John R Armbruster, FNP
Individual provider Active NPI Family Nurse Practitioner · Bloomfield, MO
NPI 1003207242 · NPPES record last updated Aug 8, 2023
Key facts
- NPI
- 1003207242
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 2015001137 (MO)
- Practice address
- 612 State Highway 25 S
Bloomfield, MO 63825-9566 - Phone
- (573) 803-3995
- Fax
- (573) 803-5222
- NPI assigned
- Feb 10, 2015
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MO
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150320001339 | MO | Practitioner - Nurse Practitioner | 4981921467 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2015001137 | MO | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Comprehensive Family Health Care LLC | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 2015001137 | MO | Yes |
Addresses
Primary practice location
612 State Highway 25 S
Bloomfield, MO 63825-9566
Mailing address
612 Hwy 25 South
Bloomfield, MO 63825-9566
Phone (573) 568-7377
Other practice location 1
714 Broadway St
Cape Girardeau, MO 63701-5514
Phone (573) 803-3995
Other practice location 2
142 S Winchester St
Benton, MO 63736-0650
Phone (573) 472-6001
Other providers in Bloomfield, MO
- Sheila Armbruster
- Kennett D Asher Jr.
- Bloomfield R-14 Schools
- Broadway Family Clinic LLC
- Milburn Cozort
All providers in Bloomfield, MO · Family Nurse Practitioner in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 8, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.