FISHER WADLOW FNP
NPI 1588421663
Nurse Practitioner - Family in Farmington, MO
About Fisher Wadlow Fnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
FISHER WADLOW FNP (NPI 1588421663) is an individual family provider in Farmington, Missouri, licensed in Missouri (2024010299) and active in the NPI registry since March 2024. He is enrolled in Medicare PECOS, is affiliated with Mercy Hospital Jefferson, and maintains a secondary practice location in Farmington.
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Location 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Fisher Wadlow Fnp 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.
Medicare Billing Reassignments
2Medicare enrollment records show Fisher Wadlow reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Farmington, MO 63640
- Reassigned Medicare billing, Missouri enrollment
- 71 clinicians in this Medicare group
Sullivan, MO 63080
- Reassigned Medicare billing, Missouri enrollment
- 228 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 6
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
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Mercy Hospital Jefferson
Acute Care Hospitals · Festus, MOPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 63640 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 8
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 Fisher Wadlow's NPI number?
The NPI number for Fisher Wadlow is 1588421663. It was assigned to this individual provider in the NPPES registry on March 5, 2024.
Where is Fisher Wadlow located?
Fisher Wadlow practices at 534 Maple Valley Dr, Farmington, MO 63640. The listed phone number is (573) 760-8253.
What is Fisher Wadlow's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Fisher Wadlow enrolled in Medicare?
Yes. Fisher Wadlow 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.
Which organizations bill Medicare for Fisher Wadlow's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Fisher Wadlow reassigns Medicare benefits to 2 organizations: Parkland Health Center (Farmington, MO) and Mercy Clinic East Communities (Sullivan, MO). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Fisher Wadlow's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Fisher Wadlow accept?
Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Arkansas Health & Wellness, Ambetter from Sunflower Health Plan and Ambetter of Oklahoma and 3 other insurers list Fisher Wadlow as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
Is Fisher Wadlow affiliated with any hospitals?
According to CMS data, Fisher Wadlow is affiliated with Mercy Hospital Jefferson.
When was this NPI record last updated?
The NPPES record for Fisher Wadlow was last updated on September 19, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.
# Fisher Wadlow, FNP · NPI 1588421663
Family physician in Farmington, Missouri. Individual provider, active in the CMS NPPES registry since March 5, 2024.
## Identity
- **NPI:** 1588421663 (Entity type: Individual)
- **Enumerated:** March 5, 2024
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 2024010299 (Missouri)
- **Sole proprietor:** No
## Practice location
- **Address:** 534 MAPLE VALLEY DR, Farmington, MO 63640-1981
- **Phone:** (573) 760-8253
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Parkland Health Center (NPI 1922016112, Farmington, MO); Mercy Clinic East Communities (NPI 1467716928, Sullivan, MO) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2023
## Record status
- **NPPES last updated:** September 19, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1588421663) · Data from the CMS NPPES public registry.