Kellie Wasson, PMHNP-BC - Nurse Practitioner in Pevely, MO

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Kellie Wasson, PMHNP-BC is a Nurse Practitioner - Psychiatric/mental Health based in Pevely, Missouri. Kellie Wasson is licensed to practice in Missouri (license number 2024069221) and her current practice location is 1712 Twelve Oaks Pl, Pevely, Missouri. She can be reached at her office (for appointments etc.) via phone at (314) 650-5878.

NPI number for Kellie Wasson is 1235957275 and her current mailing address is 1712 Twelve Oaks Pl, Pevely, Missouri. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1235957275.

Contact Information

Kellie Wasson, PMHNP-BC
1712 Twelve Oaks Pl,
Pevely, MO 63070-1335
(314) 650-5878
Not Available

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Provider's Profile

Full NameKellie Wasson
GenderFemale
SpecialityNurse Practitioner - Psychiatric/mental Health
Location1712 Twelve Oaks Pl, Pevely, Missouri
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1235957275
  • Provider Enumeration Date: 09/30/2024
  • Last Update Date: 09/30/2024

Medical Identifiers

Medical identifiers for Kellie Wasson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1235957275NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LP0808XNurse Practitioner - Psychiatric/mental Health 2024069221 (Missouri)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kellie Wasson is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Kellie Wasson, PMHNP-BC
1712 Twelve Oaks Pl,
Pevely, MO 63070-1335

Ph: (314) 650-5878		Kellie Wasson, PMHNP-BC
1712 Twelve Oaks Pl,
Pevely, MO 63070-1335

Ph: (314) 650-5878

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Nurse Practitioner Nurses in Pevely, MO


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