Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Shanna Witges, APRNNP-C

Individual provider Family Nurse Practitioner · NPI 1376882647

Shanna Witges, APRNNP-C is a Nurse Practitioner in Waterloo, Illinois. Qualified in 2012, 14 years ago. Practices with Deaconess Illinois Clinic Inc, an 18-clinician group and accepts Medicare assignment. Licensed in Illinois and Missouri.

Years since qualifying
14
Licensed in
IL, MO
In the registry since
2013
Specialties on file
2

Practice location Address checks out

509 Hamacher St Ste 102
Waterloo, IL 62298-1592
Phone: (618) 939-3939
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 277000985 (IL)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 2013002942 (MO)

Record details

NPI number1376882647
Entity typeIndividual (Type 1)
GenderFemale
Credentials APRNNP-C
Sole proprietorNo
NPI enumeratedFebruary 6, 2013
Last updated in NPPESJanuary 26, 2023
Certification dateJanuary 26, 2023

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Group practice Deaconess Illinois Clinic Inc — 18 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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