Wanda R. Shewmon, N.P.
NPI 1023062536ActiveIndividual· Nurse Practitioner· Poplar Bluff, MO
Nurse Practitioner (N.P.) with Missouri Baptist Hospital of Sullivan, practicing in Poplar Bluff, Missouri. Enrolled in Medicare as practitioner - nurse practitioner.
Overview
| NPI | 1023062536 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | N.P. |
| Sole proprietor | No |
| NPI issued | May 20, 2006 |
| Last updated in NPPES | Sep 17, 2025 |
| Certified by provider | Sep 17, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner Primary | 363L00000X | 128156 | MO |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Nurse Practitioner (MO) |
|---|
Education and affiliations
| Graduation year | 2002 |
|---|---|
| Medicare specialty | Nurse Practitioner |
Medical group
- Missouri Baptist Hospital of SullivanSullivan, MO · 38 clinicians
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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All 23 nurse practitioners in Poplar Bluff · All nurse practitioners in Missouri