Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

ALYSSA LYNN SHOEMAKER MSN, RN, CPNP-PC
NPI 1104723865
Nurse Practitioner - Pediatrics in Jefferson City, MO

Q: What is Alyssa Shoemaker's NPI number?

The NPI number for Alyssa Shoemaker is 1104723865. It was assigned to this individual provider in the NPPES registry on October 23, 2026.

Q: What is Alyssa Shoemaker's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

Q: When was this NPI record last updated?

The NPPES record for Alyssa Shoemaker was last updated on October 23, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 days 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 October 23, 2026

1705 CHRISTY DR STE 210, JEFFERSON CITY, MO 65101(573) 606-7337 Get Directions Write a Review

NPPES record added: October 23, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Alyssa Lynn Shoemaker Msn, Rn, Cpnp-pc NPPES

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

ALYSSA LYNN SHOEMAKER MSN, RN, CPNP-PC (NPI 1104723865) is an individual pediatrics provider in Jefferson City, Missouri, licensed in Missouri (202632171) and active in the NPI registry since October 2026.

NPPES Registry Identity

NPI1104723865

Entity TypeIndividualFemale

Primary Taxonomy363LP0200X

Provider Legal NameALYSSA LYNN SHOEMAKERCredential: MSN, RN, CPNP-PC

Location Address1705 CHRISTY DR STE 210Jefferson City, MO 65101-5195

Mailing Address6640 County Road 424Fulton, MO 65251-6832 · (573) 826-0838

Phone(573) 606-7337

Sole ProprietorNo

Enumeration DateOctober 23, 2026

NPPES CertifiedOctober 7, 2026

✔ NPI 1104723865 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0200X

License✔ Licensed in MO · 202632171

1705 CHRISTY DR STE 210, Jefferson City, MO 65101

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Other Providers at the Same Location NPPES 4

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

EMILY H GEORGE M.D.

Pediatrics

1705 CHRISTY DR STE 210
JEFFERSON CITY, MO 65101

Cole County (573) 606-7337

JC PEDS, LLC

Pediatrics

1705 CHRISTY DR STE 210
JEFFERSON CITY, MO 65101

Cole County (573) 606-7337

CHILDREN'S MERCY - JC PEDS INC

Pediatrics

1705 CHRISTY DR STE 210
JEFFERSON CITY, MO 65101

Cole County (573) 606-7337

JASON SCOTT HAGELY M.D.

Pediatrics

1705 CHRISTY DR STE 210
JEFFERSON CITY, MO 65101

Cole County (573) 606-7337

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 Alyssa Shoemaker's NPI number?

The NPI number for Alyssa Shoemaker is 1104723865. It was assigned to this individual provider in the NPPES registry on October 23, 2026.

Where is Alyssa Shoemaker located?

Alyssa Shoemaker practices at 1705 Christy Dr Ste 210, Jefferson City, MO 65101. The listed phone number is (573) 606-7337.

What is Alyssa Shoemaker's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

When was this NPI record last updated?

The NPPES record for Alyssa Shoemaker was last updated on October 23, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 days 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.