Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Shane Gruener, PA

Individual provider Physician Assistant · NPI 1154139434

Shane Gruener, PA is a Physician Assistant in Springfield, Missouri. Qualified in 2024, 2 years ago. Practices with Lester E Cox Medical Centers, a 243-clinician group and accepts Medicare assignment. Licensed in Missouri.

Years since qualifying
2
Licensed in
MO
In the registry since
2024
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

3525 E Battlefield St
Springfield, MO 65809-3435
Phone: (417) 269-1499
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 2025004770 (MO)

Record details

NPI number1154139434
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedDecember 19, 2024
Last updated in NPPESMarch 11, 2025
Certification dateMarch 11, 2025

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Lester E Cox Medical Centers — 243 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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