Individual provider Active NPI

Jill Lynn Feurt, CNM FNP

  • Advanced Practice Midwife
  • Carthage, MO
National Provider Identifier
1063421048
Registry record updated Aug 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
138781 Issued in MO
Practice address
1515 Hazel St
Suite 101
Carthage, MO 64836-2850
Phone
(417) 358-0188
Fax
(417) 358-4162
NPI assigned
Aug 7, 2006
Last updated
Aug 7, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 138781 MO
Advanced Practice Midwife 367A00000X 138781 MO Primary

Addresses

Primary practice location

1515 Hazel St
Suite 101
Carthage, MO 64836-2850

Mailing address

1615 Hazel Ave
Carthage, MO 64836-3020
Phone (417) 358-0188

Other practice location 1

7115 E Saint Charles Rd
Columbia, MO 65202-0196
Phone (573) 884-6851

Other identifiers 2

IdentifierTypeStateIssuer
200264510AMedicaidKS
1063421048MedicaidMO

Other names 1

  • Jill Feurt Professional name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address MUDOCREFERRAL@direct.health.missouri.edu Direct Curators of the University of Missouri

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20120524000085 MO Practitioner - Nurse Practitioner 4880748433 Reassigns benefits to 2 organizations
I20230828000300 MO Practitioner - Certified Nurse Midwife (CNM) 4880748433 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Nurse Midwife (CNM)
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

404 N Keene St
Columbia, MO 65201-6626
Phone (573) 875-9000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
138781MOMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Hospital Carthage Current Accepting new patients
Mercy Clinic Joplin LLC CurrentSince Feb 1, 2015 Accepting new patients
The Curators of the University of Missouri CurrentSince Jul 8, 2023 Accepting new patients
Curators of the University of Missouri CurrentSince Jul 8, 2023 Accepting new patients
Mercy Clinic Joplin LLC CurrentSince Feb 1, 2015 Accepting new patients
Mercy Hospital Carthage CurrentSince Apr 7, 2012 Accepting new patients
Mercy Hospital Carthage CurrentSince Apr 7, 2012 Accepting new patients
Curators of the University of Missouri Past Accepting new patients
Curators of the University of Missouri Past Accepting new patients

Locations

1515 Hazel Ave
Ste 101
Carthage, MO 64836
Phone (417) 358-0188

1615 Hazel Ave
Carthage, MO 64836
Phone (417) 358-0188

3116 Medical Park Dr
Carthage, MO 64836
Phone (417) 358-7574

94 Main St
Cassville, MO 65625
Phone (417) 782-7722

1 Hospital Dr
Columbia, MO 65212
Phone (573) 882-2568

404 N Keene St
Columbia, MO 65201
Phone (573) 875-9000

100 Mercy Way
Joplin, MO 64804
Phone (417) 556-2300

100 Mercy Way
Ste 510
Joplin, MO 64804
Phone (417) 347-4000

Interoperability endpoints

  • Direct secure messaging: jfeurt293043@directb.mercy.net
  • Direct secure messaging: jill.feurt.1@15122.direct.athenahealth.com

Organizations & group practices 9

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 2

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": "1154908800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691366400000",
    "number": "1063421048",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1615 HAZEL AVE",
            "city": "CARTHAGE",
            "state": "MO",
            "postal_code": "648363020",
            "telephone_number": "417-358-0188",
            "fax_number": "417-358-4162"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1515 HAZEL ST",
            "address_2": "SUITE 101",
            "city": "CARTHAGE",
            "state": "MO",
            "postal_code": "648362850",
            "telephone_number": "417-358-0188",
            "fax_number": "417-358-4162"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7115 E Saint Charles Rd",
            "address_purpose": "LOCATION",
            "city": "Columbia",
            "state": "MO",
            "postal_code": "652020196",
            "country_code": "US",
            "telephone_number": "573-884-6851",
            "fax_number": "573-884-0293",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FEURT",
        "first_name": "JILL",
        "middle_name": "LYNN",
        "credential": "CNM FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-07",
        "last_updated": "2023-08-07",
        "certification_date": "2023-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "138781",
            "primary": false
        },
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "MO",
            "license": "138781",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200264510A",
            "state": "KS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1063421048",
            "state": "MO"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "MUDOCREFERRAL@direct.health.missouri.edu",
            "affiliation": "Y",
            "endpointDescription": "Endpoint is used to receive electronic continuity of care documents (C-CDA) for outpatient referrals",
            "affiliationName": "Curators of the University of Missouri",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Direct",
            "address_1": "7115 E Saint Charles Rd",
            "city": "Columbia",
            "state": "MO",
            "country_code": "US",
            "postal_code": "652020196",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "JILL",
            "last_name": "FEURT",
            "credential": "CNM FNP",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Carthage, MO

Sources for this page

Verify at the official NPI Registry.