MRS. KENYA SHANTA SHOTWELL FNP-BC
NPI 1740735885
Nurse Practitioner - Family in Saint Louis, MO

Active since August 18, 2016PECOS EnrolledAccepts Medicare Assignment
401 HOLLY HILLS AVE, SAINT LOUIS, MO 63111(314) 353-5190(314) 353-1310 Get Directions Write a Review

NPPES record last updated: August 7, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Aug 7, 2025, Mar 15, 2017, Aug 18, 2016 (3 updates tracked since 2016).

About Mrs. Kenya Shanta Shotwell Fnp-bc NPPES

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

MRS. KENYA SHANTA SHOTWELL FNP-BC (NPI 1740735885) is an individual family provider in Saint Louis, Missouri, licensed in Missouri (2016000991) and active in the NPI registry since August 2016. She is enrolled in Medicare PECOS and is a graduate of Other (2015).

NPPES Registry Identity

NPI1740735885
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMRS. KENYA SHANTA SHOTWELLCredential: FNP-BC
Location Address401 HOLLY HILLS AVESaint Louis, MO 63111-2410
Mailing Address401 Holly Hills AveSaint Louis, MO 63111-2410 · (314) 353-5190 · Fax (314) 353-1310
Fax(314) 353-1310
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateAugust 18, 2016
Last NPPES UpdateAugust 7, 20253 updates tracked since enumeration
NPPES CertifiedAugust 7, 2025
NPI 1740735885 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 · 2016000991
401 HOLLY HILLS AVE, Saint Louis, MO 63111

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Mrs. Kenya Shanta Shotwell 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.

PECOS PAC ID6901192707
PECOS Enrollment IDI20160902001045
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 4

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
111 services60 patients
Hemoglobin a1c level 83036
Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.
74 services46 patients
Continuous monitoring of blood sugar level in tissue fluid using sensor under skin with interpretation and report 95251
This procedure involves placing a small sensor under your skin to continuously monitor your blood sugar levels in tissue fluid. The data is interpreted and a report is generated to help manage your diabetes more effectively.
43 services22 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
43 services38 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 63111 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.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
2 suppliers24 claims24 services$184.01 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Dentist
401 HOLLY HILLS AVE
SAINT LOUIS, MO 63111
Dentist
401 HOLLY HILLS AVE
SAINT LOUIS, MO 63111
Counselor (Mental Health)
401 HOLLY HILLS AVE
SAINT LOUIS, MO 63111
Dental Hygienist
401 HOLLY HILLS AVE
SAINT LOUIS, MO 63111
Dental Hygienist
401 HOLLY HILLS AVE
SAINT LOUIS, MO 63111
Social Worker (Clinical)
401 HOLLY HILLS AVE
SAINT LOUIS, MO 63111
Family Medicine
401 HOLLY HILLS AVE
SAINT LOUIS, MO 63111
Family Medicine
401 HOLLY HILLS AVE
SAINT LOUIS, MO 63111

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1740735885, enumerated as an "individual" on August 18, 2016.

The provider is located at 401 HOLLY HILLS AVE SAINT LOUIS, MO 63111 and the phone number is (314) 353-5190.

Nurse Practitioner with taxonomy code 363LF0000X and a focus in Family.

The provider might be accepting Accepts: Ambetter from Arkansas Health & Wellness, Ambetter. Please consult your insurance carrier or call the provider to verify.