Active NPI
Cassondra Dawn Simmoneau, NP
- Nurse Practitioner
- Springfield, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 2019039975
- Practice address
- 3800 S National Ave Ste 510
Springfield, MO 65807-5284 - Phone
- (417) 875-3000
- NPI assigned
- Feb 26, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 2019039975 | MO | Primary |
Addresses
Primary practice location
3800 S National Ave Ste 510
Springfield, MO 65807-5284
Mailing address
PO Box 802843
Kansas City, MO 64180-2843
Other practice location 1
3801 S National Ave
Springfield, MO 65807-5210
Phone (417) 269-7728
Other practice location 2
3800 S National Ave Ste 400
Springfield, MO 65807-5272
Phone (417) 875-3000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 420081106 | Medicaid | MO |
Other names 1
- Cassy Bowman
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3800 S National Ave
Suite 510
Springfield, MO 65807-5284
Phone (417) 875-3000
Merit-based Incentive Payment System (MIPS)
- Final score
- 81.52 of 100
- Quality
- 61.64
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 76.77
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lester E Cox Medical Centers | Current | Accepting new patients | |
| Lester E Cox Medical Centers | Current | Accepting new patients | |
| Lester E Cox Medical Centers | Current | Accepting new patients | |
| Lester E Cox Medical Centers | Current | Accepting new patients | |
| Lester E Cox Medical Centers | Current | Accepting new patients | |
| Lester E Cox Medical Centers | Current | Accepting new patients | |
| Skaggs Community Hospital Association | Past | Accepting new patients | |
| Lester E Cox Medical Centers | Past | Accepting new patients |
Locations
3800 S National Ave
Ste 510
Springfield, MO 65807
Phone (417) 875-3114
3801 S National Ave
Ste 1122
Springfield, MO 65807
1001 E Primrose St
Springfield, MO 65807
Phone (417) 875-3434
3801 S National Ave
Springfield, MO 65807
Phone (417) 269-4056
3800 S National Ave
Fl 4
Springfield, MO 65807
Phone (417) 875-3203
3800 S National Ave
Ste 400
Springfield, MO 65807
Phone (417) 269-9482
1000 E Primrose St
Ste 360
Springfield, MO 65807
Phone (417) 269-4037
Networks
- devoted network organization-27eb9117-6975-449a-a7ad-909243995ddc
- IA HMO
- IA HMO C-SNP
- IL PPO Downstate
- devoted network organization-2b183dd2-4e80-4977-80a6-4fdf0df4361d
- devoted network organization-734447cc-691b-4aa7-a112-9c9c8698dcc9
Organizations & group practices 8
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Cardiovascular Disease Physician
- Springfield, MO
- NPI 1750036703
-
- Hospitalist Physician
- Springfield, MO
- NPI 1902969272
-
- Neurology Physician
- Springfield, MO
- NPI 1023763414
-
- Pulmonary Disease Physician
- Springfield, MO
- NPI 1285389668
-
- Geriatric Medicine (Internal Medicine) Physician
- Springfield, MO
- NPI 1356068605
-
- Clinical Medical Laboratory
- Springfield, MO
- NPI 1972925857
-
- Family Medicine Physician
- Willow Springs, MO
- NPI 1417122326
-
- Orthopaedic Surgery Physician
- Branson, MO
- NPI 1871523357
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1582675200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1680652800000",
"number": "1003440215",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 802843",
"city": "KANSAS CITY",
"state": "MO",
"postal_code": "641802843"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3800 S NATIONAL AVE STE 510",
"city": "SPRINGFIELD",
"state": "MO",
"postal_code": "658075284",
"telephone_number": "417-875-3000"
}
],
"practiceLocations": [
{
"address_1": "3801 S National Ave",
"address_purpose": "LOCATION",
"city": "Springfield",
"state": "MO",
"postal_code": "658075210",
"country_code": "US",
"telephone_number": "417-269-7728",
"fax_number": "417-269-7729",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3800 S National Ave Ste 400",
"address_purpose": "LOCATION",
"city": "Springfield",
"state": "MO",
"postal_code": "658075272",
"country_code": "US",
"telephone_number": "417-875-3000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SIMMONEAU",
"first_name": "CASSONDRA",
"middle_name": "DAWN",
"name_prefix": "Mrs.",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-02-26",
"last_updated": "2023-04-05",
"certification_date": "2023-04-05",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "MO",
"license": "2019039975",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "420081106",
"state": "MO"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "CASSY",
"last_name": "BOWMAN",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Springfield, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.