DR. SHANA DANDERSON PSY.D, LP
NPI 1144692922
Psychologist in Nixa, MO

Active since October 20, 2015PECOS EnrolledAccepts Medicare Assignment
560 W MOUNT VERNON ST, NIXA, MO 65714(417) 413-1593 Get Directions Write a Review

NPPES record last updated: August 4, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 4, 2025, Sep 27, 2021 (2 updates tracked since 2021).

About Dr. Shana Danderson Psy.d, Lp NPPES

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

DR. SHANA DANDERSON PSY.D, LP (NPI 1144692922) is an individual psychologist in Nixa, Missouri, licensed in Missouri (2015037034) and active in the NPI registry since October 2015. She is enrolled in Medicare PECOS and is a graduate of Other (2015).

NPPES Registry Identity

NPI1144692922
Entity TypeIndividualFemale
Primary Taxonomy103T00000X
Provider Legal NameDR. SHANA DANDERSONCredential: PSY.D, LP
Location Address560 W MOUNT VERNON STNixa, MO 65714-9681
Mailing Address2885 W Battlefield St Ste 203Springfield, MO 65807-3952 · (417) 761-5214
Sole ProprietorYes
Medical School CMSOtherGraduated 2015
Enumeration DateOctober 20, 2015
Last NPPES UpdateAugust 4, 20252 updates tracked since enumeration
NPPES CertifiedAugust 4, 2025
NPI 1144692922 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License Licensed in MO · 2015037034
Definition
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
560 W MOUNT VERNON ST, Nixa, MO 65714

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dr. Shana Danderson Psy.d, Lp is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4880979764
PECOS Enrollment IDI20170315001155
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.

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.

Psychologist (Clinical)
560 W MOUNT VERNON ST
NIXA, MO 65714
Counselor (Professional)
560 W MOUNT VERNON ST
NIXA, MO 65714
Counselor (Professional)
560 W MOUNT VERNON ST
NIXA, MO 65714
Counselor (Professional)
560 W MOUNT VERNON ST
NIXA, MO 65714
Counselor (Professional)
560 W MOUNT VERNON ST
NIXA, MO 65714
Social Worker (Clinical)
560 W MOUNT VERNON ST
NIXA, MO 65714
Marriage & Family Therapist
560 W MOUNT VERNON ST
NIXA, MO 65714
Counselor (Professional)
560 W MOUNT VERNON ST
NIXA, MO 65714

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 Shana Danderson's NPI number?

The NPI number for Shana Danderson is 1144692922. It was assigned to this individual provider in the NPPES registry on October 20, 2015.

Where is Shana Danderson located?

Shana Danderson practices at 560 W Mount Vernon St, Nixa, MO 65714. The listed phone number is (417) 413-1593.

What is Shana Danderson's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

Is Shana Danderson enrolled in Medicare?

Yes. Shana Danderson is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Shana Danderson accept?

Health plans from Anthem Blue Cross and Blue Shield, Cox HealthPlans, Medica, Oscar Insurance Company and UnitedHealthcare list Shana Danderson as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Shana Danderson was last updated on August 4, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months 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.