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 | 
|---|
| Gender | Female | 
|---|
| Speciality | Nurse Practitioner - Family | 
|---|
| Location | 10700 S State Highway 43, South West City, Missouri | 
|---|
| 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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