ANTHONY SHANE BARKER, RN — NPI 1154084986 (Licensed & Credentialed Registered Nurse, Administrator in ANNA, IL)

CMS-1500 Box 24J / 33a • NPI

1154084986

Type 1 Individual Rendering/Ordering

HIPAA NUCC Taxonomy • CMS Code

163WA2000X

Licensed & Credentialed Registered Nurse, Administrator

Box 32 Service Location & ZIP+4

315 BRADY MILL RD, ANNA, IL, 62906-2306

✓ 9-Digit EDI 837 ZIP+4 (62906-2306)

Practice Phone & Referral Fax

(618) 833-6343

Fax: (618) 833-3345

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1154084986 (ANTHONY SHANE BARKER, RN) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

This practitioner does not currently appear in the CMS individual Order & Referring PECOS file (may practice in pediatrics, commercial-only networks, or hospital-employed settings).

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number	`1154084986` (NPI-1 Individual Practitioner)
Provider / Legal Name	ANTHONY SHANE BARKER, RN
Plain-English Specialty	Licensed & Credentialed Registered Nurse, Administrator NUCC Code: `163WA2000X` (Registered Nurse, Administrator)
Certifying / Licensing Body	State Medical / Healthcare Licensing Board & National Specialty Board
Practice Location Address	315 BRADY MILL RD, ANNA, IL, 62906-2306
Practice Telephone / Fax	Tel: (618) 833-6343 \| Fax: (618) 833-3345
Administrative Mailing Address	315 BRADY MILL RD, ANNA, IL, 62906-2306
Enumeration & Last Sync	Enumerated: 2021-10-19 \| CMS Record Updated: 2021-10-19

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

315 BRADY MILL RD, ANNA, IL, 62906-2306

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Plain-English Taxonomy & CMS Crosswalk (163WA2000X)

What Does Taxonomy Code 163WA2000X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 163WA2000X translates to:
"Licensed & Credentialed Registered Nurse, Administrator"

CMS-1500 Medicare Specialty Crosswalk: Standard HIPAA X12N 837P / CMS-1500
Certifying / Accrediting Authority: State Medical / Healthcare Licensing Board & National Specialty Board
Clinical Scope: Consult a verified Registered Nurse, Administrator for specialized diagnostic evaluation, treatment planning, and continuity of care.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (ANTHONY SHANE BARKER, RN)

Typical CPT / Diagnostic Procedures:

Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
Preventive Screening, Patient Counseling & Multidisciplinary Referral

Common Therapeutic Classes:

Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English Description	State License & Primary Status
`163WA2000X` — Registered Nurse, Administrator Plain English: Licensed & Credentialed Registered Nurse, Administrator	State: IL \| License: `041393474` \| Primary: Yes (Primary)

Medical Billing, RCM & Hospital Credentialing Teams:

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ANTHONY SHANE BARKER, RN (NPI #1154084986)