NPIMap

Individual provider Active NPI

Hannah Corinne Forrest, NP-C

  • Nurse Practitioner
  • Branson, MO
National Provider Identifier
1033740402
Registry record updated Jan 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
2020003976 Issued in MO
Practice address
800 Highway 248 Ste 2F
Branson, MO 65616-4078
Phone
(417) 324-7672
NPI assigned
Feb 3, 2020
Last updated
Jan 3, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 2020003976 MO Primary

Addresses

Primary practice location

800 Highway 248 Ste 2F
Branson, MO 65616-4078

Mailing address

295 Gray Fox LN
Walnut Shade, MO 65771-9259
Phone (417) 230-6053

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200424002775 MO Practitioner - Nurse Practitioner 9739519166 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Table Rock Family Care Clinic LLCGroup PAC ID 1052740750, 3 clinicians

Practice addresses (Care Compare)

800 Hwy 248
Suite F
Branson, MO 65616-4078
Phone (417) 324-7672

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2020003976MOMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Table Rock Family Care Clinic, LLC CurrentSince Mar 1, 2020 Accepting new patients

Locations

800 Highway 248
Ste F
Branson, MO 65616
Phone (417) 324-7672

800 State Highway 248
Ste 2F
Branson, MO 65616
Phone (417) 324-7672

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.

Hospital & facility affiliations 13

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1580688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735862400000",
    "number": "1033740402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "295 GRAY FOX LN",
            "city": "WALNUT SHADE",
            "state": "MO",
            "postal_code": "657719259",
            "telephone_number": "417-230-6053"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 HIGHWAY 248 STE 2F",
            "city": "BRANSON",
            "state": "MO",
            "postal_code": "656164078",
            "telephone_number": "417-324-7672"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FORREST",
        "first_name": "HANNAH",
        "middle_name": "CORINNE",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-02-03",
        "last_updated": "2025-01-03",
        "certification_date": "2025-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MO",
            "license": "2020003976",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Branson, MO

Sources for this page

Verify at the official NPI Registry.