SHUNDRA MITCHELL-HOLLIDAY
NPI 1437314705
Nurse Practitioner - Psychiatric/Mental Health in Saint Louis, MO

Q: What is Shundra Mitchell-holliday's NPI number?

The NPI number for Shundra Mitchell-holliday is 1437314705. It was assigned to this individual provider in the NPPES registry on July 25, 2008.

Q: What is Shundra Mitchell-holliday's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Active since July 25, 2008PECOS Enrolled

1 JEFFERSON BARRACKS DR, SAINT LOUIS, MO 63125(314) 652-4100 Get Directions Write a Review

NPPES record last updated: August 3, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Aug 3, 2026, Apr 18, 2017 (2 updates tracked since 2017).

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About Shundra Mitchell-holliday NPPES

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

SHUNDRA MITCHELL-HOLLIDAY (NPI 1437314705) is an individual psychiatric/mental health provider in Saint Louis, Missouri, licensed in Tennessee (14152) and active in the NPI registry since July 2008. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1437314705

Entity TypeIndividualFemale

Primary Taxonomy363LP0808X

Provider Legal NameSHUNDRA MITCHELL-HOLLIDAY

Location Address1 JEFFERSON BARRACKS DRSaint Louis, MO 63125-4181

Mailing Address260 Turnberry Pl Apt FSaint Peters, MO 63376-4475

Phone(314) 652-4100

Sole ProprietorYes

Enumeration DateJuly 25, 2008

Last NPPES UpdateAugust 3, 20262 updates tracked since enumeration

NPPES CertifiedAugust 3, 2026

✔ NPI 1437314705 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

License✔ Licensed in TN · 14152

1 JEFFERSON BARRACKS DR, Saint Louis, MO 63125

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Shundra Mitchell-holliday 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 Shundra Mitchell-holliday reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Moonshot Psychiatric Nurse Practitioner PC

1,726 mi

Psychiatric/Mental Health

4803 FREMONT AVE N
Seattle, WA 98103

Reassigned Medicare billing, Tennessee enrollment
4 clinicians in this Medicare group

NPI 1669158879 (855) 444-7258

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 63125 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 20

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

SUSAN GILMOR LCSW

Social Worker