Stephanie Ann Thurman, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

2022006055 Issued in MO

Practice address

500 Main St
Cabool, MO 65689-8104

Phone

(417) 962-3015

Fax

(417) 962-5240

NPI assigned

Feb 22, 2022

Last updated

Apr 5, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

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

Specialty

Nurse Practitioner

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Texas County Memorial HospitalGroup PAC ID 9436041696, shared by 15 NPIs, 30 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Texas County Memorial Hospital Hospital, Houston, MO, CCN 260024

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science - Nursing

State licenses

Practice roles

Locations

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.

• Texas County Memorial Hospital

  dba TCMH Family Clinic - Licking

  • Primary Care Clinic/Center
  • Licking, MO
  • NPI 1235178930
  Medicare reassignment NPD
• Texas County Memorial Hospital

  dba TCMH - Cabool Medical Clinic

  • Primary Care Clinic/Center
  • Cabool, MO
  • NPI 1396785135
  Medicare reassignment NPD
• Texas County Memorial Hospital

  dba TCMH Health Clinic - Annex

  • Clinic/Center
  • Houston, MO
  • NPI 1497593719
  NPD
• Ozarks Medical Center

  dba Ozarks Healthcare

  • General Acute Care Hospital
  • West Plains, MO
  • NPI 1831115641
  NPD (past)
• Texas County Memorial Hospital

  dba TCMH Family Clinic - Licking

  • Rural Health Clinic/Center
  • Licking, MO
  • NPI 1447412770
  NPD (past)
• Texas County Memorial Hospital

  • General Acute Care Hospital
  • Houston, MO
  • NPI 1790740363
  NPD (past)
• Texas County Memorial Hospital

  dba TCMH Cabool Medical Clinic

  • Rural Health Clinic/Center
  • Cabool, MO
  • NPI 1962529644
  NPD (past)

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

• Texas County Memorial Hospital

  • Medicare Defined Swing Bed Hospital Unit
  • Houston, MO
  • NPI 1023179298
  Care Compare affiliation
• Texas County Memorial Hospital

  • General Acute Care Hospital
  • Houston, MO
  • NPI 1790740363
  Care Compare affiliation

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

{
    "created_epoch": "1645488000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680652800000",
    "number": "1043966724",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16699 OAK HILL DRIVE RD",
            "city": "HOUSTON",
            "state": "MO",
            "postal_code": "654832503",
            "telephone_number": "417-217-2458"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 MAIN ST",
            "city": "CABOOL",
            "state": "MO",
            "postal_code": "656898104",
            "telephone_number": "417-962-3015",
            "fax_number": "417-962-5240"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "16699 Oak Hill Drive Rd",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "MO",
            "postal_code": "654832503",
            "country_code": "US",
            "telephone_number": "417-217-2458",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "THURMAN",
        "first_name": "STEPHANIE",
        "middle_name": "ANN",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-02-22",
        "last_updated": "2023-04-05",
        "certification_date": "2023-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "2022006055",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA",
            "identifier": "26D0859759",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "420116989",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA",
            "identifier": "26D0679044",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• James R Perry, OD
• Ray Perry & Associates Optometrists Inc
• Texas County Memorial Hospital (TCMH - Cabool Medical Clinic)
• Texas County Memorial Hospital (TCMH Family Clinic & Internal Medicine Associates)
• Texas County Memorial Hospital (TCMH Cabool Medical Clinic)
• Samantha Danielle Welch, FNP

• Family Nurse Practitioner in Cabool, MO
• Providers in Cabool, MO by specialty
• Family Nurse Practitioner in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.