Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mrs. Shandell Lee Herrick, FNP-BC

Individual provider Registered Nurse · NPI 1003674896

Mrs. Shandell Lee Herrick, FNP-BC is a Nurse Practitioner in Watertown, Wisconsin. Qualified in 2023, 3 years ago. Practices with Watertown Physician Practices LLC, a 63-clinician group and accepts Medicare assignment. Licensed in Wisconsin.

Years since qualifying
3
Licensed in
WI
In the registry since
2024
What do these letters mean?
FNP-BC — Family Nurse Practitioner, Board Certified
A family nurse practitioner certified by the ANCC.

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Practice location Address checks out

125 Hospital Dr
Watertown, WI 53098-3303
Phone: (262) 325-9309
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Registered Nurse (primary) Taxonomy 163W00000X · Licence 246761-30 (WI)

Record details

NPI number1003674896
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP-BC
Sole proprietorYes
NPI enumeratedMarch 7, 2024
Last updated in NPPESMarch 7, 2024
Certification dateMarch 7, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Watertown Physician Practices Llc — 63 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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