DR. SHEMYA RAYSHON VAUGHN CRC
NPI 1306165782
Counselor - Professional in Florissant, MO
About Dr. Shemya Rayshon Vaughn Crc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. SHEMYA RAYSHON VAUGHN CRC (NPI 1306165782) is an individual professional provider in Florissant, Missouri, licensed in Missouri (2014002625) and active in the NPI registry since May 2010. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dr. Shemya Rayshon Vaughn Crc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Shemya Vaughn reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
San Jose, CA 95113
- Reassigned Medicare billing, California enrollment
- 3,139 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.
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 Shemya Vaughn's NPI number?
The NPI number for Shemya Vaughn is 1306165782. It was assigned to this individual provider in the NPPES registry on May 24, 2010.
Where is Shemya Vaughn located?
Shemya Vaughn practices at 508 Pelican Cove Dr #5, Florissant, MO 63031. The listed phone number is (517) 203-8695.
What is Shemya Vaughn's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.
Is Shemya Vaughn enrolled in Medicare?
Yes. Shemya Vaughn is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Shemya Vaughn's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Shemya Vaughn reassigns Medicare benefits to Grow Healthcare Group PC (San Jose, CA). 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 Shemya Vaughn's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Shemya Vaughn accept?
Health plans from Medica list Shemya Vaughn 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 Shemya Vaughn was last updated on December 9, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.
# Dr. Shemya Rayshon Vaughn, CRC · NPI 1306165782
Professional provider in Florissant, Missouri. Individual provider, active in the CMS NPPES registry since May 24, 2010.
## Identity
- **NPI:** 1306165782 (Entity type: Individual)
- **Enumerated:** May 24, 2010
- **Primary specialty:** Counselor - Professional · taxonomy 101YP2500X
- **State license:** 2014002625 (Missouri)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 508 PELICAN COVE DR, #5, Florissant, MO 63031-8717
- **Phone:** (517) 203-8695
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Grow Healthcare Group PC (NPI 1154994846, San Jose, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** December 9, 2015
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Source: [NPI Profile](https://npiprofile.com/npi/1306165782) · Data from the CMS NPPES public registry.