SHAE M MOWRY
NPI 1851054258
Dietitian, Registered in Springfield, IL

Q: What is Shae Mowry's NPI number?

The NPI number for Shae Mowry is 1851054258. It was assigned to this individual provider in the NPPES registry on October 21, 2021. The provider is also known as Shae M Hoffman.

Q: What is Shae Mowry's specialty?

The primary specialty registered for this NPI is Dietitian, Registered with taxonomy code 133V00000X.

Q: When was this NPI record last updated?

The NPPES record for Shae Mowry was last updated on October 21, 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 October 21, 2021Accepts Medicare Assignment

319 E MADISON ST STE 1F, SPRINGFIELD, IL 62701(217) 788-3948(217) 527-3209 Get Directions Write a Review

NPPES record last updated: October 21, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Shae M Mowry NPPES

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

SHAE M MOWRY (NPI 1851054258) is an individual dietitian, registered in Springfield, Illinois, licensed in Illinois (164.007492) and active in the NPI registry since October 2021. She is a graduate of Other (2017).

NPPES Registry Identity

NPI1851054258

Entity TypeIndividualFemale

Primary Taxonomy133V00000X

Provider Legal NameSHAE M MOWRY

Location Address319 E MADISON ST STE 1FSpringfield, IL 62701-3118

Mailing AddressPo Box 3428Springfield, IL 62708-3428 · (217) 588-2624 · Fax (217) 757-7550

Phone(217) 788-3948

Fax(217) 527-3209

Sole ProprietorNo

Medical School CMSOtherGraduated 2017

Enumeration DateOctober 21, 2021

NPPES CertifiedOctober 21, 2021

✔ NPI 1851054258 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDietitian, RegisteredDietary & Nutritional Service Providers

Taxonomy Code133V00000X

License✔ Licensed in IL · 164.007492

Definition

A Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of the Nutrition Care Process (NCP) that exemplify the profession's systematic approach to providing high quality nutrition care. Registered dietitians provide MNT for the purpose of disease prevention or management, or to treat or rehabilitate an illness, injury, or condition, with the use of specific, indicated physical and cognitive nutrition care services comprised of one or more of the following aspects of the NCP: nutrition assessment/reassessment, nutrition diagnosis, nutrition intervention (e.g., nutrition counseling, therapeutic diet ordering, and nutrition education) and nutrition monitoring and evaluation.

319 E MADISON ST STE 1F, Springfield, IL 62701

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Other Names 1

Former Name (1)Shae M Hoffman

Other Identifiers 1

Other164.007492IL · Rd License

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

Shae M Mowry 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 ID446649586

PECOS Enrollment IDI20211111001851

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62701 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

$0.00 typical visit price

range $54.80 – $168.44

Typical copayment $0.00 (range $13.70 – $42.11)

Most-billed visit code NA

Established Patient

$97.25 typical visit price

range $17.16 – $136.56

Typical copayment $24.31 (range $4.29 – $34.14)

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 20

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

DR. JAMIE WALLMAN MD

Family Medicine