Individual provider Active NPI

Robin L Bobinmyer, AGNP-C

  • Gerontology Nurse Practitioner
  • Humansville, MO
National Provider Identifier
1023460433
Registry record updated Apr 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
2016019097 Issued in MO
Practice address
201 S Arthur St
Humansville, MO 65674-8400
Phone
(417) 754-2223
Fax
(417) 754-8046
NPI assigned
Jul 9, 2016
Last updated
Apr 23, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 23, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 2016019097 MO
Gerontology Nurse Practitioner 363LG0600X 2016019097 MO Primary

Addresses

Primary practice location

201 S Arthur St
Humansville, MO 65674-8400

Mailing address

1500 N Oakland Ave
Bolivar, MO 65613-3011
Phone (417) 328-6501

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address citizensmemorialhospital@mhccaremail.com Health Information Exchange (HIE)

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
I20160819001486 MO Practitioner - Nurse Practitioner 2961797683 Reassigns benefits to 2 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Citizens Memorial Healthcare CurrentSince Jul 18, 2016 Accepting new patients
Citizens Memorial Healthcare CurrentSince Jul 18, 2016 Accepting new patients
Post Acute Medical PLLC CurrentSince Feb 14, 2025 Accepting new patients

Locations

400 E Rivulon Blvd
Ste 103
Gilbert, AZ 85297

1500 N Oakland Ave
Bolivar, MO 65613
Phone (417) 326-6000

430 N West St
Perryville, MO 63775
Phone (273) 547-1011

1441 Charic Dr
Wildwood, MO 63021
Phone (636) 394-2522

Interoperability endpoints

  • Direct secure messaging: citizensmemorialhospital@mhccaremail.com

Organizations & group practices 3

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": "1468022400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619136000000",
    "number": "1023460433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 N OAKLAND AVE",
            "city": "BOLIVAR",
            "state": "MO",
            "postal_code": "656133011",
            "telephone_number": "417-328-6501",
            "fax_number": "417-328-6338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 S ARTHUR ST",
            "city": "HUMANSVILLE",
            "state": "MO",
            "postal_code": "656748400",
            "telephone_number": "417-754-2223",
            "fax_number": "417-754-8046"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOBINMYER",
        "first_name": "ROBIN",
        "middle_name": "L",
        "credential": "AGNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-07-09",
        "last_updated": "2021-04-23",
        "certification_date": "2021-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "MO",
            "license": "2016019097",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "MO",
            "license": "2016019097",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "citizensmemorialhospital@mhccaremail.com",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "201 S Arthur St",
            "city": "Humansville",
            "state": "MO",
            "country_code": "US",
            "postal_code": "656748400",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Humansville, MO

Sources for this page

Verify at the official NPI Registry.