WANDA R SHEWMON N.P.
NPI 1023062536
Nurse Practitioner in Poplar Bluff, MO

Q: What is Wanda Shewmon's NPI number?

The NPI number for Wanda Shewmon is 1023062536. It was assigned to this individual provider in the NPPES registry on May 20, 2006.

Q: What is Wanda Shewmon's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Q: When was this NPI record last updated?

The NPPES record for Wanda Shewmon was last updated on September 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since May 20, 2006PECOS EnrolledAccepts Medicare Assignment

2210 BARRON RD, POPLAR BLUFF, MO 63901(573) 686-4133(573) 686-1315 Get Directions Write a Review

NPPES record last updated: September 17, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 17, 2025, Jun 30, 2025 (2 updates tracked since 2025).

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About Wanda R Shewmon N.p. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

WANDA R SHEWMON N.P. (NPI 1023062536) is an individual nurse practitioner in Poplar Bluff, Missouri, licensed in Missouri (128156) and active in the NPI registry since May 2006. She is enrolled in Medicare PECOS, maintains a secondary practice location in Sullivan, and is a graduate of Other (2002).

NPPES Registry Identity

NPI1023062536

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameWANDA R SHEWMONCredential: N.P.

Location Address2210 BARRON RDPoplar Bluff, MO 63901-1908

Mailing Address2210 Barron RdPoplar Bluff, MO 63901-1908 · (573) 686-4133 · Fax (573) 686-1315

Phone(573) 686-4133

Fax(573) 686-1315

Sole ProprietorNo

Medical School CMSOtherGraduated 2002

Enumeration DateMay 20, 2006

Last NPPES UpdateSeptember 17, 20252 updates tracked since enumeration

NPPES CertifiedSeptember 17, 2025

✔ NPI 1023062536 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in MO · 128156

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

2210 BARRON RD, Poplar Bluff, MO 63901

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Secondary Practice Location 1

Location 1965 Mattox DrSullivan, MO 63080-2365 · Phone (573) 860-6000

Other Identifiers 1

Medicaid429141500MO

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Wanda R Shewmon N.p. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1254354657

PECOS Enrollment IDI20060112000023

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 63901 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$81.64 typical visit price

range $52.28 – $161.24

Typical copayment $20.41 (range $13.07 – $40.31)

Most-billed visit code 99203

Established Patient

$93.24 typical visit price

range $16.30 – $131.05

Typical copayment $23.31 (range $4.07 – $32.76)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. ROBERT PORTER SMITH M.D.

Ophthalmology

2210 BARRON RD, SUITE114
POPLAR BLUFF, MO 63901

Butler County (573) 686-4800

POPLAR BLUFF NEUROLOGY CENTER, PC

Clinic/Center (Medical Specialty)

2210 BARRON RD, SUITE 112
POPLAR BLUFF, MO 63901

Butler County (573) 785-0889

GILBERT D. SMITH, MD, LLC

Nurse Practitioner (Family)

2210 BARRON RD, SUITE 219
POPLAR BLUFF, MO 63901

Butler County (573) 686-2811

SEMO GYNECOLOGY LLC

Obstetrics & Gynecology (Gynecology)

2210 BARRON RD
POPLAR BLUFF, MO 63901

Butler County (573) 686-4133

GILBERT D. SMITH, M.D., LLC

Clinic/Center (Rural Health)

2210 BARRON RD, SUITE 219
POPLAR BLUFF, MO 63901

Butler County (573) 686-2811

NORTHWEST PHARMACY, INC

Durable Medical Equipment & Medical Supplies

2210 BARRON RD
POPLAR BLUFF, MO 63901

Butler County (573) 686-6211

POPLAR BLUFF PEDIATRIC ASSOC LL

Clinic/Center (Rural Health)

2210 BARRON RD, SUITE 120
POPLAR BLUFF, MO 63901

Butler County (573) 785-2005

UNIVERSITY HEMATOLOGY ONCOLOGY GROUP INC.

Internal Medicine (Hematology & Oncology)

2210 BARRON RD, SUITE 117
POPLAR BLUFF, MO 63901

Butler County (573) 778-9136

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Wanda Shewmon's NPI number?

The NPI number for Wanda Shewmon is 1023062536. It was assigned to this individual provider in the NPPES registry on May 20, 2006.

Where is Wanda Shewmon located?

Wanda Shewmon practices at 2210 Barron Rd, Poplar Bluff, MO 63901. The listed phone number is (573) 686-4133.

What is Wanda Shewmon's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Wanda Shewmon enrolled in Medicare?

Yes. Wanda Shewmon is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Wanda Shewmon was last updated on September 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.