Shane Allan Philliber, CNP

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

2021049273 Issued in MO

Practice address

530 S Maiden LN
Joplin, MO 64801-3084

Phone

(417) 782-6200

Fax

(417) 782-3084

NPI assigned

Dec 21, 2021

Last updated

Dec 19, 2024By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

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

Specialty

Nurse Practitioner

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Freeman-Oak Hill Health SystemGroup PAC ID 8325942253, 385 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Freeman Health System - Freeman West Hospital, Joplin, MO, CCN 260137

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Practitioner

State licenses

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Freeman-Oak Hill Health System

  dba Freeman Health System

  • General Acute Care Hospital
  • Joplin, MO
  • NPI 1891809679
  Medicare reassignment Care Compare group NPD
• Ozark Tri-County Health Care Consortium

  dba Access Family Care

  • Federally Qualified Health Center (FQHC)
  • Anderson, MO
  • NPI 1265428791
  Medicare reassignment NPD
• Lester E Cox Medical Centers

  dba Coxhealth Urgent Care Ozark

  • Urgent Care Clinic/Center
  • Ozark, MO
  • NPI 1669923884
  Medicare reassignment
• Lester E. Cox Medical Centers

  dba Shell Knob Family Medicine

  • Family Medicine Physician
  • Shell Knob, MO
  • NPI 1538334396
  Medicare reassignment
• Skaggs Community Hospital Association

  dba CoxHealth Urgent Care Branson

  • Urgent Care Clinic/Center
  • Branson, MO
  • NPI 1255870853
  Medicare reassignment
• Freeman-Oak Hill Health System

  dba Freeman Physician Group

  • Multi-Specialty Clinic/Center
  • Joplin, MO
  • NPI 1679517023
  NPD
• Lester E Cox Medical Centers

  dba CoxHealth Neurology

  • Neurology Physician
  • Springfield, MO
  • NPI 1023763414
  NPD
• Lester E Cox Medical Centers

  dba Coxhealth Virtual Visits

  • Family Nurse Practitioner
  • Springfield, MO
  • NPI 1215329610
  NPD
• Lester E Cox Medical Centers

  dba CoxHealth Advantage Care Clinic

  • Geriatric Medicine (Internal Medicine) Physician
  • Springfield, MO
  • NPI 1356068605
  NPD
• Lester E Cox Medical Centers

  dba Coxhealth Urgent Care Sunshine & National

  • Urgent Care Clinic/Center
  • Springfield, MO
  • NPI 1578280483
  NPD
• Ozark Tri-County Health Care Consortium

  dba ACCESS Family Care

  • Federally Qualified Health Center (FQHC)
  • Lamar, MO
  • NPI 1487020418
  NPD
• Ozark Tri-County Health Care Consortium

  dba Access Family Care

  • Federally Qualified Health Center (FQHC)
  • Joplin, MO
  • NPI 1649837444
  NPD

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

• Freeman-Oak Hill Health System

  dba Freeman Health System

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Webb City, MO
  • NPI 1114394228

  Hospital

  Care Compare affiliation
• Freeman-Oak Hill Health System

  dba Freeman Health System

  • General Acute Care Hospital
  • Joplin, MO
  • NPI 1265546048
  Care Compare affiliation

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

{
    "created_epoch": "1640044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734566400000",
    "number": "1891455507",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14741 TULSA LN",
            "city": "STARK CITY",
            "state": "MO",
            "postal_code": "648667964",
            "telephone_number": "417-638-5183"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "530 S MAIDEN LN",
            "city": "JOPLIN",
            "state": "MO",
            "postal_code": "648013084",
            "telephone_number": "417-782-6200",
            "fax_number": "417-782-3084"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1636 S Madison St",
            "address_purpose": "LOCATION",
            "city": "Webb City",
            "state": "MO",
            "postal_code": "648702902",
            "country_code": "US",
            "telephone_number": "417-347-2273",
            "fax_number": "417-347-2277",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1130 E 32nd St",
            "address_purpose": "LOCATION",
            "city": "Joplin",
            "state": "MO",
            "postal_code": "648044034",
            "country_code": "US",
            "telephone_number": "417-347-2273",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PHILLIBER",
        "first_name": "SHANE",
        "middle_name": "ALLAN",
        "credential": "CNP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-12-21",
        "last_updated": "2024-12-19",
        "certification_date": "2024-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "2021049273",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MO",
            "license": "2021049273",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hao Pham
• Tommy Phan, OTR/L
• Pharm Joplin Acquisition, LLC (The Medicine Shoppe Pharmacy)
• Phelan Dermatology & Aesthetics
• Nathaniel M Phelan, MD
• Andrea Dana Lee Phillips, LPC
• John Phillips, DO
• Kirsten Anne Phillips
• Michael Phillips, DO
• Erin Marie Phipps, BCBA, LBA

• Emergency Medicine Physician in Joplin, MO
• Providers in Joplin, MO by specialty
• Emergency Medicine Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 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.

Verify at the official NPI Registry.