Individual provider Active NPI

Jacquelyn Lorraine Addington, FNP

  • Family Nurse Practitioner
  • Warrensburg, MO
National Provider Identifier
1053845966
Registry record updated Apr 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
2017001816 Issued in MO
Practice address
407 Burkarth Rd Ste 302
Warrensburg, MO 64093-3101
Phone
(660) 747-5558
NPI assigned
Apr 18, 2017
Last updated
Apr 22, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2022

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 53-77571-031 KS
Family Nurse Practitioner 363LF0000X 2017001816 MO Primary
Registered Nurse 163W00000X 14-134081-031 KS
Registered Nurse 163W00000X 2008021001 MO

Addresses

Primary practice location

407 Burkarth Rd Ste 302
Warrensburg, MO 64093-3101

Mailing address

407 Burkarth Rd Ste 302
Warrensburg, MO 64093-3101
Phone (660) 747-5558

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address JACQUELYNADDINGTON@wmmc.cernerdirect.com Direct

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
I20170628003291 MO Practitioner - Nurse Practitioner 8527337971 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Western Missouri Medical CenterGroup PAC ID 7416931506, 67 clinicians

Practice addresses (Care Compare)

403 Burkarth Rd
Warrensburg, MO 64093-3101
Phone (660) 747-2500

407 Burkarth Rd
Warrensburg, MO 64093-3101

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
87.21 of 100Reported as group
Quality
82.95
Promoting interoperability
100
Improvement activities
40
Cost
74.42

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
14-134081-031KSMDRegistered Nurse
2008021001MOMDRegistered Nurse
53-77571-031KSMDFamily Nurse Practitioner
2017001816MOMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Western Missouri Medical Center Current Accepting new patients
Western Missouri Medical Center CurrentSince Jul 1, 2021 Accepting new patients
Western Missouri Medical Center CurrentSince May 13, 2017 Accepting new patients
Western Missouri Medical Center CurrentSince Feb 1, 2019 Accepting new patients
Western Missouri Medical Center CurrentSince May 13, 2017 Accepting new patients
Western Missouri Medical Center Past Accepting new patients

Locations

1200 W 22nd St
Higginsville, MO 64037
Phone (660) 262-7751

807 W 2nd St
Holden, MO 64040
Phone (660) 262-7309

600 E Allen St
Ste A
Knob Noster, MO 65336
Phone (660) 563-5555

403 Burkarth Rd
Warrensburg, MO 64093
Phone (660) 474-2500

407 Burkarth Rd
Ste 302
Warrensburg, MO 64093
Phone (660) 747-2500

407 E Russell Ave
#C
Warrensburg, MO 64093
Phone (660) 747-5114

427 Burkarth Rd
Warrensburg, MO 64093
Phone (660) 262-7580

513 Burkarth Rd
Warrensburg, MO 64093
Phone (660) 747-7751

Interoperability endpoints

  • Direct secure messaging: jacquelynaddington@wmmc.cernerdirect.com

Organizations & group practices 6

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 1

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": "1492473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650585600000",
    "number": "1053845966",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "407 BURKARTH RD STE 302",
            "city": "WARRENSBURG",
            "state": "MO",
            "postal_code": "640933101",
            "telephone_number": "660-747-5558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "407 BURKARTH RD STE 302",
            "city": "WARRENSBURG",
            "state": "MO",
            "postal_code": "640933101",
            "telephone_number": "660-747-5558"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADDINGTON",
        "first_name": "JACQUELYN",
        "middle_name": "LORRAINE",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-04-18",
        "last_updated": "2022-04-22",
        "certification_date": "2022-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KS",
            "license": "53-77571-031",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "2017001816",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "KS",
            "license": "14-134081-031",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MO",
            "license": "2008021001",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "JACQUELYNADDINGTON@wmmc.cernerdirect.com",
            "affiliation": "N",
            "endpointDescription": "WMMC Direct Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCDA",
            "address_1": "407 Burkarth Rd Ste 302",
            "city": "Warrensburg",
            "state": "MO",
            "country_code": "US",
            "postal_code": "640933101",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Warrensburg, MO

Sources for this page

Verify at the official NPI Registry.