Individual provider Active NPI

Jana Ethel Reid, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • West Plains, MO
National Provider Identifier
1033619077
Registry record updated Jul 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
2005007398 Issued in MO
Practice address
1211 Porter Wagoner Blvd
West Plains, MO 65775-1826
Phone
(417) 349-2334
NPI assigned
Feb 16, 2018
Last updated
Jul 29, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 29, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 2005007398 MO Primary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 53-81126-011 KS

Addresses

Primary practice location

1211 Porter Wagoner Blvd
West Plains, MO 65775-1826

Mailing address

1211 Porter Wagoner Blvd # 23
West Plains, MO 65775-1826
Phone (417) 257-6762

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO, KS, AR3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20180220003130 MO Practitioner - Nurse Practitioner 7719248434 Reassigns benefits to 2 organizations
I20220607000984 KS Practitioner - Nurse Practitioner 7719248434 Reassigns benefits to 1 organization
I20250219004013 AR Practitioner - Nurse Practitioner 7719248434 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Saint Louis University School of Medicine, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Success Health System LLCGroup PAC ID 2961787809, 7 clinicians
Ozarks Medical CenterGroup PAC ID 3870491863, 166 clinicians

Practice addresses (Care Compare)

11695 S Blackbob Rd
Olathe, KS 66062-1058
Phone (888) 410-5230

1211 Porter Wagoner Blvd
Suite 23
West Plains, MO 65775-1826
Phone 41725767623010

3600 Interstate 70 Dr SE
Suite C
Columbia, MO 65201-6583
Phone (888) 410-5230

624 Hospital Dr
Mountain Home, AR 72653-2954

624 Hospital Dr
Mountain Home, AR 72653-2955
Phone (870) 424-4935

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
88.96 of 100Reported as group
Quality
78.58
Promoting interoperability
99
Improvement activities
40
Cost
77.82

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
2005007398MOMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Ozarks Medical Center CurrentSince Feb 19, 2018 Accepting new patients
Baxter County Regional Hospital, Inc CurrentSince Dec 13, 2024 Accepting new patients
Ozarks Medical Center CurrentSince Feb 19, 2018 Accepting new patients
Baxter County Regional Hospital, Inc. Current Accepting new patients
Baxter County Regional Hospital Inc CurrentSince Dec 13, 2024 Accepting new patients
Ozarks Medical Center Past Accepting new patients
Leeker Enterprises Inc PastSince Oct 5, 2019 Accepting new patients

Locations

624 Hospital Dr
Mountain Home, AR 72653
Phone (870) 424-1000

624 Hospital Dr
#6S
Mountain Home, AR 72653
Phone (870) 421-6023

1 Southtowne Dr
Potosi, MO 63664
Phone (573) 438-8401

1100 N Kentucky Ave
West Plains, MO 65775
Phone (417) 257-5959

1211 Porter Wagoner Blvd
West Plains, MO 65775
Phone 4172576762 ext. 4102

1211 Porter Wagoner Blvd
#23
West Plains, MO 65775
Phone (417) 257-6762

1211 Porter Wagoner Blvd
Ste 23
West Plains, MO 65775
Phone (417) 257-6762

Interoperability endpoints

  • Direct secure messaging: j.reid@mhccaremail.com

Organizations & group practices 8

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 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": "1518739200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785283200000",
    "number": "1033619077",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1211 PORTER WAGONER BLVD # 23",
            "city": "WEST PLAINS",
            "state": "MO",
            "postal_code": "657751826",
            "telephone_number": "417-257-6762",
            "fax_number": "417-257-5875"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1211 PORTER WAGONER BLVD",
            "city": "WEST PLAINS",
            "state": "MO",
            "postal_code": "657751826",
            "telephone_number": "417-349-2334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REID",
        "first_name": "JANA",
        "middle_name": "ETHEL",
        "credential": "PMHNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-02-16",
        "last_updated": "2026-07-29",
        "certification_date": "2026-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MO",
            "license": "2005007398",
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "KS",
            "license": "53-81126-011",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Plains, MO

Sources for this page

Verify at the official NPI Registry.