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

Q: 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.

Q: What is Shelly Gudehus's specialty?

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

Q: 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 9 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.

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: August 16, 2026.

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

On this page

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, UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

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.

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