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MRS. SHYANNE MARIE ROSENBAUM FUNCTIONAL MEDICINE
NPI 1669171799
Nurse Practitioner in Gallatin, MO

Active since February 27, 2023PECOS Enrolled
101 INDUSTRIAL PKWY, GALLATIN, MO 64640(660) 663-2423(660) 663-2517 Get Directions Write a Review

NPPES record last updated: July 9, 2024. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Jul 9, 2024, Apr 23, 2024, Mar 7, 2024 and 1 more (4 updates tracked since 2023).

About Mrs. Shyanne Marie Rosenbaum Functional Medicine NPPES

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

MRS. SHYANNE MARIE ROSENBAUM FUNCTIONAL MEDICINE (NPI 1669171799) is an individual nurse practitioner in Gallatin, Missouri, licensed in Missouri (2021003417) and active in the NPI registry since February 2023. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1669171799
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameMRS. SHYANNE MARIE ROSENBAUMCredential: FUNCTIONAL MEDICINE
Location Address101 INDUSTRIAL PKWYGallatin, MO 64640-7418
Mailing Address101 Industrial PkwyGallatin, MO 64640-7418 · (660) 663-2423
Phone(660) 663-2423
Fax(660) 663-2517
Sole ProprietorNo
Enumeration DateFebruary 27, 2023
Last NPPES UpdateJuly 9, 20244 updates tracked since enumeration
NPPES CertifiedJuly 9, 2024
✔ NPI 1669171799 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in MO · 2021003417
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
101 INDUSTRIAL PKWY, Gallatin, MO 64640
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Kansas City.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Shyanne Marie Rosenbaum Functional Medicine 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.

Medicare Billing Reassignment

Medicare enrollment records show Shyanne Rosenbaum reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Cameron Regional Medical Center Inc
19 mi
General Acute Care Hospital
1600 E EVERGREEN ST
Cameron, MO 64429
  • Reassigned Medicare billing, Missouri enrollment
  • 116 clinicians in this Medicare group
NPI 1811905375 (816) 632-2101

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 64640 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 6

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

ACCESS II INDEPENDENT LIVING CENTER INC.
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
101 INDUSTRIAL PKWY
GALLATIN, MO 64640
Daviess County (660) 663-2423
ACCESS II INDEPENDENCE
Clinic/Center (Urgent Care)
101 INDUSTRIAL PKWY
GALLATIN, MO 64640
Daviess County (660) 663-2423
ACCESS II INDEPENDENT LIVING CENTER
Chore Provider
101 INDUSTRIAL PKWY
GALLATIN, MO 64640
Daviess County (660) 663-2423
ACCESS II VETERANS DIRECT CARE AS FISCAL AGENT
In Home Supportive Care
101 INDUSTRIAL PKWY
GALLATIN, MO 64640
Daviess County (660) 663-2423
ACCESS II INDEPENDENT LIVING CENTER
Day Training, Developmentally Disabled Services
101 INDUSTRIAL PKWY
GALLATIN, MO 64640
Daviess County (660) 663-2423
ACCESS II INDEPENDENT LIVING CENTER INC.
In Home Supportive Care
101 INDUSTRIAL PKWY
GALLATIN, MO 64640
Daviess County (660) 663-6101

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 Shyanne Rosenbaum's NPI number?

The NPI number for Shyanne Rosenbaum is 1669171799. It was assigned to this individual provider in the NPPES registry on February 27, 2023.

Where is Shyanne Rosenbaum located?

Shyanne Rosenbaum practices at 101 Industrial Pkwy, Gallatin, MO 64640. The listed phone number is (660) 663-2423.

What is Shyanne Rosenbaum's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Shyanne Rosenbaum enrolled in Medicare?

Yes. Shyanne Rosenbaum is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Shyanne Rosenbaum's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Shyanne Rosenbaum reassigns Medicare benefits to Cameron Regional Medical Center Inc (Cameron, MO). The 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 Shyanne Rosenbaum's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Shyanne Rosenbaum accept?

Health plans from Blue Cross and Blue Shield of Kansas City list Shyanne Rosenbaum 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 Shyanne Rosenbaum was last updated on July 9, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.