AIREAL SHASAUNDAI BISHOP NP - NPI 1114594736 - Nurse Practitioner in Bridgeton, MO

Q: 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.

Q: What is Aireal Bishop's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.

Q: When was this NPI record last updated?

The NPPES record for Aireal Bishop was last updated on February 23, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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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

NPI1114594736

Entity TypeIndividualFemale

Primary Taxonomy363LG0600X

Provider Legal NameAIREAL SHASAUNDAI BISHOPCredential: NP

Location Address12800 BOENKER LNBridgeton, MO 63044-2438

Mailing Address12800 Boenker LnBridgeton, MO 63044-2438 · (314) 467-8506 · Fax (314) 467-8506

Phone(314) 467-8506

Fax(314) 467-8506

Sole ProprietorNo

Enumeration DateJune 10, 2021

Last NPPES UpdateFebruary 23, 20232 updates tracked since enumeration

NPPES CertifiedFebruary 15, 2023

✔ NPI 1114594736 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · GerontologyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LG0600X

License✔ Licensed in MO · 2020041038

12800 BOENKER LN, Bridgeton, MO 63044

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Aireal Shasaundai Bishop 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.

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.

New Patient

$86.32 typical visit price

range $55.65 – $169.38

Typical copayment $21.58 (range $13.91 – $42.34)

Most-billed visit code 99203

Established Patient

$98.37 typical visit price

range $17.76 – $137.92

Typical copayment $24.59 (range $4.44 – $34.48)

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.

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.

Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each A4357

DME-Orthotic Devices · category DF000N

1 supplier11 claims11 services$9.38 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 9

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

PHYLICIA LITTLE FNP-BC

Nurse Practitioner (Family)