MRS. SHELBY LYNN ICENHOWER NP-C
NPI 1619645918
Nurse Practitioner - Family in Springfield, MO
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
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
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.
Medicare Billing Reassignments
4Medicare enrollment records show Shelby Icenhower reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Springfield, MO 65804
- Reassigned Medicare billing, Missouri enrollment
- 169 clinicians in this Medicare group
Springfield, MO 65807
- Reassigned Medicare billing, Missouri enrollment
- 1,487 clinicians in this Medicare group
Springfield, MO 65810
- Reassigned Medicare billing, Missouri enrollment
- 3 clinicians in this Medicare group
Bolivar, MO 65613
- Reassigned Medicare billing, Missouri enrollment
- 128 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
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, MOPhysician 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.
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.
SPRINGFIELD, MO 65804
SPRINGFIELD, MO 65804
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.
Which organizations bill Medicare for Shelby Icenhower's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Shelby Icenhower reassigns Medicare benefits to 4 organizations: Mercy Hospital Springfield (Springfield, MO), Mercy Clinic Springfield Communities (Springfield, MO), Putnam Orthopaedic Center, LLC (Springfield, MO) and Citizens Memorial Hospital District (Bolivar, MO). 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 Shelby Icenhower's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
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 5 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.
# Mrs. Shelby Lynn Icenhower, NP-C · NPI 1619645918
Family physician in Springfield, Missouri. Individual provider, active in the CMS NPPES registry since September 1, 2021.
## Identity
- **NPI:** 1619645918 (Entity type: Individual)
- **Enumerated:** September 1, 2021
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 2021031470 (Missouri)
- **Sole proprietor:** No
## Practice location
- **Address:** 1235 E CHEROKEE ST, Springfield, MO 65804-2203
- **Phone:** (417) 820-2115
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 4 organizations under Medicare reassignment (form CMS-855R): Mercy Hospital Springfield (NPI 1043242159, Springfield, MO); Mercy Clinic Springfield Communities (NPI 1245277631, Springfield, MO); Putnam Orthopaedic Center, LLC (NPI 1275677023, Springfield, MO); Citizens Memorial Hospital District (NPI 1003981549, Bolivar, MO) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2021
## Record status
- **NPPES last updated:** September 1, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1619645918) · Data from the CMS NPPES public registry.