Individual provider Active NPI

Deborah P Sutherland, NP

  • Family Nurse Practitioner
  • Cape Girardeau, MO
National Provider Identifier
1033148846
Registry record updated Apr 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
087134 Issued in MO
Practice address
1723 Broadway St Ste 310
Cape Girardeau, MO 63701-4556
Phone
(573) 519-4540
Fax
(573) 519-4541
NPI assigned
Jul 2, 2006
Last updated
Apr 29, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 087134 MO Primary

Addresses

Primary practice location

1723 Broadway St Ste 310
Cape Girardeau, MO 63701-4556

Mailing address

PO Box 776084
Chicago, IL 60677-6084

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
I20050124000447 MO Practitioner - Nurse Practitioner 4284684747 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1723 Broadway St
Suite 310
Cape Girardeau, MO 63701-4556
Phone (573) 331-7850

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Southeast Health Center of Stoddard County, LLC CurrentSince Jun 1, 2025 Accepting new patients
Southeast Health Center of Stoddard County LLC CurrentSince Jun 1, 2025 Accepting new patients
Southeast Missouri Hospital Physicians, LLC CurrentSince Jun 1, 2025 Accepting new patients
Southeast Health Center of Stoddard County, LLC Current Accepting new patients
Ozarks Medical Center Past Accepting new patients

Locations

1723 Broadway St
Ste 310
Cape Girardeau, MO 63701
Phone (573) 331-7840

650 S Mount Auburn Rd
Ste 100A
Cape Girardeau, MO 63703
Phone (573) 519-4898

10 Doctors Park
Cpe Girardeau, MO 63703
Phone (573) 334-3074

1701 Lacey St
Cpe Girardeau, MO 63701
Phone (573) 334-4822

60 Doctors Park
Cpe Girardeau, MO 63703
Phone (573) 334-3074

1200 N One Mile Rd
Dexter, MO 63841
Phone (573) 614-1900

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

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": "1151798400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777420800000",
    "number": "1033148846",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 776084",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606776084"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1723 BROADWAY ST STE 310",
            "city": "CAPE GIRARDEAU",
            "state": "MO",
            "postal_code": "637014556",
            "telephone_number": "573-519-4540",
            "fax_number": "573-519-4541"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUTHERLAND",
        "first_name": "DEBORAH",
        "middle_name": "P",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-02",
        "last_updated": "2026-04-29",
        "certification_date": "2026-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "087134",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cape Girardeau, MO

Sources for this page

Verify at the official NPI Registry.