Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mrs. Shannon Kristine Boles, ACNP

Individual provider Acute Care Nurse Practitioner · NPI 1760552665

Mrs. Shannon Kristine Boles, ACNP is a Nurse Practitioner in Saint Louis, Missouri. Qualified in 2005, 21 years ago. Practices with Washington University, a 2,986-clinician group and accepts Medicare assignment. Licensed in Missouri.

Years since qualifying
21
Licensed in
MO
In the registry since
2006
What do these letters mean?
ACNP — Acute Care Nurse Practitioner
A nurse practitioner who treats acutely ill patients, usually in hospital.

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Practice location Address checks out

4901 Forest Park Ave Div Surg Accs Ste 340
Saint Louis, MO 63108-1495
Phone: (314) 362-5298
Fax: (888) 824-2176
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Acute Care Nurse Practitioner (primary) Taxonomy 363LA2100X · Licence 2000165054 (MO)

Record details

NPI number1760552665
Entity typeIndividual (Type 1)
GenderFemale
Credentials ACNP
Sole proprietorNo
NPI enumeratedNovember 8, 2006
Last updated in NPPESApril 15, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2005 (21 years in practice)
Group practice Washington University — 2986 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare

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