SHANIKA SHANTA PRUITT FNP-BC
NPI 1659818904
Nurse Practitioner - Family in Saint Louis, MO
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 and is a graduate of Other (2016).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
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
Shanika Shanta Pruitt Fnp-bc 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 Shanika Pruitt reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Saint Louis, MO 63144
- Reassigned Medicare billing, Missouri enrollment
- 61 clinicians in this Medicare group
Saint Louis, MO 63106
- Reassigned Medicare billing, Missouri enrollment
- 5 clinicians in this Medicare group
Dallas, TX 75244
- Reassigned Medicare billing, Missouri enrollment
- 412 clinicians in this Medicare group
Lanham, MD 20706
- Reassigned Medicare billing, Missouri enrollment
- 31 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.
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.
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.
SAINT LOUIS, MO 63125
SAINT LOUIS, MO 63125
SAINT LOUIS, MO 63125
SAINT LOUIS, MO 63125
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 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.
Where is Shanika Pruitt located?
Shanika Pruitt practices at 1400 Lemay Ferry Rd, Saint Louis, MO 63125. The listed phone number is (314) 827-6868.
What is Shanika Pruitt's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Shanika Pruitt enrolled in Medicare?
Yes. Shanika Pruitt 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 Shanika Pruitt's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Shanika Pruitt reassigns Medicare benefits to 4 organizations: Vpa PC (Saint Louis, MO), Interfaith Residence (Saint Louis, MO), Signify Health, LLC (Dallas, TX) and Post Acute Medical PLLC (Lanham, MD). 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 Shanika Pruitt's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Shanika Pruitt accept?
Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Arkansas Health & Wellness, Ambetter from Sunflower Health Plan and Ambetter of Oklahoma and 2 other insurers list Shanika Pruitt 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.
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.
# Shanika Shanta Pruitt, FNP-BC · NPI 1659818904
Family physician in Saint Louis, Missouri. Individual provider, active in the CMS NPPES registry since January 25, 2017.
## Identity
- **NPI:** 1659818904 (Entity type: Individual)
- **Enumerated:** January 25, 2017
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 2017000938 (Missouri)
- **Sole proprietor:** No
## Practice location
- **Address:** 1400 LEMAY FERRY RD, Saint Louis, MO 63125
- **Phone:** (314) 827-6868 · **Fax:** (314) 627-4546
## 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): Vpa PC (NPI 1760706337, Saint Louis, MO); Interfaith Residence (NPI 1164235362, Saint Louis, MO); Signify Health, LLC (NPI 1689158487, Dallas, TX); Post Acute Medical PLLC (NPI 1730713025, Lanham, MD) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2016
## Record status
- **NPPES last updated:** December 8, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1659818904) · Data from the CMS NPPES public registry.