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MR. MICHEAL HAYDON SHRUM PA
NPI 1417546193
Physician Assistant in Saint Louis, MO

Active since January 15, 2021PECOS Enrolled
615 S NEW BALLAS RD, SAINT LOUIS, MO 63141(314) 251-6339 Get Directions Write a Review

NPPES record last updated: September 8, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 8, 2022, Aug 28, 2022, Jan 15, 2021 (3 updates tracked since 2021).

About Mr. Micheal Haydon Shrum Pa NPPES

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

MR. MICHEAL HAYDON SHRUM PA (NPI 1417546193) is an individual physician assistant in Saint Louis, Missouri, licensed in Missouri (2022033888) and active in the NPI registry since January 2021. He is enrolled in Medicare PECOS and maintains a secondary practice location in Saint Louis.

NPPES Registry Identity

NPI1417546193
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameMR. MICHEAL HAYDON SHRUMCredential: PA
Location Address615 S NEW BALLAS RDSaint Louis, MO 63141-8221
Mailing Address705 Wild Horse Creek DrFairview Heights, IL 62208-2047 · (618) 954-3043
Phone(314) 251-6339
Sole ProprietorNo
Enumeration DateJanuary 15, 2021
Last NPPES UpdateSeptember 8, 20223 updates tracked since enumeration
NPPES CertifiedSeptember 8, 2022
✔ NPI 1417546193 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in MO · 2022033888
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
615 S NEW BALLAS RD, Saint Louis, MO 63141
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Secondary Practice Location 1

Location 13437 Caroline St # 3082Saint Louis, MO 63104-1111 · Phone (314) 977-8644

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Micheal Haydon Shrum Pa 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 63141 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
$69.50 typical visit price
range $17.76 – $137.92
Typical copayment $17.37 (range $4.44 – $34.48)
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.

MRS. PATRICIA ANN RICE APN
Nurse Practitioner (Family)
615 S NEW BALLAS RD
SAINT LOUIS, MO 63141
St. Louis County (314) 251-6339
MARY BETH WALKER FNP
Nurse Practitioner (Family)
615 S NEW BALLAS RD
SAINT LOUIS, MO 63141
St. Louis County (314) 251-6000
LOVEPREET SINGH RANDHAWA MD
Internal Medicine
615 S NEW BALLAS RD
SAINT LOUIS, MO 63141
St. Louis County (314) 251-6339
DR. CONNOR ROBERT REIS DO
Internal Medicine
615 S NEW BALLAS RD
SAINT LOUIS, MO 63141
St. Louis County (314) 251-6930
MR. SHEBY THOMAS AA-S
Anesthesiologist Assistant
615 S NEW BALLAS RD, DEPT OF ANESTHESIOLOGY
SAINT LOUIS, MO 63141
St. Louis County (636) 386-9224
JOSE L OLIVER SEGARRA
Dentist (General Practice)
615 S NEW BALLAS RD
SAINT LOUIS, MO 63141
St. Louis County (314) 251-6382
CAREN BIRKENKAMP PMHNP-BC
Nurse Practitioner (Psychiatric/Mental Health)
615 S NEW BALLAS RD
SAINT LOUIS, MO 63141
St. Louis County (314) 251-6000
ANAS M HASIC MD
Internal Medicine
615 S NEW BALLAS RD
SAINT LOUIS, MO 63141
St. Louis County (314) 509-5305

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 Micheal Shrum's NPI number?

The NPI number for Micheal Shrum is 1417546193. It was assigned to this individual provider in the NPPES registry on January 15, 2021.

Where is Micheal Shrum located?

Micheal Shrum practices at 615 S New Ballas Rd, Saint Louis, MO 63141. The listed phone number is (314) 251-6339.

What is Micheal Shrum's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Micheal Shrum enrolled in Medicare?

Yes. Micheal Shrum is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Micheal Shrum was last updated on September 8, 2022. 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.