Individual provider Active NPI

Gabrielle Marie Plummer, MSN, APRN, FNP-C

  • Nurse Practitioner
  • Farmington, MO
National Provider Identifier
1093477242
Registry record updated Sep 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
2021039627 Issued in MO
Practice address
1106 Hazel LN
Farmington, MO 63640-1999
Phone
(573) 756-6751
NPI assigned
Oct 5, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 2021039627 MO Primary
Family Nurse Practitioner 363LF0000X 2021039627 MO

Addresses

Primary practice location

1106 Hazel LN
Farmington, MO 63640-1999

Mailing address

534 Maple Valley Dr
Farmington, MO 63640-1981
Phone (573) 760-8253

Other practice location 1

534 Maple Valley Dr
Farmington, MO 63640-1981
Phone (573) 760-8253

Other identifiers 1

IdentifierTypeStateIssuer
2021039627OtherMOCNP

Electronic endpoints 1

TypeEndpointUseAffiliation
FHIR URL https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2/ Health Information Exchange (HIE)

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
I20220427001707 MO Practitioner - Nurse Practitioner 8224425996 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Parkland Health CenterGroup PAC ID 1951219237, 42 clinicians

Practice addresses (Care Compare)

1101 W Liberty St
Farmington, MO 63640-1921
Phone (573) 756-6451

1103 W Liberty St
Farmington, MO 63640-1921
Phone (573) 358-1400

1106 Hazel LN
Farmington, MO 63640-1999
Phone (573) 756-6751

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing

State licenses

LicenseStateTypeSpecialty
2021039627MOMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Physician Groups LC CurrentSince Jun 5, 2022 Accepting new patients
Parkland Health Center CurrentSince Jan 1, 2023 Accepting new patients
Physician Groups LC CurrentSince Jun 5, 2022 Accepting new patients
Parkland Health Center CurrentSince Jan 1, 2023 Accepting new patients
Signify Health, LLC Nurse Practitioner CurrentSince Apr 26, 2022 Accepting new patients

Locations

1106 Hazel Ln
Farmington, MO 63640

534 Maple Valley Dr
Farmington, MO 63640
Phone (573) 760-8253

1101 W Liberty St
Farmington, MO 63640
Phone (573) 705-1272

2300 Main St
Fl 9
Kansas City, MO 64108
Phone (800) 416-1767

2630 Highway K
O Fallon, MO 63368
Phone (636) 240-5454

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

Interoperability endpoints

  • FHIR API: https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2/

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1633392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758758400000",
    "number": "1093477242",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "534 MAPLE VALLEY DR",
            "city": "FARMINGTON",
            "state": "MO",
            "postal_code": "636401981",
            "telephone_number": "573-760-8253"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1106 HAZEL LN",
            "city": "FARMINGTON",
            "state": "MO",
            "postal_code": "636401999",
            "telephone_number": "573-756-6751"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "534 Maple Valley Dr",
            "address_purpose": "LOCATION",
            "city": "Farmington",
            "state": "MO",
            "postal_code": "636401981",
            "country_code": "US",
            "telephone_number": "573-760-8253",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PLUMMER",
        "first_name": "GABRIELLE",
        "middle_name": "MARIE",
        "credential": "MSN, APRN, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-10-05",
        "last_updated": "2025-09-25",
        "certification_date": "2025-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MO",
            "license": "2021039627",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "2021039627",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CNP",
            "identifier": "2021039627",
            "state": "MO"
        }
    ],
    "endpoints": [
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2/",
            "affiliation": "N",
            "endpointDescription": "BJC",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "534 Maple Valley Dr",
            "city": "Farmington",
            "state": "MO",
            "country_code": "US",
            "postal_code": "636401981",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Farmington, MO

Sources for this page

Verify at the official NPI Registry.