Individual provider Active NPI

Hunter Elijah Wadlow

  • Nurse Practitioner
  • Ste Genevieve, MO
National Provider Identifier
1073236097
Registry record updated Jul 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
2022037256 Issued in MO
Practice address
753 Pointe Basse Dr
Sainte Genevieve, MO 63670-1820
Phone
(573) 883-2782
Fax
(573) 883-3681
NPI assigned
Sep 23, 2022
Last updated
Jul 26, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 26, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 2022037256 MO Primary

Addresses

Primary practice location

753 Pointe Basse Dr
Sainte Genevieve, MO 63670-1820

Mailing address

753 Pointe Basse Dr
Sainte Genevieve, MO 63670-1820
Phone (573) 883-2782

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230105000389 MO Practitioner - Nurse Practitioner 1254701477 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

120 Plaza Dr Plaza Family Health Care
Ste Genevieve, MO 63670-1828
Phone (573) 883-1199

255 Boderman
Bloomsdale, MO 63627-9099
Phone 5738837720362

575 Pine Dr
Ste Genevieve, MO 63670-1446
Phone (573) 883-7424

753 Pointe Basse Dr
Ste Genevieve, MO 63670-1820
Phone (573) 883-2782

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Ste. Genevieve County Memorial Hospital CurrentSince Jun 1, 2025 Accepting new patients
Parkland Health Center CurrentSince Jan 1, 2023 Accepting new patients
Ste Genevieve County Memorial Hospital CurrentSince Jun 1, 2025 Accepting new patients
Ste Genevieve County Memorial Hospital Current Accepting new patients
Parkland Health Center CurrentSince Jan 1, 2023 Accepting new patients
Ste Genevieve County Memorial Hospital Past Accepting new patients

Locations

255 Boderman
Bloomsdale, MO 63627
Phone (573) 483-2727

7245 Raider Rd
Bonne Terre, MO 63628
Phone (573) 358-1400

7245 Raider Rd
Ste C
Bonne Terre, MO 63628
Phone (573) 358-4600

1101 W Liberty St
Farmington, MO 63640
Phone (573) 705-1272

120 Plaza Dr
Ste Genevieve, MO 63670
Phone (573) 883-1199

575 Pine Dr
Ste Genevieve, MO 63670
Phone (573) 883-7424

753 Pointe Basse Dr
Ste Genevieve, MO 63670
Phone (573) 883-2782

800 Ste Genevieve Dr
Ste Genevieve, MO 63670
Phone (573) 883-2571

Interoperability endpoints

  • FHIR API: https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2/
  • Direct secure messaging: hunterwadlow@mhccaremail.com

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1663891200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753488000000",
    "number": "1073236097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "753 POINTE BASSE DR",
            "city": "SAINTE GENEVIEVE",
            "state": "MO",
            "postal_code": "636701820",
            "telephone_number": "573-883-2782",
            "fax_number": "573-883-3681"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "753 POINTE BASSE DR",
            "city": "SAINTE GENEVIEVE",
            "state": "MO",
            "postal_code": "636701820",
            "telephone_number": "573-883-2782",
            "fax_number": "573-883-3681"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WADLOW",
        "first_name": "HUNTER",
        "middle_name": "ELIJAH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-09-23",
        "last_updated": "2025-07-26",
        "certification_date": "2025-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MO",
            "license": "2022037256",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ste Genevieve, MO

Sources for this page

Verify at the official NPI Registry.