SHANE CHARLES WILSON DO
NPI 1477808467
Internal Medicine in Memphis, MO
About Shane Charles Wilson Do NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SHANE CHARLES WILSON DO (NPI 1477808467) is an individual internal medicine provider in Memphis, Missouri, licensed in Missouri (2014026613) and active in the NPI registry since July 2012. He is enrolled in Medicare PECOS, is affiliated with Blessing Hospital, and is a graduate of At Still University, Arizona School Of Dentistry & Oral Hlth (2012).
NPPES Registry Identity
Specialties & Licenses
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Other Identifiers 1
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
Shane Charles Wilson Do 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.
Areas of Expertise CMS Part B claims
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Hospital Affiliations CMS Care Compare 3
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Blessing Hospital
Acute Care Hospitals · Quincy, ILNortheast Regional Medical Center
Acute Care Hospitals · Kirksville, MOScotland County Hospital
Critical Access Hospitals · Memphis, MOPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 63555 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Referred Medical Equipment & Supplies CMS DME claims 20
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
Other Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Shane Wilson's NPI number?
The NPI number for Shane Wilson is 1477808467. It was assigned to this individual provider in the NPPES registry on July 17, 2012.
Where is Shane Wilson located?
Shane Wilson practices at 118 E Grand Ave, Memphis, MO 63555. The listed phone number is (660) 465-7522.
What is Shane Wilson's specialty?
The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.
Is Shane Wilson enrolled in Medicare?
Yes. Shane Wilson 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.
Is Shane Wilson affiliated with any hospitals?
According to CMS data, Shane Wilson is affiliated with Blessing Hospital, Northeast Regional Medical Center and Scotland County Hospital.
When was this NPI record last updated?
The NPPES record for Shane Wilson was last updated on May 8, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.
