Individual provider Active NPI

Jill Basler, FNP

  • Nurse Practitioner
  • Farmington, MO
National Provider Identifier
1033000286
Registry record updated Jul 31, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
2025032065 Issued in MO
Practice address
130 Westmount Dr
Farmington, MO 63640-2970
Phone
(573) 756-1813
NPI assigned
Jul 14, 2025
Last updated
Jul 31, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 2025032065 MO Primary
Registered Nurse 163W00000X 2011002495 MO

Addresses

Primary practice location

130 Westmount Dr
Farmington, MO 63640-2970

Mailing address

134 Ethlyn Dr
Bloomsdale, MO 63627-8922
Phone (573) 576-0920

Other practice location 1

611 W Main St
Fredericktown, MO 63645-1146
Phone (573) 756-1813

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
I20250821004174 MO Practitioner - Nurse Practitioner 1850891102 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Heart and Vascular Associates LLCGroup PAC ID 7012208952, 6 clinicians

Practice addresses (Care Compare)

130 Westmount Dr
Farmington, MO 63640-2970
Phone (573) 756-1813

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2011002495MOMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Heart and Vascular Associates LLC CurrentSince Aug 8, 2025 Accepting new patients

Locations

130 Westmount Dr
Farmington, MO 63640
Phone (573) 756-1813

540 Maple Valley Dr
Farmington, MO 63640
Phone (573) 756-1813

611 W Main St
Fredericktown, MO 63645
Phone (573) 773-7061

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/HDFFAD

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": "1752451200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753920000000",
    "number": "1033000286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "134 ETHLYN DR",
            "city": "BLOOMSDALE",
            "state": "MO",
            "postal_code": "636278922",
            "telephone_number": "573-576-0920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 WESTMOUNT DR",
            "city": "FARMINGTON",
            "state": "MO",
            "postal_code": "636402970",
            "telephone_number": "573-756-1813"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "611 W Main St",
            "address_purpose": "LOCATION",
            "city": "Fredericktown",
            "state": "MO",
            "postal_code": "636451146",
            "country_code": "US",
            "telephone_number": "573-756-1813",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BASLER",
        "first_name": "JILL",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-07-14",
        "last_updated": "2025-07-31",
        "certification_date": "2025-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MO",
            "license": "2025032065",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MO",
            "license": "2011002495",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Farmington, MO

Sources for this page

Verify at the official NPI Registry.