MRS. SHELBY LYNN ICENHOWER NP-C
NPI 1619645918
Nurse Practitioner - Family in Springfield, MO

Active since September 01, 2021PECOS EnrolledAccepts Medicare Assignment
1235 E CHEROKEE ST, SPRINGFIELD, MO 65804(417) 820-2115 Get Directions Write a Review

NPPES record last updated: September 1, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mrs. Shelby Lynn Icenhower Np-c NPPES

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

MRS. SHELBY LYNN ICENHOWER NP-C (NPI 1619645918) is an individual family provider in Springfield, Missouri, licensed in Missouri (2021031470) and active in the NPI registry since September 2021. She is enrolled in Medicare PECOS, is affiliated with Mercy Hospital Springfield, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1619645918
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMRS. SHELBY LYNN ICENHOWERCredential: NP-C
Location Address1235 E CHEROKEE STSpringfield, MO 65804-2203
Mailing Address1235 E Cherokee StSpringfield, MO 65804-2203
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateSeptember 1, 2021
NPPES CertifiedSeptember 1, 2021
NPI 1619645918 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 · 2021031470
1235 E CHEROKEE ST, Springfield, MO 65804

Accepted Insurance

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

Mrs. Shelby Lynn Icenhower Np-c 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 ID8123426046
PECOS Enrollment IDI20211007000942
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.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
61 services60 patients
Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
20 services19 patients
Emergency department visit with low level of medical decision making 99283
An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.
17 services17 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Mercy Hospital Springfield

Acute Care Hospitals · Springfield, MO
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number260065
Location1235 E CherokeeSpringfield, MO 65804 · Greene County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 65804 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.

Internal Medicine
1235 E CHEROKEE ST
SPRINGFIELD, MO 65804
Emergency Medicine
1235 E CHEROKEE ST
SPRINGFIELD, MO 65804
Anesthesiology
1235 E CHEROKEE ST
SPRINGFIELD, MO 65804
Nurse Anesthetist, Certified Registered
1235 E CHEROKEE ST
SPRINGFIELD, MO 65804
Speech-Language Pathologist
1235 E CHEROKEE ST
SPRINGFIELD, MO 65804
Nurse Practitioner (Gerontology)
1235 E CHEROKEE ST
SPRINGFIELD, MO 65804
Physician Assistant
1235 E CHEROKEE ST
SPRINGFIELD, MO 65804
Nurse Anesthetist, Certified Registered
1235 E CHEROKEE ST
SPRINGFIELD, MO 65804

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 Shelby Icenhower's NPI number?

The NPI number for Shelby Icenhower is 1619645918. It was assigned to this individual provider in the NPPES registry on September 1, 2021.

Where is Shelby Icenhower located?

Shelby Icenhower practices at 1235 E Cherokee St, Springfield, MO 65804. The listed phone number is (417) 820-2115.

What is Shelby Icenhower's specialty?

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

Is Shelby Icenhower enrolled in Medicare?

Yes. Shelby Icenhower is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Shelby Icenhower accept?

Health plans from Medica list Shelby Icenhower 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.

Is Shelby Icenhower affiliated with any hospitals?

According to CMS data, Shelby Icenhower is affiliated with Mercy Hospital Springfield.

When was this NPI record last updated?

The NPPES record for Shelby Icenhower was last updated on September 1, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.