Active NPI
Mary Elizabeth Jarrells, FNP-BC
- Family Nurse Practitioner
- Cape Girardeau, MO
National Provider Identifier
1093085458
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 2011039076
- Practice address
- 304 S Mount Auburn Rd
Cape Girardeau, MO 63703-4920 - Phone
- (573) 651-1687
- Fax
- (573) 651-8734
- NPI assigned
- Jan 3, 2012
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 2011039076 | MO | Primary |
Addresses
Primary practice location
304 S Mount Auburn Rd
Cape Girardeau, MO 63703-4920
Mailing address
304 S Mount Auburn Rd
Cape Girardeau, MO 63703-4920
Phone (573) 651-1687
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20120202000606 | MO | Practitioner - Nurse Practitioner | 3274790282 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Big Springs Medical Association | Current | Accepting new patients | |
| Big Springs Medical Association | Current | Accepting new patients | |
| Big Springs Medical Association | Past | Accepting new patients | |
| Midwest Health Group Convenient Care, LLC | Past | Accepting new patients | |
| Ozarks Medical Center | Past | Accepting new patients | |
| Physician Groups LC | Past | Accepting new patients |
Locations
202 Allen St
Annapolis, MO 63620
Phone (573) 598-4213
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 and National Provider Directory roles.
-
- Federally Qualified Health Center (FQHC)
- Van Buren, MO
- NPI 1225045321
MO
-
- Federally Qualified Health Center (FQHC)
- Annapolis, MO
- NPI 1225131501
-
- Federally Qualified Health Center (FQHC)
- Poplar Bluff, MO
- NPI 1326567108
-
- Non-Pharmacy Dispensing Site
- Fredericktown, MO
- NPI 1861948697
-
- General Acute Care Hospital
- West Plains, MO
- NPI 1831115641
-
- Multi-Specialty Clinic/Center
- Saint Louis, MO
- NPI 1285664268
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1325548800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1325548800000",
"number": "1093085458",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "304 S MOUNT AUBURN RD",
"city": "CAPE GIRARDEAU",
"state": "MO",
"postal_code": "637034920",
"telephone_number": "573-651-1687",
"fax_number": "573-651-8734"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "304 S MOUNT AUBURN RD",
"city": "CAPE GIRARDEAU",
"state": "MO",
"postal_code": "637034920",
"telephone_number": "573-651-1687",
"fax_number": "573-651-8734"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JARRELLS",
"first_name": "MARY",
"middle_name": "ELIZABETH",
"name_prefix": "Ms.",
"credential": "FNP-BC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-01-03",
"last_updated": "2012-01-03",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MO",
"license": "2011039076",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cape Girardeau, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2012; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.