SHANEK F VACCIANNA-NOE FNP
NPI 1518763960
Nurse Practitioner in Sullivan, MO

Q: What is Shanek Vaccianna-noe's NPI number?

The NPI number for Shanek Vaccianna-noe is 1518763960. It was assigned to this individual provider in the NPPES registry on February 24, 2025.

Q: What is Shanek Vaccianna-noe's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Active since February 24, 2025PECOS EnrolledAccepts Medicare Assignment

965 MATTOX DR, SULLIVAN, MO 63080(573) 860-6000 Get Directions Write a Review

NPPES record last updated: September 18, 2025. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Sep 18, 2025, Feb 24, 2025 (2 updates tracked since 2025).

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About Shanek F Vaccianna-noe Fnp NPPES

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

SHANEK F VACCIANNA-NOE FNP (NPI 1518763960) is an individual nurse practitioner in Sullivan, Missouri, licensed in Missouri (2025005026) and active in the NPI registry since February 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1518763960

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameSHANEK F VACCIANNA-NOECredential: FNP

Location Address965 MATTOX DRSullivan, MO 63080-2365

Mailing AddressPo Box 959318Saint Louis, MO 63195-9318 · (573) 860-6000 · Fax (573) 860-6016

Phone(573) 860-6000

Sole ProprietorNo

Medical School CMSOtherGraduated 2024

Enumeration DateFebruary 24, 2025

Last NPPES UpdateSeptember 18, 20252 updates tracked since enumeration

NPPES CertifiedSeptember 18, 2025

✔ NPI 1518763960 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in MO · 2025005026

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Also ListedNurse Practitioner · Primary CareTaxonomy 363LP2300X · License 2025005026 (MO)

965 MATTOX DR, Sullivan, MO 63080

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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 and accepts Medicare assignment

Shanek F Vaccianna-noe Fnp is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3870010788

PECOS Enrollment IDI20250505002099

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 63080 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

$93.24 typical visit price

range $16.30 – $131.05

Typical copayment $23.31 (range $4.07 – $32.76)

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.

RACHEL SALTZMAN

Dietitian, Registered