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MCKENZIE SHIRLEY
NPI 1235828278
Dentist in Cape Girardeau, MO

Active since May 04, 2023PECOS Enrolled
408 S BROADVIEW ST, CAPE GIRARDEAU, MO 63703(573) 334-4753 Get Directions Write a Review

NPPES record last updated: June 8, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mckenzie Shirley NPPES

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

MCKENZIE SHIRLEY (NPI 1235828278) is an individual dentist in Cape Girardeau, Missouri, licensed in Missouri (2026024325) and active in the NPI registry since May 2023. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1235828278
Entity TypeIndividualFemale
Primary Taxonomy122300000X
Provider Legal NameMCKENZIE SHIRLEY
Location Address408 S BROADVIEW STCape Girardeau, MO 63703-5725
Mailing Address545 Wentworth DrJackson, MO 63755-3416 · (901) 413-2701
Phone(573) 334-4753
Sole ProprietorNo
Enumeration DateMay 4, 2023
Last NPPES UpdateJune 8, 2026
NPPES CertifiedJune 8, 2026
✔ NPI 1235828278 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in MO · 2026024325
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
408 S BROADVIEW ST, Cape Girardeau, MO 63703
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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)

Mckenzie Shirley 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 63703 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
$65.71 typical visit price
range $16.30 – $131.05
Typical copayment $16.42 (range $4.07 – $32.76)
Most-billed visit code 99213
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 20

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

CHARLENE L MINTON DMD
Dentist
408 S BROADVIEW ST
CAPE GIRARDEAU, MO 63703
Cape Girardeau County (573) 332-0808
CARLY LYNN CAMERON DMD
Dentist (General Practice)
408 S BROADVIEW ST
CAPE GIRARDEAU, MO 63703
Cape Girardeau County (573) 332-0808
MRS. ANITA N SMITH RD
Dietitian, Registered
408 S BROADVIEW ST
CAPE GIRARDEAU, MO 63703
Cape Girardeau County (573) 332-0808
ASHLEY LIPKE RN, CDE
Registered Nurse (Diabetes Educator)
408 S BROADVIEW ST
CAPE GIRARDEAU, MO 63703
Cape Girardeau County (573) 332-0808
MITRA NEJAT-BINA DDS
Dentist (General Practice)
408 S BROADVIEW ST
CAPE GIRARDEAU, MO 63703
Cape Girardeau County (573) 339-1196
TRACEY D COOLEY
Dental Hygienist
408 S BROADVIEW ST
CAPE GIRARDEAU, MO 63703
Cape Girardeau County (573) 332-0808
LOUIS H ROHLFS DDS
Dentist (General Practice)
408 S BROADVIEW ST
CAPE GIRARDEAU, MO 63703
Cape Girardeau County (573) 332-0808
NANCY K JOHNSON FNP
Nurse Practitioner
408 S BROADVIEW ST
CAPE GIRARDEAU, MO 63703
Cape Girardeau County (573) 332-0808

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 Mckenzie Shirley's NPI number?

The NPI number for Mckenzie Shirley is 1235828278. It was assigned to this individual provider in the NPPES registry on May 4, 2023.

Where is Mckenzie Shirley located?

Mckenzie Shirley practices at 408 S Broadview St, Cape Girardeau, MO 63703. The listed phone number is (573) 334-4753.

What is Mckenzie Shirley's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Is Mckenzie Shirley enrolled in Medicare?

Yes. Mckenzie Shirley is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Mckenzie Shirley was last updated on June 8, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 56 days 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.