Shaundelle Ann Olusanya, DNP in Rolla, MO - Medicare Nurse Practitioner

Shaundelle Ann Olusanya, DNP is a medicare enrolled "Nurse Practitioner - Family" in Rolla, Missouri. She graduated from nursing school in 2002 and has 22 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Rolla Urgent Care, Llc and her current practice location is 1060 S Bishop Ave, Rolla, Missouri. You can reach out to her office (for appointments etc.) via phone at (573) 426-5900.

Shaundelle Ann Olusanya is licensed to practice in Missouri (license number 2003014072) 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 1801090444.

Contact Information

	Shaundelle Ann Olusanya, DNP
	1060 S Bishop Ave, Rolla, MO 65401-4411
	(573) 426-5900
	(573) 426-4466

Map and Direction

Provider's Profile

Full Name	Shaundelle Ann Olusanya
Gender	Female
Speciality	Nurse Practitioner
Experience	22 Years
Location	1060 S Bishop Ave, Rolla, 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:

Shaundelle Ann Olusanya graduated from nursing school in 2002

NPI Data:

NPI Number: 1801090444
Provider Enumeration Date: 06/14/2007
Last Update Date: 04/15/2016

Medicare PECOS Information:

PECOS PAC ID: 3779481650
Enrollment ID: I20031230000298

Medical Identifiers

Medical identifiers for Shaundelle Ann Olusanya such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1801090444	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	2003014072 (Missouri)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Phelps County Regional Medical Center	Rolla, MO	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Rolla Urgent Care, Llc	4789697863	5

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. Shaundelle Ann Olusanya allows following entities to bill medicare on her behalf.

Entity Name	Rolla Urgent Care, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1326099417 PECOS PAC ID: 4789697863 Enrollment ID: O20060815000342

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. Shaundelle Ann Olusanya 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
Shaundelle Ann Olusanya, DNP 1060 S Bishop Ave, Rolla, MO 65401-4411 Ph: (573) 426-5900	Shaundelle Ann Olusanya, DNP 1060 S Bishop Ave, Rolla, MO 65401-4411 Ph: (573) 426-5900

Reviews and Comments

Nurse Practitioner Nurses in Rolla, MO

Mr. Steven R Ballard, ANP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1050 W 10th St, Rolla, MO 65401 Phone: 573-308-1301 Fax: 573-202-2480
Ms. Candy Sadler, AGNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1000 W 10th St, Rolla, MO 65401 Phone: 573-426-2214 Fax: 573-458-8316
Ms. Y'vonda Darlene Holmes, APRN, FNP, CNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1605 Martin Springs Dr, Rolla, MO 65401 Phone: 573-458-6326
Alexis West, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1060 S Bishop Ave, Rolla, MO 65401 Phone: 573-426-5900
Meredith Leigh Napierala, CPNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1050 W 10th St, Rolla, MO 65401 Phone: 573-458-8899
Karene Marie Goodman, NURSE PRACTITIONER Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 715 St Rt Cc, Rolla, MO 65401 Phone: 573-308-5044 Fax: 573-341-5300
Angela Christine Middleton, FNP-BC, CEN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1000 W 10th St, Rolla, MO 65401 Phone: 573-458-8899

Shaundelle Ann Olusanya, DNP - Medicare Nurse Practitioner in Rolla, MO