Mr Ryan Matthew Shaffer, FNP-BC | |
11445 Olive Blvd, Creve Coeur, MO 63141-7108 | |
(314) 428-9543 | |
(314) 428-9542 |
Full Name | Mr Ryan Matthew Shaffer |
---|---|
Gender | Male |
Speciality | Nurse Practitioner |
Experience | 6 Years |
Location | 11445 Olive Blvd, Creve Coeur, Missouri |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1679053813 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 2018030484 (Missouri) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Jefferson City Medical Group Pc | 1850371089 | 100 |
Cherokee Nation | 5799698742 | 361 |
Entity Name | Jefferson City Medical Group Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1336189398 PECOS PAC ID: 1850371089 Enrollment ID: O20040908000924 |
Entity Name | Mercy Southern Missouri Ambulatory Services Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1871094052 PECOS PAC ID: 5193089621 Enrollment ID: O20180508002317 |
Entity Name | Signify Health Medical Associates Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1750845863 PECOS PAC ID: 2163764424 Enrollment ID: O20190603000398 |
Mailing Address | Practice Location Address |
---|---|
Mr Ryan Matthew Shaffer, FNP-BC 1809 Briarwood Dr, Rolla, MO 65401-3754 Ph: (573) 202-3166 | Mr Ryan Matthew Shaffer, FNP-BC 11445 Olive Blvd, Creve Coeur, MO 63141-7108 Ph: (314) 428-9543 |
Meghan M Moore, MSN, AGACNP, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 621 S New Ballas Rd Ste 112a, Creve Coeur, MO 63141 Phone: 314-251-6339 Fax: 314-251-4564 | |
Mrs. Michele F. Salvatore, WHNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 555 N New Ballas Rd Ste 240, Creve Coeur, MO 63141 Phone: 314-842-0340 Fax: 314-842-0742 | |
April Lorraine Taylor, MSN, NNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 615 S New Ballas Rd, Creve Coeur, MO 63141 Phone: 314-251-6000 | |
Marie M Webb, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 650 Maryville University Dr, Creve Coeur, MO 63141 Phone: 800-627-9855 | |
Brittany Wort, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 11560 Olive Blvd, Creve Coeur, MO 63141 Phone: 314-995-7128 | |
Machalle Akhtar Mughal, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 11560 Olive Blvd, Creve Coeur, MO 63141 Phone: 314-995-7128 | |
Keara Cobbs, PMHNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 12401 Olive Blvd Ste 206, Creve Coeur, MO 63141 Phone: 888-410-5230 |