BAILEY D SHUNYAKOV APRN, NP-C
NPI 1912560038
Nurse Practitioner - Family in Bolivar, MO
About Bailey D Shunyakov Aprn, Np-c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BAILEY D SHUNYAKOV APRN, NP-C (NPI 1912560038) is an individual family provider in Bolivar, Missouri, licensed in Missouri (2019019267) and active in the NPI registry since April 2019. She is enrolled in Medicare PECOS, is affiliated with Citizens Memorial Hospital, and is a graduate of Other (2019).
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Bailey D Shunyakov Aprn, Np-c 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.
Medicare Billing Reassignments
2Medicare enrollment records show Bailey Shunyakov reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Bolivar, MO 65613
- Reassigned Medicare billing, Missouri enrollment
- 249 clinicians in this Medicare group
Kansas City, MO 64114
- Reassigned Medicare billing, Missouri enrollment
- 10 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Citizens Memorial Hospital
Acute Care Hospitals · Bolivar, MOPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 65613 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
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.
Other Providers at the Same Location NPPES 12
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
BOLIVAR, MO 65613
BOLIVAR, MO 65613
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 Bailey Shunyakov's NPI number?
The NPI number for Bailey Shunyakov is 1912560038. It was assigned to this individual provider in the NPPES registry on April 15, 2019. The provider is also known as Bailey Rundel.
Where is Bailey Shunyakov located?
Bailey Shunyakov practices at 1501 N Oakland Ave, Bolivar, MO 65613. The listed phone number is (417) 326-7200.
What is Bailey Shunyakov's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Bailey Shunyakov enrolled in Medicare?
Yes. Bailey Shunyakov is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Bailey Shunyakov's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Bailey Shunyakov reassigns Medicare benefits to 2 organizations: Citizens Memorial Healthcare (Bolivar, MO) and Central Care, PA (Kansas City, MO). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Bailey Shunyakov's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Bailey Shunyakov accept?
Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Sunflower Health Plan, Ambetter of Oklahoma and Anthem Blue Cross and Blue Shield and 1 other insurer list Bailey Shunyakov 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.
Is Bailey Shunyakov affiliated with any hospitals?
According to CMS data, Bailey Shunyakov is affiliated with Citizens Memorial Hospital.
When was this NPI record last updated?
The NPPES record for Bailey Shunyakov was last updated on October 10, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Bailey D Shunyakov, APRN, NP-C · NPI 1912560038
Family physician in Bolivar, Missouri. Individual provider, active in the CMS NPPES registry since April 15, 2019.
## Identity
- **NPI:** 1912560038 (Entity type: Individual)
- **Enumerated:** April 15, 2019
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 2019019267 (Missouri)
- **Sole proprietor:** No
## Practice location
- **Address:** 1501 N OAKLAND AVE, Bolivar, MO 65613-3020
- **Phone:** (417) 326-7200 · **Fax:** (417) 326-7201
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Citizens Memorial Healthcare (NPI 1568566131, Bolivar, MO); Central Care, PA (NPI 1639778228, Kansas City, MO) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2019
## Record status
- **NPPES last updated:** October 10, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1912560038) · Data from the CMS NPPES public registry.