MAGDA SHEWAYE NUR (PMHNP) – Psychiatric/Mental Health Nurse Practitioner, NPI 1114720893

MAGDA SHEWAYE NUR (PMHNP) is a healthcare provider. based in Saint louis, Missouri. specializing in NURSE PRACTITIONER. They hold the professional credentials PMHNP. They hold a License No. 2025009570 (MO). The NPI Number for MAGDA SHEWAYE NUR (PMHNP) is 1114720893

Main info

Female
1 Year Of Experience
Accepts Medicare Assignment
Name
MAGDA SHEWAYE NUR (PMHNP)
NPI
1114720893
Phone
(314) 482-4200
Address
4574 VALMEYER DR
Enumeration Date
29 March 2025
Last Update Date
2 May 2025

Doctor Profile

Medical School Name
UNIVERSITY OF MISSOURI, KANSAS CITY, SCHOOL OF MEDICINE
Secondary Phone
6699009251
Graduation Year
2025 (1 year ago)
PAC ID
7416444781
Group Practice PAC ID
6204313364
Professional Enrollment ID
I20251013000917
Address ID
MO631283841SA5000XPKWY401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience26
Completeness75
Years active:1State licenses:1Digital endpointsOther names

7,023 NURSE PRACTITIONER in MO

Provider Addresses for MAGDA SHEWAYE NUR (PMHNP)

  • 4574 VALMEYER DR

    SAINT LOUIS, MO 631282458

    Phone: (314) 482-4200

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2025-10-13

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20251013000917INurse PractitionerMOTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 63128)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 6204313364View full group profile
NameSpecialtyState
P S Y C H I A T R YMO
P S Y C H I A T R YMO
P S Y C H I A T R YMO
Clinical PsychologistMO
P S Y C H I A T R YMO
P S Y C H I A T R YMO
Clinical Social WorkerMO
P S Y C H I A T R YMO
Nurse PractitionerMO

Reviews

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Frequently asked questions

What is the 10-digit NPI for MAGDA SHEWAYE NUR (PMHNP)?
MAGDA SHEWAYE NUR (PMHNP) — NPI 1114720893 — is the standard way to identify this listing.
Is MAGDA SHEWAYE NUR (PMHNP) still practicing?
MAGDA SHEWAYE NUR (PMHNP) is currently listed as active in the public NPI registry.
What is MAGDA SHEWAYE NUR (PMHNP) best known for clinically?
Directory data describes MAGDA SHEWAYE NUR (PMHNP) with Psychiatric/Mental Health Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What address line appears for MAGDA SHEWAYE NUR (PMHNP)?
MAGDA SHEWAYE NUR (PMHNP)'s geographic hint is Saint Louis, Missouri in our summary view.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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