1. Home
  2. Directory
  3. Missouri
  4. Memphis
  5. Nurse Practitioner
  6. NPI Profile

MRS. HALEY RAE SHRUM MSN
NPI 1619327111
Nurse Practitioner - Acute Care in Memphis, MO

Active since June 15, 2016PECOS Enrolled
450 E SIGLER AVE, MEMPHIS, MO 63555(660) 465-8511 Get Directions Write a Review

NPPES record last updated: September 12, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Sep 12, 2024, Oct 31, 2023, Aug 19, 2021 and 1 more (4 updates tracked since 2016).

About Mrs. Haley Rae Shrum Msn NPPES

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

MRS. HALEY RAE SHRUM MSN (NPI 1619327111) is an individual acute care provider in Memphis, Missouri, licensed in Missouri (2002003877) and active in the NPI registry since June 2016. She is enrolled in Medicare PECOS and maintains a secondary practice location in Columbia.

NPPES Registry Identity

NPI1619327111
Entity TypeIndividualFemale
Primary Taxonomy363LA2100X
Provider Legal NameMRS. HALEY RAE SHRUMCredential: MSN
Location Address450 E SIGLER AVEMemphis, MO 63555-1726
Mailing AddressPo Box 843966Kansas City, MO 64184-3966 · (573) 884-3300 · Fax (573) 884-0943
Phone(660) 465-8511
Sole ProprietorNo
Enumeration DateJune 15, 2016
Last NPPES UpdateSeptember 12, 20244 updates tracked since enumeration
NPPES CertifiedSeptember 12, 2024
✔ NPI 1619327111 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2100X
License✔ Licensed in MO · 2002003877
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License 2002003877 (MO)
450 E SIGLER AVE, Memphis, MO 63555
Open in Google Maps ↗

Secondary Practice Location 1

Location 1One Hospital DrColumbia, MO 65212-0001 · Phone (573) 882-8091 · Fax (573) 884-1902

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health, Oscar Insurance Company.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Haley Rae Shrum Msn 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 Reassignments

2

Medicare enrollment records show Haley Shrum reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Scotland County Memorial Hospital
Same address
Critical Access
450 E SIGLER AVE
Memphis, MO 63555
  • Reassigned Medicare billing, Missouri enrollment
  • 60 clinicians in this Medicare group
NPI 1083624647 (660) 465-8511
Southeastern Emergency Services Of Memphis, P.C.
530 mi
Emergency Medicine
910 BLACKFORD ST
Chattanooga, TN 37403
  • Reassigned Medicare billing, Missouri enrollment
  • Medicare enrollment name: Southeastern Emergency Services Of Memphis PC
  • 89 clinicians in this Medicare group
NPI 1164454450 (865) 693-1000

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 63555 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.

SCOTLAND COUNTY MEMORIAL HOSPITAL
General Acute Care Hospital (Critical Access)
450 E SIGLER AVE
MEMPHIS, MO 63555
Scotland County (660) 465-8511
MRS. CARRIE HAMNER P.T.
Physical Therapist
450 E SIGLER AVE
MEMPHIS, MO 63555
Scotland County (660) 465-8513
MRS. LOIS QUENNEVILLE P.A.
Physician Assistant
450 E SIGLER AVE
MEMPHIS, MO 63555
Scotland County (660) 465-8511
MRS. ANDREA MARIE GRAHAM RD,LD
Dietitian, Registered
450 E SIGLER AVE
MEMPHIS, MO 63555
Scotland County (660) 465-8511
EMMAGAIL GRACE MARSHALL PTA
Physical Therapy Assistant
450 E SIGLER AVE
MEMPHIS, MO 63555
Scotland County (660) 465-8513
SCOTLAND COUNTY MEMORIAL HOSPITAL
General Acute Care Hospital (Critical Access)
450 E SIGLER AVE
MEMPHIS, MO 63555
Scotland County (660) 465-8511
HOSSAIN MESBAH MD
Family Medicine
450 E SIGLER AVE
MEMPHIS, MO 63555
Scotland County (660) 465-8513
TERESA MARIE KIRCHNER
Nurse Practitioner (Family)
450 E SIGLER AVE, STE A
MEMPHIS, MO 63555
Scotland County (660) 465-2820

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 Haley Shrum's NPI number?

The NPI number for Haley Shrum is 1619327111. It was assigned to this individual provider in the NPPES registry on June 15, 2016.

Where is Haley Shrum located?

Haley Shrum practices at 450 E Sigler Ave, Memphis, MO 63555. The listed phone number is (660) 465-8511.

What is Haley Shrum's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Is Haley Shrum enrolled in Medicare?

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

Which organizations bill Medicare for Haley Shrum's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Haley Shrum reassigns Medicare benefits to 2 organizations: Scotland County Memorial Hospital (Memphis, MO) and Southeastern Emergency Services Of Memphis, P.C. (Chattanooga, TN). Each 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 Haley Shrum's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Haley Shrum accept?

Health plans from Oscar Health and Oscar Insurance Company list Haley Shrum 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 Haley Shrum was last updated on September 12, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.