Active NPI
Jennifer A Malossi, M.D.
- Urology Physician
- Springfield, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- License
- 2017017909
- Practice address
- 1001 E Primrose St
Springfield, MO 65807-5155 - Phone
- (417) 875-3381
- Fax
- (417) 875-3690
- NPI assigned
- Oct 6, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urology Physician | 208800000X | 228628-1 | NY | |
| Urology Physician | 208800000X | 2017017909 | MO | Primary |
Addresses
Primary practice location
1001 E Primrose St
Springfield, MO 65807-5155
Mailing address
PO Box 9007
Springfield, MO 65808-9007
Phone (417) 875-3000
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003903550 | Medicaid | MO | |
| 200044423 | Medicaid | MO |
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: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Urology
- Education
- Other, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1001 E Primrose
Ferrell Duncan Clinic
Springfield, MO 65807-5155
Phone (417) 875-3000
1102 W 32 St
Joplin, MO 64804-3503
Phone (417) 347-4570
Hospital & facility affiliations
- Cox Medical Centers
- Freeman Health System - Freeman West
Merit-based Incentive Payment System (MIPS)
- Final score
- 81.37 of 100
- Quality
- 60.15
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 77.74
Merit-based Incentive Payment System (MIPS)
- Final score
- 82.25 of 100
- Quality
- 64.73
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 76.1
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Prostate resection | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2017017909 | MO | MD | Urology Physician |
| 228628-1 | NY | MD | Urology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Freeman-Oak Hill Health System | Current | Accepting new patients | |
| Lester E Cox Medical Centers | Current | Accepting new patients | |
| Ozarks Medical Center | Past | Accepting new patients | |
| Lester E Cox Medical Centers | Past | Accepting new patients |
Locations
1102 W 32nd St
Joplin, MO 64804
Phone (417) 347-1078
3302 McIntosh Cir
Ste 2
Joplin, MO 64804
Phone (417) 347-3703
307 W 11th St
Lamar, MO 64759
Phone (417) 682-3300
29 NW 1st Ln
Lamar, MO 64759
Phone (417) 681-5266
1001 E Primrose St
Springfield, MO 65807
Phone (417) 875-3434
Networks
- IA HMO
- devoted network organization-2b183dd2-4e80-4977-80a6-4fdf0df4361d
- IL PPO Downstate
- IA HMO C-SNP
- devoted network organization-734447cc-691b-4aa7-a112-9c9c8698dcc9
- devoted network organization-27eb9117-6975-449a-a7ad-909243995ddc
Organizations & group practices 5
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.
-
- Multi-Specialty Clinic/Center
- Joplin, MO
- NPI 1679517023
-
- General Practice Physician
- Springfield, MO
- NPI 1760405864
-
- Family Medicine Physician
- Shell Knob, MO
- NPI 1538334396
-
- Hospitalist Physician
- Springfield, MO
- NPI 1952355646
-
- General Acute Care Hospital
- West Plains, MO
- NPI 1831115641
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Webb City, MO
- NPI 1114394228
Hospital
-
- General Acute Care Hospital
- Joplin, MO
- NPI 1265546048
-
- General Acute Care Hospital
- Springfield, MO
- NPI 1093740128
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160092800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1545868800000",
"number": "1003903550",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 9007",
"city": "SPRINGFIELD",
"state": "MO",
"postal_code": "658089007",
"telephone_number": "417-875-3000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1001 E PRIMROSE ST",
"city": "SPRINGFIELD",
"state": "MO",
"postal_code": "658075155",
"telephone_number": "417-875-3381",
"fax_number": "417-875-3690"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MALOSSI",
"first_name": "JENNIFER",
"middle_name": "A",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-06",
"last_updated": "2018-12-27",
"status": "A"
},
"taxonomies": [
{
"code": "208800000X",
"taxonomy_group": "",
"desc": "Urology",
"state": "NY",
"license": "228628-1",
"primary": false
},
{
"code": "208800000X",
"taxonomy_group": "",
"desc": "Urology",
"state": "MO",
"license": "2017017909",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1003903550",
"state": "MO"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200044423",
"state": "MO"
}
],
"endpoints": [],
"other_names": []
}
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 Dec 27, 2018; 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.