NPIMap

Individual provider Active NPI

Ana Abrudan-Danalache, FNP

  • Family Nurse Practitioner
  • Willard, MO
National Provider Identifier
1053035394
Registry record updated Nov 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
2022037803 Issued in MO
Practice address
403 E Walnut LN
Willard, MO 65781-8384
Phone
(417) 742-2300
NPI assigned
Sep 29, 2022
Last updated
Nov 15, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2022

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 2022037803 MO Primary

Addresses

Primary practice location

403 E Walnut LN
Willard, MO 65781-8384

Mailing address

403 E Walnut LN
Willard, MO 65781-8384
Phone (417) 742-2300

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
I20221117000602 MO Practitioner - Nurse Practitioner 0244608537 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mercy Clinic Springfield CommunitiesGroup PAC ID 7416865845, shared by 26 NPIs, 1,121 clinicians

Practice addresses (Care Compare)

3231 S National Ave
Springfield, MO 65807-7304
Phone (417) 888-6735

3817 S Springfield Ave
Sgfmc Bolivar Multi Specialty
Bolivar, MO 65613-9129
Phone (417) 820-3911

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2022037803MOMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Clinic Springfield Communities CurrentSince Nov 21, 2022 Accepting new patients
Mercy Clinic Springfield Communities CurrentSince Nov 21, 2022 Accepting new patients
Mercy Southern Missouri Ambulatory Services LLC CurrentSince Nov 21, 2022 Accepting new patients
Mercy Clinic Springfield Communities Family CurrentSince Nov 21, 2022 Accepting new patients

Locations

3817 S Springfield Ave
Bolivar, MO 65613
Phone (417) 422-4769

1605 Martin Springs Dr
Rolla, MO 65401
Phone (573) 458-6379

1605 Martin Springs Dr
Ste 330
Rolla, MO 65401
Phone (573) 458-6379

1235 E Cherokee St
Springfield, MO 65804
Phone (417) 820-2115

2115 S Fremont Ave
Ste 3050
Springfield, MO 65804
Phone (417) 820-3905

2150 W Republic Rd
Ste 112
Springfield, MO 65807
Phone (417) 986-1291

3231 S National Ave
Ste 130
Springfield, MO 65807
Phone (417) 841-0280

900 E Battlefield St
Ste 124
Springfield, MO 65807
Phone (417) 556-8967

403 E Walnut Ln
Willard, MO 65781
Phone (417) 742-2300

Organizations & group practices 4

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 9

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": "1664409600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668470400000",
    "number": "1053035394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "403 E WALNUT LN",
            "city": "WILLARD",
            "state": "MO",
            "postal_code": "657818384",
            "telephone_number": "417-742-2300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "403 E WALNUT LN",
            "city": "WILLARD",
            "state": "MO",
            "postal_code": "657818384",
            "telephone_number": "417-742-2300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABRUDAN-DANALACHE",
        "first_name": "ANA",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-09-29",
        "last_updated": "2022-11-15",
        "certification_date": "2022-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "2022037803",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Willard, MO

Sources for this page

Verify at the official NPI Registry.