Individual provider Active NPI

Elyssa N Rapier, CPNP

  • Pediatric Nurse Practitioner
  • Springfield, MO
National Provider Identifier
1023369774
Registry record updated May 29, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
2012034195 Issued in MO
Practice address
1901 S Ventura Ave
Suite B
Springfield, MO 65804-2700
Phone
(417) 233-1100
Fax
(417) 622-4454
NPI assigned
Sep 20, 2012
Last updated
May 29, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 29, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X 2012034195 MO Primary
Pediatric Nurse Practitioner 363LP0200X 2008020303 MO

Addresses

Primary practice location

1901 S Ventura Ave
Suite B
Springfield, MO 65804-2700

Mailing address

1901 S Ventura Ave
Suite B
Springfield, MO 65804-2700
Phone (417) 233-1100

Other identifiers 3

IdentifierTypeStateIssuer
PENDINGMedicaidAR
PENDINGOtherMORR MCR
PENDINGMedicaidMO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Pediatric Nurse Practitioner, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
2008020303MOMDPediatric Nurse Practitioner
2012034195MOMDPediatric Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Ozarks Medical Center Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: erapier283577@directb.mercy.net

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1348099200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1590710400000",
    "number": "1023369774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1901 S VENTURA AVE",
            "address_2": "SUITE B",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658042700",
            "telephone_number": "417-233-1100",
            "fax_number": "417-622-4454"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1901 S VENTURA AVE",
            "address_2": "SUITE B",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658042700",
            "telephone_number": "417-233-1100",
            "fax_number": "417-622-4454"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAPIER",
        "first_name": "ELYSSA",
        "middle_name": "N",
        "credential": "CPNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-09-20",
        "last_updated": "2020-05-29",
        "certification_date": "2020-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "MO",
            "license": "2012034195",
            "primary": true
        },
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "MO",
            "license": "2008020303",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PENDING",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MCR",
            "identifier": "PENDING",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PENDING",
            "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 May 29, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.