Mailing address

12721 Eagle Dr
Pollock, MO 63560-2612
Phone (660) 265-5879

Other practice location 1

509 N Madison St
Bloomfield, IA 52537-1271
Phone (641) 664-2145

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA, MO2 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
I20141120001524 IA Practitioner - Nurse Practitioner 6103062146 Reassigns benefits to 2 organizations
I20151109001826 MO Practitioner - Nurse Practitioner 6103062146 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wayne County HospitalGroup PAC ID 4082508734, 46 clinicians

Practice addresses (Care Compare)

109 Broad St
Humeston, IA 50123-7736
Phone (641) 877-6108

417 S E St
Corydon, IA 50060-1860
Phone (641) 872-2063

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
2014023980MOMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Davis County Hospital CurrentSince Jan 28, 2015 Accepting new patients
Lucas County Health Center CurrentSince Apr 1, 2020 Accepting new patients
Davis County Hospital CurrentSince Jan 28, 2015 Accepting new patients
Wayne County Hospital Current Accepting new patients
Macon County Samaritan Hospital CurrentSince Nov 16, 2019 Accepting new patients
Lucas County Heatlh Center CurrentSince Apr 1, 2020 Accepting new patients
Wayne County Hospital Family Past Accepting new patients

Locations

509 N Madison St
Bloomfield, IA 52537
Phone (641) 664-2145

1200 N 7th St
Chariton, IA 50049
Phone (515) 774-3000

417 S East St
Corydon, IA 50060
Phone (641) 872-2260

417 S East St
Ste 100
Corydon, IA 50060
Phone (515) 872-2063

1205 N Missouri St
Macon, MO 63552
Phone (660) 385-3151

Interoperability endpoints

  • Direct secure messaging: ssanders71533@uihcdirect.org
  • Direct secure messaging: ssanders@wchclinics.gwaydirect.com

Organizations & group practices 8

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.

Hospital & facility affiliations 2

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

NPI Registry JSON

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

{
    "created_epoch": "1405900800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649721600000",
    "number": "1841607900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12721 EAGLE DR",
            "city": "POLLOCK",
            "state": "MO",
            "postal_code": "635602612",
            "telephone_number": "660-265-5879"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 WESTPORT RD",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641114366",
            "telephone_number": "816-282-0131",
            "fax_number": "816-282-0136"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "509 N Madison St",
            "address_purpose": "LOCATION",
            "city": "Bloomfield",
            "state": "IA",
            "postal_code": "525371271",
            "country_code": "US",
            "telephone_number": "641-664-2145",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SANDERS",
        "first_name": "SHAYLA",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-07-21",
        "last_updated": "2022-04-12",
        "certification_date": "2022-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "2014023980",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kansas City, MO

Sources for this page

Verify at the official NPI Registry.