Individual provider Active NPI

Jill Bryant

  • Internal Medicine Physician
  • Joplin, MO
National Provider Identifier
1053925537
Registry record updated Jun 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
2020021034 Issued in MO
Practice address
2615 E 15TH St
Joplin, MO 64804-1006
Phone
(417) 624-4701
NPI assigned
Sep 2, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 5, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 2020021034 MO
Internal Medicine Physician 207R00000X 2020021034 MO Primary

Addresses

Primary practice location

2615 E 15TH St
Joplin, MO 64804-1006

Mailing address

2615 E 15TH St
Joplin, MO 64804-1006
Phone (417) 624-4701

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
I20210707003304 MO Practitioner - Nurse Practitioner 2062814452 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Joplin Internal Medicine ClinicGroup PAC ID 8527194703, 3 clinicians

Practice addresses (Care Compare)

2615 E 20TH St
Joplin, MO 64804-1039
Phone (417) 624-4701

Hospital & facility affiliations

  • Mercy Hospital Joplin Hospital, Joplin, MO, CCN 260001
  • Mercy Hospital Carthage Hospital, Carthage, MO, CCN 261338

Merit-based Incentive Payment System (MIPS)

Final score
93.81 of 100Reported as group
Quality
99.4
Improvement activities
40
Cost
80.17

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2020021034MOMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Joplin Internal Medicine Clinic Internal Medicine CurrentSince Aug 3, 2021 Accepting new patients
Digestive Health Center of the Four States, LLC PastSince Aug 3, 2021 Accepting new patients

Locations

2615 E 20th St
Joplin, MO 64804
Phone (417) 624-4701

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 3

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": "1599004800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749081600000",
    "number": "1053925537",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2615 E 15TH ST",
            "city": "JOPLIN",
            "state": "MO",
            "postal_code": "648041006",
            "telephone_number": "417-624-4701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2615 E 15TH ST",
            "city": "JOPLIN",
            "state": "MO",
            "postal_code": "648041006",
            "telephone_number": "417-624-4701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRYANT",
        "first_name": "JILL",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-09-02",
        "last_updated": "2025-06-05",
        "certification_date": "2025-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MO",
            "license": "2020021034",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MO",
            "license": "2020021034",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Joplin, MO

Sources for this page

Verify at the official NPI Registry.