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DR. WENDELL ALLAN NICKERSON D.O.
NPI 1437249588
Family Medicine in Shelbina, MO

Active since October 12, 2006
400 S CENTER ST, SHELBINA, MO 63468(573) 588-4131(573) 588-6602 Get Directions Write a Review

NPPES record last updated: January 15, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Wendell Allan Nickerson D.o. NPPES

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

DR. WENDELL ALLAN NICKERSON D.O. (NPI 1437249588) is an individual family medicine provider in Shelbina, Missouri, licensed in Missouri (R9E45) and active in the NPI registry since October 2006.

NPPES Registry Identity

NPI1437249588
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. WENDELL ALLAN NICKERSONCredential: D.O.
Location Address400 S CENTER STShelbina, MO 63468-1404
Mailing Address400 S Center StShelbina, MO 63468-1404 · (573) 588-4131 · Fax (573) 588-4876
Phone(573) 588-4131
Fax(573) 588-6602
Sole ProprietorNo
Enumeration DateOctober 12, 2006
Last NPPES UpdateJanuary 15, 2019
✔ NPI 1437249588 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in MO · R9E45
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
400 S CENTER ST, Shelbina, MO 63468
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Other Identifiers 1

Medicaid509038808MO

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.

LACOSTA KAY GAINES DNP, APRN, FNP-C
Nurse Practitioner (Family)
400 S CENTER ST
SHELBINA, MO 63468
Shelby County (573) 588-4131
HANNIBAL REGIONAL HEALTH CARE SYSTEM
Clinic/Center (Health Service)
400 S CENTER ST
SHELBINA, MO 63468
Shelby County (573) 588-4131
DR. DAVID F. OUELLETTE M.D.
Family Medicine
400 S CENTER ST
SHELBINA, MO 63468
Shelby County (573) 588-4131
HANNIBAL REGIONAL HEALTHCARE SYSTEM, INC
Clinic/Center (Rural Health)
400 S CENTER ST
SHELBINA, MO 63468
Shelby County (573) 588-4131

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 Wendell Nickerson's NPI number?

The NPI number for Wendell Nickerson is 1437249588. It was assigned to this individual provider in the NPPES registry on October 12, 2006.

Where is Wendell Nickerson located?

Wendell Nickerson practices at 400 S Center St, Shelbina, MO 63468. The listed phone number is (573) 588-4131.

What is Wendell Nickerson's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Wendell Nickerson was last updated on January 15, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years 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.