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SHELLY L GUDEHUS FNP
NPI 1629043849
Nurse Practitioner - Family in Jefferson City, MO

Active since February 21, 2006PECOS Enrolled
1125 MADISON ST, JEFFERSON CITY, MO 65101(573) 632-5580(573) 632-5876 Get Directions Write a Review

NPPES record last updated: November 8, 2016. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Nov 8, 2016, Feb 10, 2016 (2 updates tracked since 2016).

About Shelly L Gudehus Fnp NPPES

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

SHELLY L GUDEHUS FNP (NPI 1629043849) is an individual family provider in Jefferson City, Missouri, licensed in Missouri (133429) and active in the NPI registry since February 2006. She is enrolled in Medicare PECOS, is affiliated with Ssm Health St Mary's Hospital Jefferson City, and is a graduate of Other (1999).

NPPES Registry Identity

NPI1629043849
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameSHELLY L GUDEHUSCredential: FNP
Location Address1125 MADISON STJefferson City, MO 65101-5227
Mailing Address1125 Madison StJefferson City, MO 65101-5227 · (573) 632-5580 · Fax (573) 632-5876
Phone(573) 632-5580
Fax(573) 632-5876
Sole ProprietorNo
Medical School CMSOtherGraduated 1999
Enumeration DateFebruary 21, 2006
Last NPPES UpdateNovember 8, 20162 updates tracked since enumeration
✔ NPI 1629043849 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
Licenses✔ Licensed in MO · 133429✔ Licensed in IL · 209000687
Also ListedNurse PractitionerTaxonomy 363L00000X · License 133429 (MO)
1125 MADISON ST, Jefferson City, MO 65101
Open in Google Maps ↗

Other Identifiers 3

OtherRN LICENSEIL · 041319304
Other133429MO · Mo License
Medicare UPINS82507

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Medica.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Shelly L Gudehus Fnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6103843396
PECOS Enrollment IDI20100120000703
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

3

Medicare enrollment records show Shelly Gudehus reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Community Health Ctr Of Central Missouri
0.6 mi
Federally Qualified Health Center (FQHC)
1511 CHRISTY DR
Jefferson City, MO 65101
  • Reassigned Medicare billing, Missouri enrollment
  • 32 clinicians in this Medicare group
NPI 1972001386 (573) 632-2777
The Curators Of The University Of Missouri
27 mi
Multi-Specialty
1 HOSPITAL DR
Columbia, MO 65212
  • Reassigned Medicare billing, Missouri enrollment
  • 1,395 clinicians in this Medicare group
NPI 1235126921 (573) 882-4141
Southeastern Emergency Services Of Memphis, P.C.
452 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.

Hospital Affiliations CMS Care Compare 2

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

Ssm Health St Mary's Hospital Jefferson City

Acute Care Hospitals · Jefferson City, MO
3/5 CMS rating
OwnershipProprietary
CMS Certification Number260011
Location2505 Mission DriveJefferson City, MO 65109 · Cole County
Emergency services Birthing friendly

University Of Missouri Health Care

Acute Care Hospitals · Columbia, MO
2/5 CMS rating
OwnershipGovernment - State
CMS Certification Number260141
LocationOne Hospital DriveColumbia, MO 65212 · Boone County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 65101 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.

MRS. HEATHER DAWN BARNES OTR
Occupational Therapist
1125 MADISON ST
JEFFERSON CITY, MO 65101
Cole County (573) 632-5651
CAPITAL REGION MEDICAL CENTER
Durable Medical Equipment & Medical Supplies
1125 MADISON ST
JEFFERSON CITY, MO 65101
Cole County (573) 632-5750
DR. DANIEL HULSE DO
Student in an Organized Health Care Education/Training Program
1125 MADISON ST
JEFFERSON CITY, MO 65101
Cole County (573) 623-5301
MRS. LANA ELAINE WANSTREET CRNA
Nurse Anesthetist, Certified Registered
1125 MADISON ST
JEFFERSON CITY, MO 65101
Cole County (573) 632-5000
SUSAN STACKELHOUSE VOSS
Pediatrics
1125 MADISON ST
JEFFERSON CITY, MO 65101
Cole County (573) 632-5525
CAPITAL REGION MEDICAL CENTER
Psychiatry & Neurology (Neurology)
1125 MADISON ST
JEFFERSON CITY, MO 65101
Cole County (573) 632-5666
BART S BOWERS CRNA
Nurse Anesthetist, Certified Registered
1125 MADISON ST
JEFFERSON CITY, MO 65101
Cole County (573) 632-5000
DR. HEMAL YOGESH PATEL MD
Hospitalist
1125 MADISON ST
JEFFERSON CITY, MO 65101
Cole County (573) 632-5000

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 Shelly Gudehus's NPI number?

The NPI number for Shelly Gudehus is 1629043849. It was assigned to this individual provider in the NPPES registry on February 21, 2006.

Where is Shelly Gudehus located?

Shelly Gudehus practices at 1125 Madison St, Jefferson City, MO 65101. The listed phone number is (573) 632-5580.

What is Shelly Gudehus's specialty?

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

Is Shelly Gudehus enrolled in Medicare?

Yes. Shelly Gudehus is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Shelly Gudehus's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Shelly Gudehus reassigns Medicare benefits to 3 organizations: Community Health Ctr Of Central Missouri (Jefferson City, MO), The Curators Of The University Of Missouri (Columbia, 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 Shelly Gudehus's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Shelly Gudehus accept?

Health plans from Anthem Blue Cross and Blue Shield and Medica list Shelly Gudehus 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 Shelly Gudehus affiliated with any hospitals?

According to CMS data, Shelly Gudehus is affiliated with Ssm Health St Mary's Hospital Jefferson City and University Of Missouri Health Care.

When was this NPI record last updated?

The NPPES record for Shelly Gudehus was last updated on November 8, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.