Individual provider Active NPI

Chase Vargo, FNP-C

  • Family Nurse Practitioner
  • Columbia, MO
National Provider Identifier
1043066483
Registry record updated Apr 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
2024013619 Issued in MO
Practice address
2616 Lentz Dr
Columbia, MO 65202-5629
Phone
(573) 366-9939
NPI assigned
Apr 26, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 26, 2024

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 2024013619 MO Primary

Addresses

Primary practice location

2616 Lentz Dr
Columbia, MO 65202-5629

Mailing address

2616 Lentz Dr
Columbia, MO 65202-5629
Phone (573) 366-9939

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
I20241019000142 MO Practitioner - Nurse Practitioner 3072045780 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Big Tree Medical Group LLCGroup PAC ID 6507232543, 9 clinicians

Practice addresses (Care Compare)

200 Corporate Lake Dr
Columbia, MO 65203-7172
Phone (417) 234-2860

Hospital & facility affiliations

  • Boone Hospital Center Hospital, Columbia, MO, CCN 260068

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2024013619MOMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Big Tree Medical Group LLC CurrentSince Aug 1, 2024 Accepting new patients
Little Tree Pediatric Urgent Care LLC Past Accepting new patients

Locations

206 Corporate Lake Dr
Columbia, MO 65203
Phone (573) 814-1170

200 Corporate Lake Dr
Columbia, MO 65203
Phone (417) 234-2860

Interoperability endpoints

  • Direct secure messaging: chase.vargo@115443077021700.direct.elationemr.com

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 2

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": "1714089600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714089600000",
    "number": "1043066483",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2616 LENTZ DR",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652025629",
            "telephone_number": "573-366-9939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2616 LENTZ DR",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652025629",
            "telephone_number": "573-366-9939"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VARGO",
        "first_name": "CHASE",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-04-26",
        "last_updated": "2024-04-26",
        "certification_date": "2024-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "2024013619",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, MO

Sources for this page

Verify at the official NPI Registry.