SHEILA FOMENKY
NPI 1144709247
Nurse Practitioner - Psychiatric/Mental Health in Springfield, MO
NPI Status: Active since August 09, 2018
Contact Information
3600 S NATIONAL AVE
SPRINGFIELD, MO
ZIP 65807
Phone: (417) 322-6622
Fax: (417) 350-1935
- Individual
- Female
- Nurse Practitioner
- Psychiatric/Mental Health
- Accepts Insurance
- PECOS Enrolled
About SHEILA FOMENKY
This page provides the complete NPI Profile along with additional information for Sheila Fomenky, a provider established in Springfield, Missouri with a medical specialization in Nurse Practitioner, focusing in psychiatric/mental health . The healthcare provider is registered in the NPI registry with number 1144709247 assigned on August 2018. The practitioner's primary taxonomy code is 363LP0808X with license number 2021032055 (MO). The provider is registered as an individual and her NPI record was last updated 4 years ago.
- NPI
- 1144709247
- Provider Name
- SHEILA FOMENKY
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 3600 S NATIONAL AVE SPRINGFIELD, MO 65807
- Location Phone
- (417) 322-6622
- Location Fax
- (417) 350-1935
- Mailing Address
- 3600 S NATIONAL AVE SPRINGFIELD, MO 65807
- Mailing Phone
- (417) 322-6622
- Mailing Fax
- (417) 350-1935
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 08-09-2018
- Last Update Date
- 08-27-2021
- Code Navigator
A nurse practitioner (NP) like Sheila Fomenky is an experienced registered nurse with a master’s or doctoral degree and advanced clinical training. Nurse practitioners can work in many different specialties including primary care, pediatrics, cardiology, emergency, women’s health, oncology or geriatrics. Nurse practitioners provide services like physical exams, order laboratory tests, manage diseases, write prescriptions, etc.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Nurse Practitioner Psychiatric/Mental Health
- Taxonomy Code
- 363LP0808X
- Type
- Physician Assistants & Advanced Practice Nursing Providers
- License No.
- 2021032055
- License State
- MO
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 163W00000X | Nursing Service Providers | Registered Nurse | 869928 (TX) |
| 2 | 363L00000X | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | 2021032055 (MO) |
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Gold 10 Advanced: $0 PCP + Aetna network + $0 walk-in clinic + Adult Dental + Vision - HMO
- Gold 10: $0 PCP at Aetna network & MinuteClinic Primary Care + $0 CVS Health Virtual Care - HMO
- Gold 3 Advanced: Aetna network + $0 walk-in clinic + $0 CVS Health Virtual Care 24/7 - HMO
- Gold 3 Advanced: Aetna network + $0 walk-in clinic + Adult Dental + Vision - HMO
- Gold 4 Advanced: $0 PCP + Aetna network + $0 walk-in clinic + $0 CVS Health Virtual Care 24/7 - HMO
- Gold S: Aetna network + $0 walk-in clinic + $0 CVS Health Virtual Care 24/7 - HMO
- Silver 10 Advanced: $0 PCP + Aetna network + $0 walk-in clinic + $0 CVS Health Virtual Care 24/7 - HMO
- Silver 10 Advanced: $0 PCP + Aetna network + $0 walk-in clinic + Adult Dental + Vision - HMO
- Silver 10: $0 PCP at Aetna network & MinuteClinic Primary Care + $0 CVS Health Virtual Care - HMO
- Silver 5 Advanced: Aetna network + $0 walk-in clinic + $0 CVS Health Virtual Care 24/7 - HMO
- CHRISTUS Bronze - HMO
- CHRISTUS Bronze Essential - HMO
- CHRISTUS Bronze Essential Plus - HMO
- CHRISTUS Bronze Plus - HMO
- CHRISTUS Catastrophic - HMO
- CHRISTUS Gold - HMO
- CHRISTUS Gold Essential - HMO
- CHRISTUS Gold Essential Plus - HMO
- CHRISTUS Gold Plus - HMO
- CHRISTUS Silver - HMO
- Connect Bronze 5500 Indiv Med Deductible - HMO
- Connect Bronze 6000 Indiv Med Deductible - HMO
- Connect Bronze 6500 Indiv Med Deductible Enhanced Diabetes Care - HMO
- Connect Bronze 8500 Indiv Med Deductible - HMO
- Connect Bronze CMS Standard - HMO
- Connect Bronze DFW 6500 Indiv Med Deductible Enhanced Diabetes Care - HMO
- Connect Gold 1000 Indiv Med Deductible - HMO
- Connect Gold 2500 Indiv Med Deductible Enhanced Diabetes Care - HMO
- Connect Gold 3250 Indiv Med Deductible - HMO
- Connect Gold 3500 Indiv Med Deductible - HMO
- Imperial Preferred Bronze - HMO
- Imperial Preferred Gold - HMO
- Imperial Preferred Gold Zero - HMO
- Imperial Preferred Silver - HMO
- Imperial Standard Bronze - HMO
- Imperial Standard Gold - HMO
- Imperial Standard Silver - HMO
- Moda Select Bronze 8700 ($0 Virtual Urgent Care through CirrusMD) - EPO
- Moda Select Bronze HDHP 7500 - EPO
- Moda Select Gold 1000 ($0 Virtual Urgent Care through CirrusMD) - EPO
- Moda Select Gold 1800 ($0 Virtual Urgent Care through CirrusMD) - EPO
- Moda Select Silver 3500 ($0 Virtual Urgent Care through CirrusMD) - EPO
- Moda Select Silver 4800 ($0 Virtual Urgent Care through CirrusMD) - EPO
- Moda Select Silver 6400 ($0 Virtual Urgent Care through CirrusMD) - EPO
- Moda Select Texas Standard Bronze - EPO
- Moda Select Texas Standard Gold - EPO
- Moda Select Texas Standard Silver - EPO
- Bronze Classic 4700 - EPO
- Bronze Classic Standard - EPO
- Bronze Elite + PCP Saver Plus - EPO
- Gold Classic - EPO
- Gold Classic Guided Care - HMO
- Gold Classic Standard - EPO
- Gold Classic Standard Guided Care - HMO
- Gold Elite - EPO
- Gold Simple Guided Care - HMO
- Silver Classic - EPO
- UHC Bronze Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care) - HMO
- UHC Bronze Standard - HMO
- UHC Bronze Value ($0 Virtual Urgent Care, $3 Tier 2 Rx) - HMO
- UHC Gold Advantage ($0 Virtual Urgent Care, $3 Tier 2 Rx) - HMO
- UHC Gold Advantage+ ($0 Virtual Urgent Care, $3 Tier 2 Rx, Dental + Vision) - HMO
- UHC Gold Standard - HMO
- UHC Gold Standard $0 Indiv Ded ($0 Virtual Urgent Care) - HMO
- UHC Silver Advantage ($0 Virtual Urgent Care, $3 Tier 2 Rx) - HMO
- UHC Silver Advantage+ ($0 Virtual Urgent Care, $3 Tier 2 Rx, Dental + Vision) - HMO
- UHC Silver Standard - HMO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Medicare Participation & PECOS Enrollment Status
Sheila Fomenky is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
Physician Visit Costs
The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.
For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.
The prices below reflect the costs for new and established patients in the 65807 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99203
- Average New Patient Price $81.64
- Minimum New Patient Price $52.28
- Maximum New Patient Price $161.24
- Average New Patient Copayment $20.41
- Minimum New Patient Copayment $13.07
- Maximum New Patient Copayment $40.31
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99214
- Average Established Patient Price $93.24
- Minimum Established Patient Price $16.3
- Maximum Established Patient Price $131.05
- Average Established Patient Copayment $23.31
- Minimum Established Patient Copayment $4.07
- Maximum Established Patient Copayment $32.76
* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 1 | 4 | 4 | 7 | 0 | 9 | 2 | 4 | 7 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 1 | 8 | 4 | 14 | 0 | 18 | 2 | 8 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 1 + 8 + 4 + 1 + 4 + 0 + 1 + 8 + 2 + 8 + 24 = 63 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 63 = 7 | 7 | ||||||||
The NPI number 1144709247 is valid because the calculated check digit 7 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1972902211 | KELLEY M SNOW WATSON MA, LPC Individual | Counselor (Professional) | 3600 S NATIONAL AVE SPRINGFIELD, MO 65807 (417) 322-6622 |
| 1275818114 | CHERRI MCCORD LPC Individual | Community/Behavioral Health | 3600 S NATIONAL AVE SPRINGFIELD, MO 65807 (417) 322-6622 |
| 1467824763 | SAMANTHA DUGAN PSYD Individual | Psychologist (Clinical) | 3600 S NATIONAL AVE SPRINGFIELD, MO 65807 (417) 322-6622 |
| 1043820681 | DR. STEPHANIE WELLS DNP Individual | Nurse Practitioner (Psychiatric/Mental Health) | 3600 S NATIONAL AVE SPRINGFIELD, MO 65807 (417) 322-6622 |
| 1760058424 | NICHOLAS PERRYMAN PMHNP Individual | Nurse Practitioner (Psychiatric/Mental Health) | 3600 S NATIONAL AVE SPRINGFIELD, MO 65807 (417) 322-6622 |
| 1285183822 | LISA MCCOY N.P. Individual | Nurse Practitioner (Psychiatric/Mental Health) | 3600 S NATIONAL AVE SPRINGFIELD, MO 65807 (417) 322-6622 |
| 1134852817 | AMANDA KAY WILSON APRN Individual | Nurse Practitioner (Psychiatric/Mental Health) | 3600 S NATIONAL AVE SPRINGFIELD, MO 65807 (417) 322-6622 |
| 1285630095 | ALOK JAIN MD Individual | Psychiatry & Neurology (Psychiatry) | 3600 S NATIONAL AVE SPRINGFIELD, MO 65807 (417) 322-6622 |
| 1548760820 | HONOUR BRITE LLC Organization | Clinic/Center (Multi-Specialty) | 3600 S NATIONAL AVE SPRINGFIELD, MO 65807 (417) 322-6622 |
| 1851769350 | SAMANTHA LYNNE WARKENTIEN FNP-BC Individual | Nurse Practitioner (Psychiatric/Mental Health) | 3600 S NATIONAL AVE SPRINGFIELD, MO 65807 (417) 322-6622 |
| 1942718978 | ALISHA BREANNA JAIN PMHNP-BC; APRN Individual | Nurse Practitioner (Psychiatric/Mental Health) | 3600 S NATIONAL AVE SPRINGFIELD, MO 65807 (417) 322-6622 |
| 1992561328 | WHITNEY ASHLYN NORMAN PMHNP Individual | Nurse Practitioner (Psychiatric/Mental Health) | 3600 S NATIONAL AVE SPRINGFIELD, MO 65807 (417) 322-6622 |
| 1982320222 | NASREEN JULAYBEEB AMAANATH PA-C Individual | Physician Assistant | 3600 S NATIONAL AVE SPRINGFIELD, MO 65807 (417) 322-6622 |
| 1750121307 | OLGA A ELDRIDGE PMHNP Individual | Nurse Practitioner (Psychiatric/Mental Health) | 3600 S NATIONAL AVE SPRINGFIELD, MO 65807 (417) 322-6622 |
| 1831962117 | ASHLEY NICHOLE WHITT PMHNP Individual | Nurse Practitioner (Psychiatric/Mental Health) | 3600 S NATIONAL AVE SPRINGFIELD, MO 65807 (417) 322-6622 |
| 1891206207 | MEGAN LOREE WILSON PMHNP Individual | Nurse Practitioner (Psychiatric/Mental Health) | 3600 S NATIONAL AVE SPRINGFIELD, MO 65807 (417) 322-6622 |
| 1710560628 | SHELBY ELIZABETH LIKES FNP Individual | Nurse Practitioner | 3600 S NATIONAL AVE SPRINGFIELD, MO 65807 (417) 322-6622 |
| 1548894611 | LISA ANN GALESKI Individual | Nurse Practitioner (Psychiatric/Mental Health) | 3600 S NATIONAL AVE SPRINGFIELD, MO 65807 (417) 322-6622 |
| 1407671621 | STEPHANIE SUE BALL PMHNP Individual | Nurse Practitioner (Psychiatric/Mental Health) | 3600 S NATIONAL AVE SPRINGFIELD, MO 65807 (417) 322-6622 |
| 1063118404 | DANIELLE DARLENE KENNEDY RN Individual | Nurse Practitioner (Psychiatric/Mental Health) | 3600 S NATIONAL AVE SPRINGFIELD, MO 65807 (417) 322-6622 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1144709247, enumerated in the NPI registry as an "individual" on August 09, 2018
The provider is located at 3600 S National Ave Springfield, Mo 65807 and the phone number is (417) 322-6622
The provider's speciality is Nurse Practitioner with taxonomy code 363LP0808X with a focus in Psychiatric/Mental Health
The provider might be accepting Accepts: Aetna CVS Health, CHRISTUS Health Plan, Cigna. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
Medicare beneficiaries should expect a typical cost of $81.64 with an average copayment of $20.41 for new patient appointments. Established patients should expect a typical charge of $93.24 and an average copayment of 23.31. Please review your insurance plan or contact the provider directly to determine your specific costs.
This NPI record was last updated on August 09, 2018. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.