Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Shanek F Vaccianna-Noe, FNP

Individual provider Nurse Practitioner · NPI 1518763960

Shanek F Vaccianna-Noe, FNP is a Nurse Practitioner in Sullivan, Missouri. Qualified in 2024, 2 years ago. Practices with Missouri Baptist Hospital of Sullivan, a 40-clinician group and accepts Medicare assignment. Licensed in Missouri.

Years since qualifying
2
Licensed in
MO
In the registry since
2025
Specialties on file
2
What do these letters mean?
FNP — Family Nurse Practitioner
A nurse practitioner who treats patients of all ages, much like a family doctor.

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Practice location Address checks out

965 Mattox Dr
Sullivan, MO 63080-2365
Phone: (573) 860-6000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 2025005026 (MO)
Primary Care Nurse Practitioner Taxonomy 363LP2300X · Licence 2025005026 (MO)

Record details

NPI number1518763960
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP
Sole proprietorNo
NPI enumeratedFebruary 24, 2025
Last updated in NPPESSeptember 18, 2025
Certification dateSeptember 18, 2025

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Missouri Baptist Hospital Of Sullivan — 40 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Sullivan