Individual ProviderLoreta ShahinajNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address13100 Manchester Rd Ste 70, Saint Louis, MO 63131-1703(314) 492-2323(314) 892-6565PECOS EnrollmentBased on the most recent information from CMS, provider Loreta Shahinaj is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1952816449Provider TypeIndividualFull NameShahinaj, LoretaCredentialNPGenderFemaleSole ProprietorNoEnumeration Date12/6/2017Last Updated5/30/2023Contact InformationPractice LocationPractice Address13100 Manchester Rd Ste 70, Saint Louis, MO 63131-1703Phone(314) 492-2323Fax(314) 892-4828Mailing LocationMailing Address12700 Southfork Rd Ste 270, Saint Louis, MO 63128-3201Phone(314) 892-6565Fax(314) 892-4828Provider TaxonomiesCodeDescriptionLicenseCode363L00000XPrimaryDescriptionNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersLicense2017042156Missouri