Sally Jurgensmeyer, APRN WHNP-BC

Primary specialty

Women's Health Nurse PractitionerTaxonomy code 363LW0102X

License

2024013578 Issued in MO

Practice address

1500 W State Highway J
Ozark, MO 65721-7425

Phone

(417) 485-5700

NPI assigned

Apr 15, 2024

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Apr 29, 2024 through Apr 29, 2028

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1713139200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714348800000",
    "number": "1053165183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1255 E WAYLAND ST",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658043167",
            "telephone_number": "417-619-2369"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 W STATE HIGHWAY J",
            "city": "OZARK",
            "state": "MO",
            "postal_code": "657217425",
            "telephone_number": "417-485-5700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JURGENSMEYER",
        "first_name": "SALLY",
        "credential": "APRN WHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-04-15",
        "last_updated": "2024-04-29",
        "certification_date": "2024-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LX0001X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Obstetrics & Gynecology",
            "state": "MO",
            "license": "2024013578",
            "primary": false
        },
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "MO",
            "license": "2024013578",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alisa Johnson
• Warford B Johnson II, MD
• Jon C. Mann, D.M.D., LLC
• Robert Benjamin Jones, M.D.
• Allison Jeanette Jung, NP
• James Michael Kaler, MD
• James L Kass, RPH
• M. Wayne Kennedy, PSY.D.
• Taylor Nicole Kensinger
• Kimbra Kern

• Women's Health Nurse Practitioner in Ozark, MO
• Providers in Ozark, MO by specialty
• Women's Health Nurse Practitioner in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2024; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.