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Active NPI 1851054258 Individual Practitioner Female Practitioner

Shae M Mowry

Dietitian, Registered • Springfield, IL

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Shae Mowry is a certified Dietitian, Registered practicing in Springfield, IL. With approximately 9 years of clinical experience since completing medical education in 2017, Shae Mowry delivers high-quality medical care to the local community at 319 E MADISON ST STE 1F.

Shae Mowry is affiliated with Memorial Medical Center and accepts Medicare assignment.

Frequently performed procedures and clinical services include therapy procedure reassessment for nutrition management, each. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

319 E Madison St Ste 1f

Springfield, IL 627013118

Telephone 2177883948
Fax 2175273209
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

Other

Graduation Year

2017

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Dietitian, Registered in Springfield, IL

Experienced Practitioner (5-10 Yrs)
Practitioner Clinical Experience
9 Yrs -9.4 yrs vs City Avg
City Avg: 18.4 Yrs
State Avg: 16.7 Yrs
Regional Practice Density
60 Specialists

Practicing in Springfield, IL (2895 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
62.6% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Mowry (9 Years) 9 Yrs
Springfield Specialty Average (18.4 Years) 18.4 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2022)
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
97803 Therapy procedure reassessment for nutrition management, each 15 minutes
24 11 $70.25 $26.29

Medical Specialties & State Licenses

CMS Verified: 2021-10-21
Dietitian, Registered Primary Specialty

NUCC Taxonomy Code: 133V00000X

State License IL 164.007492

A Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of the Nutrition Care Process (NCP) that exemplify the profession's systematic approach to providing high quality nutrition care. Registered dietitians provide MNT for the purpose of disease prevention or management, or to treat or rehabilitate an illness, injury, or condition, with the use of specific, indicated physical and cognitive nutrition care services comprised of one or more of the following aspects of the NCP: nutrition assessment/reassessment, nutrition diagnosis, nutrition intervention (e.g., nutrition counseling, therapeutic diet ordering, and nutrition education) and nutrition monitoring and evaluation.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Rd License
164.007492 (IL)

Hospital & Practice Group Affiliations

Memorial Medical Center

320 E Carpenter St, Springfield, IL 627025185

Phone: 2177883948

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

24 Associated Practitioners
Jamey Baietto , RD

Dietitian, Registered

NPI 1184387573

Registered Dietitian

NPI 1265099758

LICENSEDDIETITIAN

Jessica Lucca , AGACNP-BC

Nurse Practitioner - Acute Care

NPI 1265827729

Adult-Gerontology Acute Care Nurse Practitioner (Board Certified)

Kristina Garrisson , PT

Physical Therapist

NPI 1366075418

Physical Therapist

Pamela Lomeli , APN

Nurse Practitioner - Acute Care

NPI 1487288171

Advanced Practice Nurse

Ashley Cox , LCPC

Counselor - Professional

NPI 1508364399

Licensed Clinical Professional Counselor

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active October 21, 2021

NPI status registered as active in NPPES database

📍
Updated Practice Location October 21, 2021

Registered at 319 E MADISON ST STE 1F, SPRINGFIELD, IL 627013118 (Tel: 2177883948)

📍
Updated Business Mailing Address October 21, 2021

Registered at PO BOX 3428, SPRINGFIELD, IL 627083428 (Tel: 2175882624)

👤
Provider Name / Credentials Updated October 21, 2021

Recorded as SHAE MOWRY

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 21, 2021

Dietitian, Registered (License #164.007492 in IL)

🟢
Initial NPI Registration & Enumeration October 21, 2021

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1851054258
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 21, 2021
Last Update: October 21, 2021
Sole Proprietor: No

Mailing Address

Po Box 3428

Springfield, IL 627083428

Phone: 2175882624

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.