Shannon Michelle Bay, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

2019021586 Issued in MO

Practice address

1400 US Highway 61 Ste G50
Festus, MO 63028-4142

Phone

(314) 366-4874

Fax

(314) 366-4875

NPI assigned

Jul 8, 2019

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

Other names 1

• Shannon Michelle Leftridge Former name

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, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Missouri Medical Providers LLCGroup PAC ID 2365855913, 4 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Ste Genevieve County Memorial Hospital Hospital, Sainte Genevieve, MO, CCN 261330

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science, 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 and National Provider Directory roles.

• Missouri Medical Providers LLC

  • Family Nurse Practitioner
  • Cape Girardeau, MO
  • NPI 1043817323
  Medicare reassignment Care Compare group NPD
• Ozarks Medical Center

  • General Acute Care Hospital
  • West Plains, MO
  • NPI 1831115641
  NPD (past)
• STL Bariatrics LP

  • Specialist
  • Saint Louis, MO
  • NPI 1578037131
  NPD (past)

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

• Ste Genevieve County Memorial Hospital

  • Critical Access Hospital
  • Ste Genevieve, MO
  • NPI 1073587655
  Care Compare affiliation

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

{
    "created_epoch": "1562544000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660262400000",
    "number": "1992367213",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 US HIGHWAY 61 STE G50",
            "city": "FESTUS",
            "state": "MO",
            "postal_code": "630284142",
            "telephone_number": "314-366-4874",
            "fax_number": "314-366-4875"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 US HIGHWAY 61 STE G50",
            "city": "FESTUS",
            "state": "MO",
            "postal_code": "630284142",
            "telephone_number": "314-366-4874",
            "fax_number": "314-366-4875"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10296 Big Bend Rd Ste 206",
            "address_purpose": "LOCATION",
            "city": "Saint Louis",
            "state": "MO",
            "postal_code": "631226582",
            "country_code": "US",
            "telephone_number": "314-366-4874",
            "fax_number": "314-366-4875",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BAY",
        "first_name": "SHANNON",
        "middle_name": "MICHELLE",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-08",
        "last_updated": "2022-08-12",
        "certification_date": "2022-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "2019021586",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHANNON",
            "last_name": "LEFTRIDGE",
            "middle_name": "MICHELLE",
            "credential": "FNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Ammar Barakat, M.D
• Kelly Lin Barnes, DPT
• Daniel P Barry
• Linda Suzanne Basler, NP-C
• Alison A Bauer, MPT
• Ronald L Beach, M.D.
• Monica L Beauchamp
• Jennifer Jo Becker, APRN
• Valerie Beckett
• Joseph Robert Behrens, MD

• Family Nurse Practitioner in Festus, MO
• Providers in Festus, 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 Aug 12, 2022; 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.