MRS. FARAH LYNN SHADDIX MSN, RN, PMHNP-BC
NPI 1912524059
Nurse Practitioner - Psychiatric/Mental Health in O Fallon, MO

Q: What is Farah Shaddix's NPI number?

The NPI number for Farah Shaddix is 1912524059. It was assigned to this individual provider in the NPPES registry on July 5, 2020.

Q: What is Farah Shaddix's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Q: When was this NPI record last updated?

The NPPES record for Farah Shaddix was last updated on April 8, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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 July 05, 2020PECOS Enrolled

401 CHURCH ST UNIT 791, O FALLON, MO 63366(636) 388-4170(636) 306-4267 Get Directions Write a Review

NPPES record last updated: April 8, 2026. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Apr 8, 2026, Mar 6, 2026, Jun 4, 2025 and 2 more (5 updates tracked since 2020).

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About Mrs. Farah Lynn Shaddix Msn, Rn, Pmhnp-bc NPPES

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

MRS. FARAH LYNN SHADDIX MSN, RN, PMHNP-BC (NPI 1912524059) is an individual psychiatric/mental health provider in O Fallon, Missouri, licensed in Missouri (2020019555) and active in the NPI registry since July 2020. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1912524059

Entity TypeIndividualFemale

Primary Taxonomy363LP0808X

Provider Legal NameMRS. FARAH LYNN SHADDIXCredential: MSN, RN, PMHNP-BC

Location Address401 CHURCH ST UNIT 791O Fallon, MO 63366-6506

Mailing AddressPo Box 791O Fallon, MO 63366-0791 · (636) 388-4170 · Fax (636) 306-4267

Phone(636) 388-4170

Fax(636) 306-4267

Sole ProprietorNo

Enumeration DateJuly 5, 2020

Last NPPES UpdateApril 8, 20265 updates tracked since enumeration

NPPES CertifiedApril 8, 2026

✔ NPI 1912524059 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

Licenses✔ Licensed in MO · 2020019555✔ Licensed in IL · 209024820✔ Licensed in NY · F408156✔ Licensed in AZ · 259430✔ Licensed in OR · 202114964NP-PP✔ Licensed in CA · 95039174✔ Licensed in KY · 3015935✔ Licensed in KS · 53-81140-101✔ Licensed in IA · G161807✔ Licensed in WA · AP61418023✔ Licensed in TX · 1097292

401 CHURCH ST UNIT 791, O Fallon, MO 63366

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Medica, Regence BlueCross BlueShield of Oregon 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)

Mrs. Farah Lynn Shaddix Msn, Rn, Pmhnp-bc 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 63366 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.

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 Farah Shaddix's NPI number?

The NPI number for Farah Shaddix is 1912524059. It was assigned to this individual provider in the NPPES registry on July 5, 2020.

Where is Farah Shaddix located?

Farah Shaddix practices at 401 Church St Unit 791, O Fallon, MO 63366. The listed phone number is (636) 388-4170.

What is Farah Shaddix's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Farah Shaddix enrolled in Medicare?

Yes. Farah Shaddix is registered in the Medicare PECOS enrollment system.

What insurance does Farah Shaddix accept?

Health plans from BridgeSpan Health Company, Medica, Regence BlueCross BlueShield of Oregon and UnitedHealthcare list Farah Shaddix 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 Farah Shaddix was last updated on April 8, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.