Shane Holloway, FNP-C - Medicare Nurse Practitioner in Columbia, MO

  1. Home
  2. Nurse Practitioner
  3. MO
  4. Columbia
Shane Holloway, FNP-C is a medicare enrolled "Nurse Practitioner" in Columbia, Missouri. His current practice location is 1401 Forum Blvd Ste 202, Columbia, Missouri. You can reach out to his office (for appointments etc.) via phone at (573) 234-1367.

Shane Holloway is licensed to practice in Missouri (license number 2016044506) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1821534231.

Contact Information

Shane Holloway, FNP-C
1401 Forum Blvd Ste 202,
Columbia, MO 65203-1915
(573) 234-1367
Not Available

Map and Direction




Provider's Profile

Full NameShane Holloway
GenderMale
SpecialityNurse Practitioner
Location1401 Forum Blvd Ste 202, Columbia, Missouri
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1821534231
  • Provider Enumeration Date: 01/09/2017
  • Last Update Date: 12/15/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 2163706649
  • Enrollment ID: I20170228002548

Medical Identifiers

Medical identifiers for Shane Holloway such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1821534231NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363L00000XNurse Practitioner 2016044506 (Missouri)Primary

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. Shane Holloway allows following entities to bill medicare on his behalf.
Entity NameRenova Medical Center LLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1447741681
PECOS PAC ID: 3577811736
Enrollment ID: O20180803000612

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. Shane Holloway 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 AddressPractice Location Address
Shane Holloway, FNP-C
1401 Forum Blvd Ste 202,
Columbia, MO 65203-1915

Ph: (573) 234-1367		Shane Holloway, FNP-C
1401 Forum Blvd Ste 202,
Columbia, MO 65203-1915

Ph: (573) 234-1367

Reviews and Comments


Nurse Practitioner Nurses in Columbia, MO

Diana L Erion, FNP-BC
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 1600 E Broadway, Columbia, MO 65201
Phone: 573-875-8838    Fax: 573-875-8589
Jennifer Michelle Kandlik, F.N.P.
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: One Hospital Dr, Columbia, MO 65212
Phone: 573-882-8788    Fax: 573-882-3131
Ms. Lauren Ann Mistler, NP-C
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 2101 Corona Rd Ste 102, Columbia, MO 65203
Phone: 573-234-1800    
Sheila Marie Struckmeyer, FNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: One Hospital Dr, Columbia, MO 65212
Phone: 573-884-4400    Fax: 573-884-5994
Lauren Taylor Vollrath, NP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1020 Hitt St, Columbia, MO 65212
Phone: 573-499-6041    Fax: 573-499-6091
Karen Church, APRN, FNP-C
Nurse Practitioner
Medicare: May Accept Medicare Assignments
Practice Location: 202 E Nifong Blvd, Columbia, MO 65203
Phone: 573-874-6824    
Janis M Sears, APN-C
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 800 Hospital Dr, Columbia, MO 65201
Phone: 573-814-6000    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.