Individual provider Active NPI

Shawna Lynn Sapaugh, NP-C

  • Nurse Practitioner
  • Sedalia, MO
National Provider Identifier
1932764529
Registry record updated May 8, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
2019008658 Issued in MO
Practice address
1712 S Lafayette Ave
Sedalia, MO 65301-7542
Phone
(660) 827-2526
Fax
(660) 827-5536
NPI assigned
May 8, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 8, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 2019008658 MO Primary

Addresses

Primary practice location

1712 S Lafayette Ave
Sedalia, MO 65301-7542

Mailing address

417 Erdmann Rd
Camdenton, MO 65020-4517
Phone (417) 372-0350

Other names 1

  • Shawna Lynn Gregory Former name

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20190717000953 MO Practitioner - Nurse Practitioner 6002141710 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bothwell Regional Health CenterGroup PAC ID 6103714126, 109 clinicians

Practice addresses (Care Compare)

2301 S Ingram Ave
Sedalia, MO 65301-8121

601 E 14TH St
Sedalia, MO 65301-5972

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2019008658MOMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Bothwell Regional Health Center CurrentSince Jun 25, 2019 Accepting new patients
Bothwell Regional Health Center CurrentSince Jun 25, 2019 Accepting new patients
Bothwell Regional Health Center Current Accepting new patients

Locations

1712 S Lafayette Ave
Sedalia, MO 65301
Phone (660) 827-2526

601 E 14th St
Sedalia, MO 65301
Phone (660) 826-8833

2301 S Ingram Ave
Sedalia, MO 65301
Phone (660) 826-5890

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

Hospital & facility affiliations 6

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": "1557273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1557273600000",
    "number": "1932764529",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "417 ERDMANN RD",
            "city": "CAMDENTON",
            "state": "MO",
            "postal_code": "650204517",
            "telephone_number": "417-372-0350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1712 S LAFAYETTE AVE",
            "city": "SEDALIA",
            "state": "MO",
            "postal_code": "653017542",
            "telephone_number": "660-827-2526",
            "fax_number": "660-827-5536"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAPAUGH",
        "first_name": "SHAWNA",
        "middle_name": "LYNN",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-05-08",
        "last_updated": "2019-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MO",
            "license": "2019008658",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHAWNA",
            "last_name": "GREGORY",
            "middle_name": "LYNN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Sedalia, MO

Sources for this page

Verify at the official NPI Registry.