Shelly Ann Sorden, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

2020034600 Issued in MO

Practice address

400 E Hospital Rd
El Dorado Springs, MO 64744-2024

Phone

(417) 876-2531

Fax

(417) 876-3459

NPI assigned

Oct 15, 2020

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

Enrolled in MO

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 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

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 and National Provider Directory roles.

• Citizens Memorial Healthcare

  • Surgery Physician
  • Bolivar, MO
  • NPI 1568566131

  MO

  Medicare reassignment NPD
• Citizens Memorial Healthcare

  • Rural Health Clinic/Center
  • Willard, MO
  • NPI 1568127397
  NPD

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

{
    "created_epoch": "1602720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602720000000",
    "number": "1851999437",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 E HOSPITAL RD",
            "city": "EL DORADO SPRINGS",
            "state": "MO",
            "postal_code": "647442024",
            "telephone_number": "417-876-2531",
            "fax_number": "417-876-3459"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 E HOSPITAL RD",
            "city": "EL DORADO SPRINGS",
            "state": "MO",
            "postal_code": "647442024",
            "telephone_number": "417-876-2531",
            "fax_number": "417-876-3459"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SORDEN",
        "first_name": "SHELLY",
        "middle_name": "ANN",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-15",
        "last_updated": "2020-10-15",
        "certification_date": "2020-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "2020034600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James Michael Riscoe, MD
• Melody Joy Rohrbaugh, LPC
• Sac Osage Home Health Care Inc
• Jenny Marinda Sibley
• Skills Unlimited Inc
• St Johns Clinic Inc
• State of Missouri
• State of Missouri
• State of Missouri
• State of Missouri

• All providers in El Dorado Springs, MO
• Family Nurse Practitioner in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2020; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.