Individual provider Active NPI

Erin H York, PA-C

  • Physician Assistant
  • Springfield, MO
National Provider Identifier
1013456045
Registry record updated Feb 23, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
2017004556 Issued in MO
Practice address
3808 S Greystone CT
Springfield, MO 65804-6561
Phone
(417) 889-3332
Fax
(417) 881-1141
NPI assigned
Feb 23, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 23, 2017

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 2017004556 MO Primary

Addresses

Primary practice location

3808 S Greystone CT
Springfield, MO 65804-6561

Mailing address

3808 S Greystone CT
Springfield, MO 65804-6561
Phone (417) 889-3332

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
I20170424000101 MO Practitioner - Physician Assistant 1052697257 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ozarks Dermatology Specialists LLCGroup PAC ID 0143407049, 3 clinicians

Practice addresses (Care Compare)

3808 S Greystone CT
Springfield, MO 65804-6561
Phone (417) 889-3332

Hospital & facility affiliations

  • Cox Medical Centers Hospital, Springfield, MO, CCN 260040

Merit-based Incentive Payment System (MIPS)

Final score
88.21 of 100Reported as individual
Quality
78.57
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
2017004556MOMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Raffaele Pennella MD LLC Current Accepting new patients
Jenifer Insley MD LLC Current Accepting new patients
Ozarks Medical Center Past Accepting new patients

Locations

4350 S National Ave
Ste C100
Springfield, MO 65810
Phone (417) 447-4700

3808 S Greystone Ct
Springfield, MO 65804
Phone (417) 889-3332

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1487808000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1487808000000",
    "number": "1013456045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3808 S GREYSTONE CT",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658046561",
            "telephone_number": "417-889-3332",
            "fax_number": "417-881-1141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3808 S GREYSTONE CT",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658046561",
            "telephone_number": "417-889-3332",
            "fax_number": "417-881-1141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YORK",
        "first_name": "ERIN",
        "middle_name": "H",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-02-23",
        "last_updated": "2017-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MO",
            "license": "2017004556",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, MO

Sources for this page

Verify at the official NPI Registry.