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DANIELLE SHADRACH NP
NPI 1053958678
Nurse Practitioner - Family in Springfield, MO

Active since December 02, 2019PECOS Enrolled
1640 E KEARNEY ST, SPRINGFIELD, MO 65803(417) 863-9190 Get Directions Write a Review

NPPES record last updated: December 4, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Dec 4, 2020, Dec 2, 2019 (2 updates tracked since 2019).

About Danielle Shadrach Np NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DANIELLE SHADRACH NP (NPI 1053958678) is an individual family provider in Springfield, Missouri, licensed in Missouri (2020029486) and active in the NPI registry since December 2019. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1053958678
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameDANIELLE SHADRACHCredential: NP
Location Address1640 E KEARNEY STSpringfield, MO 65803-4106
Mailing Address1640 E Kearney StSpringfield, MO 65803-4106 · (417) 863-9190
Phone(417) 863-9190
Sole ProprietorNo
Enumeration DateDecember 2, 2019
Last NPPES UpdateDecember 4, 20202 updates tracked since enumeration
NPPES CertifiedDecember 4, 2020
✔ NPI 1053958678 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in MO · 2020029486
1640 E KEARNEY ST, Springfield, MO 65803
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Danielle Shadrach Np is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Danielle Shadrach reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Mercy Clinic Springfield Communities
5.9 mi
Family Medicine
3231 S NATIONAL AVE STE 220
Springfield, MO 65807
  • Reassigned Medicare billing, Missouri enrollment
  • 1,565 clinicians in this Medicare group
NPI 1245277631 (855) 420-7900

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 65803 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$81.64 typical visit price
range $52.28 – $161.24
Typical copayment $20.41 (range $13.07 – $40.31)
Most-billed visit code 99203
Established Patient
$93.24 typical visit price
range $16.30 – $131.05
Typical copayment $23.31 (range $4.07 – $32.76)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KUNALPREET SINGH GUGNANI MD
Family Medicine
1640 E KEARNEY ST
SPRINGFIELD, MO 65803
Greene County (417) 863-9190
DR. SAMUEL A. CROW II DO
Family Medicine
1640 E KEARNEY ST
SPRINGFIELD, MO 65803
Greene County (417) 863-9190
JOE DEBRAH MD
Family Medicine
1640 E KEARNEY ST
SPRINGFIELD, MO 65803
Greene County (417) 863-9190
DR. MARK R WARD MD
Family Medicine
1640 E KEARNEY ST
SPRINGFIELD, MO 65803
Greene County (417) 863-9190
MERCY CLINIC-SPRINGFIELD COMMUNITIES
Durable Medical Equipment & Medical Supplies
1640 E KEARNEY ST
SPRINGFIELD, MO 65803
Greene County (417) 863-9190
ICHHA SETHI MD
Family Medicine
1640 E KEARNEY ST
SPRINGFIELD, MO 65803
Greene County (417) 863-9190

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Danielle Shadrach's NPI number?

The NPI number for Danielle Shadrach is 1053958678. It was assigned to this individual provider in the NPPES registry on December 2, 2019.

Where is Danielle Shadrach located?

Danielle Shadrach practices at 1640 E Kearney St, Springfield, MO 65803. The listed phone number is (417) 863-9190.

What is Danielle Shadrach's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Danielle Shadrach enrolled in Medicare?

Yes. Danielle Shadrach is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Danielle Shadrach's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Danielle Shadrach reassigns Medicare benefits to Mercy Clinic Springfield Communities (Springfield, MO). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Danielle Shadrach's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Danielle Shadrach was last updated on December 4, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.