FISHER WADLOW FNP
NPI 1588421663
Nurse Practitioner - Family in Farmington, MO

Q: 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.

Q: What is Fisher Wadlow's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: 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 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 March 05, 2024PECOS EnrolledAccepts Medicare Assignment

534 MAPLE VALLEY DR, FARMINGTON, MO 63640(573) 760-8253 Get Directions Write a Review

NPPES record last updated: September 19, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 19, 2025, Apr 25, 2024, Mar 5, 2024 (3 updates tracked since 2024).

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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

NPI1588421663

Entity TypeIndividualMale

Primary Taxonomy363LF0000X

Provider Legal NameFISHER WADLOWCredential: FNP

Location Address534 MAPLE VALLEY DRFarmington, MO 63640-1981

Mailing Address555 W Pine StFarmington, MO 63640-1439 · (573) 747-1510 · Fax (573) 474-1512

Phone(573) 760-8253

Sole ProprietorNo

Medical School CMSOtherGraduated 2023

Enumeration DateMarch 5, 2024

Last NPPES UpdateSeptember 19, 20253 updates tracked since enumeration

NPPES CertifiedSeptember 19, 2025

✔ NPI 1588421663 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

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

Taxonomy Code363LF0000X

License✔ Licensed in MO · 2024010299

Also ListedNurse PractitionerTaxonomy 363L00000X · License 2024010299 (MO)

534 MAPLE VALLEY DR, Farmington, MO 63640

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Secondary Practice Location 1

Location 1555 W Pine StFarmington, MO 63640-1439 · Phone (573) 747-1510 · Fax (573) 474-1512

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

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.

PECOS PAC ID1557701042

PECOS Enrollment IDI20240501001481

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.

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.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

84 services79 patients

Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus and influenza 87428

This test uses a method called immunoassay to identify severe acute respiratory syndrome coronavirus and influenza. It works by detecting specific proteins (antigens) in a sample, like a nasal swab. It's a powerful tool in diagnosing these viral infections.

22 services22 patients

Automated urinalysis test 81003

An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.

15 services13 patients

Detection test by immunoassay with direct visual observation for streptococcus, group a (strep) 87880

A detection test by immunoassay for Group A Strep is a quick procedure to identify a bacterial infection in your throat. It involves taking a throat swab and applying it to a test strip, which changes color if Strep bacteria are present.

14 services14 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

14 services12 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

11 services11 patients

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, MO

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number260023

Location1400 Us Highway 61Festus, MO 63028 · Jefferson County

Emergency services

Physician 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.

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 8

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

MICHELLE HEATH FNP-BC

Nurse Practitioner