AIREAL SHASAUNDAI BISHOP NP
NPI 1114594736
Nurse Practitioner - Gerontology in Bridgeton, MO
About Aireal Shasaundai Bishop Np NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
AIREAL SHASAUNDAI BISHOP NP (NPI 1114594736) is an individual gerontology provider in Bridgeton, Missouri, licensed in Missouri (2020041038) and active in the NPI registry since June 2021. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Aireal Shasaundai Bishop Np is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Aireal Bishop reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Bridgeton, MO 63044
- Reassigned Medicare billing, Missouri enrollment
- 6 clinicians in this Medicare group
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 63044 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Referred Medical Equipment & Supplies CMS DME claims
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
Other Providers at the Same Location NPPES 8
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Aireal Bishop's NPI number?
The NPI number for Aireal Bishop is 1114594736. It was assigned to this individual provider in the NPPES registry on June 10, 2021.
Where is Aireal Bishop located?
Aireal Bishop practices at 12800 Boenker Ln, Bridgeton, MO 63044. The listed phone number is (314) 467-8506.
What is Aireal Bishop's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.
Is Aireal Bishop enrolled in Medicare?
Yes. Aireal Bishop is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Aireal Bishop's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Aireal Bishop reassigns Medicare benefits to Yam Medical Center LLC (Bridgeton, 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 Aireal Bishop'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 Aireal Bishop was last updated on February 23, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Aireal Shasaundai Bishop, NP · NPI 1114594736
Gerontology physician in Bridgeton, Missouri. Individual provider, active in the CMS NPPES registry since June 10, 2021.
## Identity
- **NPI:** 1114594736 (Entity type: Individual)
- **Enumerated:** June 10, 2021
- **Primary specialty:** Nurse Practitioner - Gerontology · taxonomy 363LG0600X
- **State license:** 2020041038 (Missouri)
- **Sole proprietor:** No
## Practice location
- **Address:** 12800 BOENKER LN, Bridgeton, MO 63044-2438
- **Phone:** (314) 467-8506 · **Fax:** (314) 467-8506
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Yam Medical Center LLC (NPI 1568072650, Bridgeton, MO), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** February 23, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1114594736) · Data from the CMS NPPES public registry.