SHANIKA SHANTA PRUITT FNP-BC
NPI 1659818904
Nurse Practitioner - Family in Saint Louis, MO

Q: What is Shanika Pruitt's NPI number?

The NPI number for Shanika Pruitt is 1659818904. It was assigned to this individual provider in the NPPES registry on January 25, 2017.

Q: What is Shanika Pruitt'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 Shanika Pruitt was last updated on December 8, 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.

Active since January 25, 2017PECOS Enrolled

1400 LEMAY FERRY RD, SAINT LOUIS, MO 63125(314) 827-6868(314) 627-4546 Get Directions Write a Review

NPPES record last updated: December 8, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 8, 2021, Jan 25, 2017 (2 updates tracked since 2017).

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About Shanika Shanta Pruitt Fnp-bc NPPES

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

SHANIKA SHANTA PRUITT FNP-BC (NPI 1659818904) is an individual family provider in Saint Louis, Missouri, licensed in Missouri (2017000938) and active in the NPI registry since January 2017. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1659818904

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameSHANIKA SHANTA PRUITTCredential: FNP-BC

Location Address1400 LEMAY FERRY RDSaint Louis, MO 63125

Mailing Address225 Saint Louis Ave Unit 11169Saint Louis, MO 63135-2783 · (314) 827-6868 · Fax (314) 627-4546

Phone(314) 827-6868

Fax(314) 627-4546

Sole ProprietorNo

Enumeration DateJanuary 25, 2017

Last NPPES UpdateDecember 8, 20212 updates tracked since enumeration

NPPES CertifiedDecember 2, 2021

✔ NPI 1659818904 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 · 2017000938

1400 LEMAY FERRY RD, Saint Louis, MO 63125

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Shanika Shanta Pruitt Fnp-bc 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.

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.

Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes 99310

A follow-up nursing facility visit is a routine check-up that typically lasts about 35 minutes. During this visit, your health status is evaluated, any changes in your condition are noted, and necessary adjustments to your care plan are made. It's an essential part of maintaining your health.

68 services40 patients

Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309

A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.

19 services15 patients

Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes 99310

13 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 63125 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

$86.32 typical visit price

range $55.65 – $169.38

Typical copayment $21.58 (range $13.91 – $42.34)

Most-billed visit code 99203

Established Patient

$98.37 typical visit price

range $17.76 – $137.92

Typical copayment $24.59 (range $4.44 – $34.48)

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 10

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. LILIANA MARIE MEYER PA

Physician Assistant