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KATHERINE MARIE SHINE MSN, FNP
NPI 1427482157
Nurse Practitioner - Family in Saint Louis, MO

Active since August 29, 2013PECOS Enrolled
621 S NEW BALLAS RD STE 5003B, SAINT LOUIS, MO 63141(314) 251-8892(314) 251-8894 Get Directions Write a Review

NPPES record last updated: August 14, 2019. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Aug 14, 2019, Dec 1, 2015 (2 updates tracked since 2015).

About Katherine Marie Shine Msn, Fnp NPPES

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

KATHERINE MARIE SHINE MSN, FNP (NPI 1427482157) is an individual family provider in Saint Louis, Missouri, licensed in Missouri (2004018456) and active in the NPI registry since August 2013. She is enrolled in Medicare PECOS and maintains a secondary practice location in Belleville.

NPPES Registry Identity

NPI1427482157
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameKATHERINE MARIE SHINECredential: MSN, FNP
Location Address621 S NEW BALLAS RD STE 5003BSaint Louis, MO 63141
Mailing Address621 S New Ballas Rd Ste 5003bSaint Louis, MO 63141-8270 · (314) 251-8892 · Fax (314) 251-8894
Phone(314) 251-8892
Fax(314) 251-8894
Sole ProprietorNo
Enumeration DateAugust 29, 2013
Last NPPES UpdateAugust 14, 20192 updates tracked since enumeration
✔ NPI 1427482157 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in MO · 2004018456
621 S NEW BALLAS RD STE 5003B, Saint Louis, MO 63141
Open in Google Maps ↗

Secondary Practice Location 1

Location 12900 Frank Scott Pkwy W Ste 914Belleville, IL 62223-5000 · Phone (618) 277-1413 · Fax (618) 277-1415

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Sunflower Health Plan, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Katherine Marie Shine Msn, Fnp 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.

Medicare Billing Reassignment

Medicare enrollment records show Katherine Shine reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Mercy Clinic Child Neurology, LLC
Same address
Neurology with Special Qualifications in Child Neurology
621 S NEW BALLAS RD, SUITE 5009-B
Saint Louis, MO 63141
  • Reassigned Medicare billing, Missouri enrollment
  • 4 clinicians in this Medicare group
NPI 1285930206 (314) 251-5866

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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
$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.

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.

MRS. JESSICA LYNN BOEDEKER FNP
Nurse Practitioner (Family)
621 S NEW BALLAS RD STE 5003B
SAINT LOUIS, MO 63141
St. Louis County (314) 251-8892
TIMOTHY JEFFRIES PHARMD
Pharmacist
621 S NEW BALLAS RD STE 5003B
SAINT LOUIS, MO 63141
St. Louis County (314) 251-8892
DR. BRITTANY ANN LEGG M.D.
Psychiatry & Neurology (Neurology)
621 S NEW BALLAS RD STE 5003B
SAINT LOUIS, MO 63141
St. Louis County (314) 251-8892
FLETCHER HOAGUE LMSW
Social Worker (Clinical)
621 S NEW BALLAS RD STE 5003B
SAINT LOUIS, MO 63141
St. Louis County (314) 251-6933
ANA DEL CARMEN VAQUER-ALICEA MD
Psychiatry & Neurology (Neurology)
621 S NEW BALLAS RD STE 5003B
SAINT LOUIS, MO 63141
St. Louis County (314) 251-8892
MOHAMED ALWAN M.D.
Psychiatry & Neurology (Neurology)
621 S NEW BALLAS RD STE 5003B
SAINT LOUIS, MO 63141
St. Louis County (314) 251-8892
PATRICIA DANIELLE SCHRADER NP-C
Nurse Practitioner (Adult Health)
621 S NEW BALLAS RD STE 5003B
SAINT LOUIS, MO 63141
St. Louis County (314) 251-8892
DR. MICHAEL DRYDEN MD
Psychiatry & Neurology (Neurology)
621 S NEW BALLAS RD STE 5003B
SAINT LOUIS, MO 63141
St. Louis County (314) 251-8892

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 Katherine Shine's NPI number?

The NPI number for Katherine Shine is 1427482157. It was assigned to this individual provider in the NPPES registry on August 29, 2013.

Where is Katherine Shine located?

Katherine Shine practices at 621 S New Ballas Rd Ste 5003B, Saint Louis, MO 63141. The listed phone number is (314) 251-8892.

What is Katherine Shine's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Katherine Shine enrolled in Medicare?

Yes. Katherine Shine is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Katherine Shine's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Katherine Shine reassigns Medicare benefits to Mercy Clinic Child Neurology, LLC (Saint Louis, MO). 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 Katherine Shine's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Katherine Shine accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Arkansas Health & Wellness, Ambetter from Sunflower Health Plan and Ambetter of Oklahoma and 3 other insurers list Katherine Shine 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 Katherine Shine was last updated on August 14, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.