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

Wanda R Shewmon, NP

Individual provider Nurse Practitioner · NPI 1023062536

Wanda R Shewmon, NP is a Nurse Practitioner in Poplar Bluff, Missouri. Qualified in 2002, 24 years ago. Practices with Missouri Baptist Hospital of Sullivan, a 40-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Missouri.

Years since qualifying
24
Licensed in
MO
In the registry since
2006
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

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Practice location Address checks out

2210 Barron Rd
Poplar Bluff, MO 63901-1908
Phone: (573) 686-4133
Fax: (573) 686-1315
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 965 Mattox Dr, Sullivan, MO 63080-2365 — (573) 860-6000

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 128156 (MO)

Record details

NPI number1023062536
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP
Sole proprietorNo
NPI enumeratedMay 20, 2006
Last updated in NPPESSeptember 17, 2025
Certification dateSeptember 17, 2025
Mailing address2210 Barron Rd, Poplar Bluff, MO 63901-1908

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2002 (24 years in practice)
Group practice Missouri Baptist Hospital Of Sullivan — 40 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

Other providers in Poplar Bluff