Mrs Shelby Lynn Icenhower, NP-C in Springfield, MO

Mrs Shelby Lynn Icenhower, NP-C is a medicare enrolled "Nurse Practitioner - Family" in Springfield, Missouri. She graduated from nursing school in 2021 and has 3 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Citizens Memorial Hospital District and her current practice location is 1235 E Cherokee St, Springfield, Missouri. You can reach out to her office (for appointments etc.) via phone at (417) 820-2115.

Mrs Shelby Lynn Icenhower is licensed to practice in Missouri (license number 2021031470) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1619645918.

Contact Information

	Mrs Shelby Lynn Icenhower, NP-C
	1235 E Cherokee St, Springfield, MO 65804-2203
	(417) 820-2115
	Not Available

Map and Direction

Provider's Profile

Full Name	Mrs Shelby Lynn Icenhower
Gender	Female
Speciality	Nurse Practitioner
Experience	3 Years
Location	1235 E Cherokee St, Springfield, Missouri
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Mrs Shelby Lynn Icenhower graduated from nursing school in 2021

NPI Data:

NPI Number: 1619645918
Provider Enumeration Date: 09/01/2021
Last Update Date: 09/01/2021

Medicare PECOS Information:

PECOS PAC ID: 8123426046
Enrollment ID: I20211007000942

Medical Identifiers

Medical identifiers for Mrs Shelby Lynn Icenhower such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1619645918	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	2021031470 (Missouri)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Citizens Memorial Hospital	Bolivar, MO	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Citizens Memorial Hospital District	2769574433	27

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Mrs Shelby Lynn Icenhower allows following entities to bill medicare on her behalf.

Entity Name	Mercy Hospital Springfield
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1043242159 PECOS PAC ID: 7416867593 Enrollment ID: O20050118000038

Entity Name	Putnam Orthopaedic Center Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1275677023 PECOS PAC ID: 2567402134 Enrollment ID: O20050504000036

Entity Name	Citizens Memorial Hospital District
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1558548818 PECOS PAC ID: 2769574433 Enrollment ID: O20070827000044

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Shelby Lynn Icenhower is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Mrs Shelby Lynn Icenhower, NP-C 1235 E Cherokee St, Springfield, MO 65804-2203 Ph: () -	Mrs Shelby Lynn Icenhower, NP-C 1235 E Cherokee St, Springfield, MO 65804-2203 Ph: (417) 820-2115

Reviews and Comments

Nurse Practitioner Nurses in Springfield, MO

Ven Thi Lam, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2828 N National Ave, Springfield, MO 65803 Phone: 417-837-4000 Fax: 417-875-4720
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Michelle Spencer, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2750 S Campbell Ave, Springfield, MO 65807 Phone: 417-269-2281 Fax: 417-269-2292
Mrs. Cassondra Dawn Simmoneau, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3800 S National Ave Ste 510, Springfield, MO 65807 Phone: 417-875-3000
Beverly Jo Gann, RNC,WHNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2828 N National Ave, Doctors Hospital Of Springfield, Specialty Clinic, Springfield, MO 65803 Phone: 417-837-4000 Fax: 417-875-4724
Ms. Jennifer L. Passanise, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1965 S Fremont Ave, Springfield, MO 65804 Phone: 417-820-5150 Fax: 417-820-5155
Sally R Schafer, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1423 N Jefferson Ave, Springfield, MO 65802 Phone: 417-269-4636 Fax: 417-269-7036

Mrs Shelby Lynn Icenhower, NP-C - Medicare Nurse Practitioner in Springfield, MO