Individual provider Active NPI

Cassondra Dawn Simmoneau, NP

  • Nurse Practitioner
  • Springfield, MO
National Provider Identifier
1003440215
Registry record updated Apr 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
2019039975 Issued in MO
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

Updated by the provider on Apr 5, 2023

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 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

IdentifierTypeStateIssuer
420081106MedicaidMO

Other names 1

  • Cassy Bowman Former name

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
I20200407000264 MO Practitioner - Nurse Practitioner 7911336318 Reassigns benefits to 2 organizations

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
Lester E Cox Medical CentersGroup PAC ID 1254248917, 336 clinicians

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 100Reported as group
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

OrganizationSpecialtyStatusNew patients
Lester E Cox Medical Centers CurrentSince Jul 1, 2022 Accepting new patients
Lester E Cox Medical Centers CurrentSince Nov 16, 2020 Accepting new patients
Lester E Cox Medical Centers Current Accepting new patients
Lester E Cox Medical Centers CurrentSince Nov 16, 2020 Accepting new patients
Lester E Cox Medical Centers CurrentSince Jul 1, 2022 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.

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

Verify at the official NPI Registry.