SHANE ALLAN PHILLIBER CNP
NPI 1891455507
Emergency Medicine in Joplin, MO

Q: What is Shane Philliber's NPI number?

The NPI number for Shane Philliber is 1891455507. It was assigned to this individual provider in the NPPES registry on December 21, 2021.

Q: What is Shane Philliber's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Q: When was this NPI record last updated?

The NPPES record for Shane Philliber was last updated on December 19, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 months 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 December 21, 2021PECOS EnrolledAccepts Medicare Assignment

530 S MAIDEN LN, JOPLIN, MO 64801(417) 782-6200(417) 782-3084 Get Directions Write a Review

NPPES record last updated: December 19, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 19, 2024, Dec 21, 2021 (2 updates tracked since 2021).

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About Shane Allan Philliber Cnp NPPES

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

SHANE ALLAN PHILLIBER CNP (NPI 1891455507) is an individual emergency medicine provider in Joplin, Missouri, licensed in Missouri (2021049273) and active in the NPI registry since December 2021. He is enrolled in Medicare PECOS, is affiliated with Freeman Health System - Freeman West, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1891455507

Entity TypeIndividualMale

Primary Taxonomy207P00000X

Provider Legal NameSHANE ALLAN PHILLIBERCredential: CNP

Location Address530 S MAIDEN LNJoplin, MO 64801-3084

Mailing Address14741 Tulsa LnStark City, MO 64866-7964 · (417) 638-5183

Phone(417) 782-6200

Fax(417) 782-3084

Sole ProprietorYes

Medical School CMSOtherGraduated 2021

Enumeration DateDecember 21, 2021

Last NPPES UpdateDecember 19, 20242 updates tracked since enumeration

NPPES CertifiedDecember 19, 2024

✔ NPI 1891455507 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207P00000X

License✔ Licensed in MO · 2021049273

Definition

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License 2021049273 (MO)

530 S MAIDEN LN, Joplin, MO 64801

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Secondary Practice Locations 2

Location 11130 E 32nd StJoplin, MO 64804-4034 · Phone (417) 347-2273

Location 21636 S Madison StWebb City, MO 64870-2902 · Phone (417) 347-2273 · Fax (417) 347-2277

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Medica.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

Shane Allan Philliber Cnp 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 ID6002200623

PECOS Enrollment IDI20220224002702

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

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.

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.

17 services12 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Freeman Health System - Freeman West

Acute Care Hospitals · Joplin, MO

1/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number260137

Location1102 West 32nd StreetJoplin, MO 64804 · Jasper County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 64801 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 20

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

KIMBERLY J NALLY PLPC

Counselor