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SHAUNDELLE ANN OLUSANYA DNP
NPI 1801090444
Nurse Practitioner - Family in Rolla, MO

Active since June 14, 2007PECOS Enrolled
1060 S BISHOP AVE, ROLLA, MO 65401(573) 426-5900(573) 426-4466 Get Directions Write a Review

NPPES record last updated: April 15, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Shaundelle Ann Olusanya Dnp NPPES

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

SHAUNDELLE ANN OLUSANYA DNP (NPI 1801090444) is an individual family provider in Rolla, Missouri, licensed in Missouri (2003014072) and active in the NPI registry since June 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1801090444
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameSHAUNDELLE ANN OLUSANYACredential: DNP
Location Address1060 S BISHOP AVERolla, MO 65401-4411
Mailing Address1060 S Bishop AveRolla, MO 65401-4411 · (573) 426-5900 · Fax (573) 426-4466
Phone(573) 426-5900
Fax(573) 426-4466
Sole ProprietorYes
Enumeration DateJune 14, 2007
Last NPPES UpdateApril 15, 2016
✔ NPI 1801090444 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 · 2003014072
1060 S BISHOP AVE, Rolla, MO 65401
Open in Google Maps ↗

Other Identifiers 1

Medicare UPINQ01075MO

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Sunflower Health Plan and more.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)

Shaundelle Ann Olusanya Dnp 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 65401 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 5

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

ROLLA URGENT CARE, LLC
Clinic/Center (Rural Health)
1060 S BISHOP AVE
ROLLA, MO 65401
Phelps County (573) 426-5900
SOUTH CENTRAL MISSOURI COMMUNITY HEALTH CENTER
Clinic/Center (Federally Qualified Health Center (FQHC))
1060 S BISHOP AVE
ROLLA, MO 65401
Phelps County (573) 426-4455
OLUYOMI O OLUSANYA MD
Internal Medicine
1060 S BISHOP AVE
ROLLA, MO 65401
Phelps County (573) 426-5900
BARTLE CHIROPRACTIC LLC
Chiropractor
1060 S BISHOP AVE, B
ROLLA, MO 65401
Phelps County (573) 308-1799
ROLLA URGENT CARE LLC
Internal Medicine
1060 S BISHOP AVE
ROLLA, MO 65401
Phelps County (573) 426-5900

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 Shaundelle Olusanya's NPI number?

The NPI number for Shaundelle Olusanya is 1801090444. It was assigned to this individual provider in the NPPES registry on June 14, 2007.

Where is Shaundelle Olusanya located?

Shaundelle Olusanya practices at 1060 S Bishop Ave, Rolla, MO 65401. The listed phone number is (573) 426-5900.

What is Shaundelle Olusanya's specialty?

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

Is Shaundelle Olusanya enrolled in Medicare?

Yes. Shaundelle Olusanya is registered in the Medicare PECOS enrollment system.

What insurance does Shaundelle Olusanya accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health and Ambetter from Sunflower Health Plan and 2 other insurers list Shaundelle Olusanya 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 Shaundelle Olusanya was last updated on April 15, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.