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Active NPI 1023062536 Individual Practitioner Female Practitioner

Wanda R Shewmon , NP

Nurse Practitioner • Poplar Bluff, MO

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Wanda Shewmon, NP is a certified Nurse Practitioner practicing in Poplar Bluff, MO. With approximately 24 years of clinical experience since completing medical education in 2002, Wanda Shewmon delivers high-quality medical care to the local community at 2210 BARRON RD.

Wanda Shewmon is affiliated with Missouri Baptist Hospital Of Sullivan and accepts Medicare assignment.

Practice Location & Contact Primary Location

Practice Address

2210 Barron Rd

Poplar Bluff, MO 639011908

Telephone 5736864133
Fax 5736861315
Associated Practice Facility / Clinic
🏢 Gilbert D. Smith, M.d., Llc Facility NPI 1225016884

Medicare Profile & Education

Medical School

Other

Graduation Year

2002

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Poplar Bluff, MO

Senior Veteran Specialist (>20 Yrs)
Practitioner Clinical Experience
24 Yrs +8.1 yrs vs City Avg
City Avg: 15.9 Yrs
State Avg: 11.7 Yrs
Regional Practice Density
21 Specialists

Practicing in Poplar Bluff, MO (1750 Statewide)

Telehealth Adoption Rate
4.8% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Shewmon (24 Years) 24 Yrs
Poplar Bluff Specialty Average (15.9 Years) 15.9 Yrs

Medical Specialties & State Licenses

CMS Verified: 2025-09-17
Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License MO 128156

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
429141500 (MO)

Hospital & Practice Group Affiliations

Missouri Baptist Hospital Of Sullivan

510 W Main, Steelville, MO 65565

Missouri Baptist Hospital Of Sullivan

721 Sappington Bridge Rd, Sullivan, MO 630802354

Missouri Baptist Hospital Of Sullivan

751 Sappington Bridge Rd, Sullivan, MO 630802354

Phone: 5734684186

Secondary Practice Locations

965 Mattox Dr

Sullivan, MO 630802365

Phone: 5738606000

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

6 Associated Practitioners
Devona Gibbs , FNP

Nurse Practitioner - Critical Care Medicine

NPI 1215915889

Family Nurse Practitioner

Dr. John Patty , DO

Obstetrics & Gynecology

NPI 1326094566

Doctor of Osteopathic Medicine (D.O.)

NPI 1447238035

Doctor of Medicine (M.D.)

NPI 1568409530

Doctor of Medicine (M.D.)

Sandy Johns , WHNP-BC

Nurse Practitioner - Obstetrics & Gynecology

NPI 1578908091

Women's Health Nurse Practitioner (Board Certified)

Dr. Carl Patty , MD

Obstetrics & Gynecology - Obstetrics

NPI 1881647824

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active February 04, 2008

NPI status registered as active in NPPES database

📍
Updated Practice Location February 04, 2008

Registered at 2210 BARRON RD, POPLAR BLUFF, MO 639011908 (Tel: 5736864133)

📍
Updated Business Mailing Address February 04, 2008

Registered at 2210 BARRON RD, POPLAR BLUFF, MO 639011908 (Tel: 5736864133)

👤
Provider Name / Credentials Updated February 04, 2008

Recorded as WANDA SHEWMON, N.P.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 04, 2008

Nurse Practitioner (License #128156 in MO)

🟢
Initial NPI Registration & Enumeration May 20, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1023062536
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 20, 2006
Last Update: September 17, 2025
Sole Proprietor: No

Mailing Address

2210 Barron Rd

Poplar Bluff, MO 639011908

Phone: 5736864133

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.