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JOSETTA ELIESE WAHWASSUCK MSN, FNP, PMHNP
NPI 1629049929
Nurse Practitioner - Psychiatric/Mental Health in Eldon, MO

Active since January 27, 2006
206 S MILL ST, ELDON, MO 65026(888) 403-1071 Get Directions Write a Review

NPPES record last updated: June 28, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Josetta Eliese Wahwassuck Msn, Fnp, Pmhnp NPPES

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

JOSETTA ELIESE WAHWASSUCK MSN, FNP, PMHNP (NPI 1629049929) is an individual psychiatric/mental health provider in Eldon, Missouri, licensed in Missouri (096721) and active in the NPI registry since January 2006. She maintains a secondary practice location in Jefferson City.

NPPES Registry Identity

NPI1629049929
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameJOSETTA ELIESE WAHWASSUCKCredential: MSN, FNP, PMHNP
Location Address206 S MILL STEldon, MO 65026-1864
Mailing Address1800 CommunityClinton, MO 64735-8804 · (660) 885-8131
Phone(888) 403-1071
Sole ProprietorNo
Enumeration DateJanuary 27, 2006
Last NPPES UpdateJune 28, 2021
NPPES CertifiedJune 28, 2021
✔ NPI 1629049929 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
Licenses✔ Licensed in MO · 096721✔ Licensed in KS · 44870
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License 096721 (MO)
206 S MILL ST, Eldon, MO 65026
Open in Google Maps ↗

Secondary Practice Location 1

Location 1227 Metro DrJefferson City, MO 65109-1134 · Phone (888) 403-1071

Other Identifiers 3

OtherP00430963Railroad Medicare
Other29929044Blue Cross Blue Shield
Medicaid423989722MO

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Kansas City.Insurance ›

Other Providers at the Same Location NPPES 15

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

MR. ROBERT PAUL SNYDER MA, LADCS, CPCI, LPC
Counselor (Professional)
206 S MILL ST
ELDON, MO 65026
Miller County (844) 853-8937
STACEY COTTRELL LPN
Licensed Practical Nurse
206 S MILL ST
ELDON, MO 65026
Miller County (573) 392-1828
MR. MANUEL L MENDEZ JR. LCSW
Social Worker (Clinical)
206 S MILL ST
ELDON, MO 65026
Miller County (573) 392-1828
JAMES E PARKER
Durable Medical Equipment & Medical Supplies
206 S MILL ST
ELDON, MO 65026
Miller County (573) 392-9956
RICHARD L POPE LCSW, LIMHP
Social Worker (Clinical)
206 S MILL ST
ELDON, MO 65026
Miller County (844) 853-8937
DANIEL GONINAN CIT, LPC
Counselor (Professional)
206 S MILL ST
ELDON, MO 65026
Miller County (844) 853-8937
MADISON SMITH PLPC
Counselor (Mental Health)
206 S MILL ST
ELDON, MO 65026
Miller County (844) 853-8937
MR. JOHN M STALKER JR. LPC
Counselor (Professional)
206 S MILL ST
ELDON, MO 65026
Miller County (888) 403-1071

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 Josetta Wahwassuck's NPI number?

The NPI number for Josetta Wahwassuck is 1629049929. It was assigned to this individual provider in the NPPES registry on January 27, 2006.

Where is Josetta Wahwassuck located?

Josetta Wahwassuck practices at 206 S Mill St, Eldon, MO 65026. The listed phone number is (888) 403-1071.

What is Josetta Wahwassuck's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

What insurance does Josetta Wahwassuck accept?

Health plans from Blue Cross and Blue Shield of Kansas City list Josetta Wahwassuck 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.

When was this NPI record last updated?

The NPPES record for Josetta Wahwassuck was last updated on June 28, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.