Shaye Wilson, FNP-C is a
Nurse Practitioner - Family based in South West City, Missouri. Shaye Wilson is licensed to practice in Oklahoma (license number 112102) and her current practice location is
10700 S State Highway 43, South West City, Missouri. She can be reached at her office (for appointments etc.) via phone at
(417) 762-5250.
NPI number for Shaye Wilson is 1245705847 and her current mailing address is 10700 S State Highway 43, South West City, Missouri. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1245705847.
Provider's Profile
Full Name | Shaye Wilson |
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Gender | Female |
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Speciality | Nurse Practitioner - Family |
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Location | 10700 S State Highway 43, South West City, Missouri |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1245705847
- Provider Enumeration Date: 10/10/2018
- Last Update Date: 03/30/2022
Medical Identifiers
Medical identifiers for Shaye Wilson such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1245705847 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363L00000X | Nurse Practitioner | 2019012514 (Missouri) | Secondary |
363L00000X | Nurse Practitioner | A006255 (Arkansas) | Secondary |
363LF0000X | Nurse Practitioner - Family | 112102 (Oklahoma) | 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. Shaye Wilson 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 Address | Practice Location Address |
Shaye Wilson, FNP-C 10700 S State Highway 43, South West City, MO 64863-7272 Ph: (417) 762-5250 | Shaye Wilson, FNP-C 10700 S State Highway 43, South West City, MO 64863-7272 Ph: (417) 762-5250 |
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