Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum

Shelly Y Gresham, RNC-FNP

Nurse Practitioner in Poplar Bluff, MO · enumerated 2006.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1063491405

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Registry record

Entity type Individual (Type 1)

Name Shelly Y Gresham

Credential RNC-FNP

Sex Female

Practice address 2480 Three Rivers Blvd, Poplar Bluff, MO, 63901

Phone (573) 686-5564

Fax (573) 686-2838

Enumeration date Jan 13, 2006

Last updated in NPPES Sep 22, 2009

Taxonomy & licenses

363L00000X Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers · License 126637 (MO) Primary

Other identifiers

Identifier	Type	State	Issuer
428569842	Medicaid	MO	-

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

Where does Shelly Gresham practice?

The practice location on file with NPPES is in Poplar Bluff, MO. Providers can have multiple locations; NPPES lists the primary practice address.

What is the NPI number for Shelly Gresham?

The National Provider Identifier (NPI) for Shelly Gresham is 1063491405, a Type 1 (individual) record in the CMS NPPES registry.

Other providers at this practice address

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Plunkett Family Care Center LLC Rural Health Clinic/Center · Poplar Bluff, MO NPI 1447256987 John Elliott Family Medicine Physician · Poplar Bluff, MO NPI 1922090125 Ellen Howell Nurse Practitioner · Poplar Bluff, MO NPI 1679552012 Martin Mcdonald Family Medicine Physician · Poplar Bluff, MO NPI 1811088594 Plunkett Family Care Center LLC Primary Care Clinic/Center · Poplar Bluff, MO NPI 1922280189 James Robinett Physician Assistant · Poplar Bluff, MO NPI 1407273741

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2009-09-22.