JOSETTA ELIESE WAHWASSUCK (MSN, FNP, PMHNP) – Psychiatric/Mental Health Nurse Practitioner, NPI 1629049929

JOSETTA ELIESE WAHWASSUCK (MSN, FNP, PMHNP) is a healthcare provider. based in Jefferson city, Missouri. specializing in Psychiatric/Mental Health Nurse Practitioner. They hold the professional credentials MSN, FNP, PMHNP. They hold a License No. 096721 (MO). The NPI Number for JOSETTA ELIESE WAHWASSUCK (MSN, FNP, PMHNP) is 1629049929

Main info

Female
27 Years Of Experience
Accepts Medicare Assignment
Name
JOSETTA ELIESE WAHWASSUCK (MSN, FNP, PMHNP)
NPI
1629049929
Phone
(888) 403-1071
Address
227 Metro Dr
Enumeration Date
27 January 2006
Last Update Date
28 June 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8884031071
Graduation Year
1999 (27 years ago)
PAC ID
7911916739
Group Practice PAC ID
1951206754
Professional Enrollment ID
I20060406000107
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience78
Completeness75
Years active:20State licenses:2Digital endpointsOther names

Provider Addresses for JOSETTA ELIESE WAHWASSUCK (MSN, FNP, PMHNP)

  • 227 Metro Dr

    Jefferson City, MO 651091134

    Phone: (888) 403-1071

    Type: Location

  • 4300, Brenner Drive, Nearman, Kansas City, Wyandotte County, Kansas, 66104, United States

    KVC PRAIRIE RIDGE HOSPITAL

    KANSAS CITY, KS 66104

    Phone: (913) 890-7400

    Type: Mailing

  • 1800 COMMUNITY

    CLINTON, MO 647358804

    Phone: (660) 885-8131

    Type: Mailing

  • 206 S MILL ST

    ELDON, MO 650261864

    Phone: (888) 403-1071

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

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Medicare Enrollment & Revalidation

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

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Medicare Utilization (FFS)

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

Insurance plans in this area (ZIP 65109)

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Provider's Procedures

JOSETTA ELIESE WAHWASSUCK (MSN, FNP, PMHNP) performs procedures in Psychiatric/Mental Health Nurse Practitioner. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
NURSE PRACTITIONERKS90792Psychiatric diagnostic evaluation with medical services2020

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: 1951206754View full group profile

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Frequently asked questions

What NPI should I save for JOSETTA ELIESE WAHWASSUCK (MSN, FNP, PMHNP)?
Save NPI 1629049929 if you need a stable reference for JOSETTA ELIESE WAHWASSUCK (MSN, FNP, PMHNP).
Is JOSETTA ELIESE WAHWASSUCK (MSN, FNP, PMHNP) active in the national directory?
JOSETTA ELIESE WAHWASSUCK (MSN, FNP, PMHNP)'s public NPI profile is in an active state.
What does JOSETTA ELIESE WAHWASSUCK (MSN, FNP, PMHNP) treat or focus on?
Patients typically see JOSETTA ELIESE WAHWASSUCK (MSN, FNP, PMHNP) under the specialty Psychiatric/Mental Health Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Where does public data place JOSETTA ELIESE WAHWASSUCK (MSN, FNP, PMHNP)?
The snapshot lists Jefferson City, Missouri for JOSETTA ELIESE WAHWASSUCK (MSN, FNP, PMHNP); download NPPES for the complete set.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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