Active NPI
Amy Michelle Soetaert, D.O.
- Diagnostic Radiology Physician
- Springfield, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 2008005527
- Practice address
- 2055 S Fremont Ave Ste 120
Springfield, MO 65804 - Phone
- (417) 820-2500
- NPI assigned
- Jun 23, 2006
- Last updated
- May 31, 2018
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 2008005527 | MO | Primary |
Addresses
Primary practice location
2055 S Fremont Ave Ste 120
Springfield, MO 65804
Mailing address
2055 S Fremont Ave Ste 120
Springfield, MO 65804-2206
Phone (417) 820-2500
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO, SD
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Diagnostic Radiology
- Education
- Kansas City University of Physicians and Surgeons, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1235 E Cherokee St
Springfield, MO 65804-2203
Phone (417) 820-2115
2055 S Fremont Ave
120 MC Breast Center
Springfield, MO 65804-2206
Phone (417) 820-2395
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mercy Hospital Carthage | Current | Accepting new patients | |
| Mercy Hospital Springfield | Current | Accepting new patients | |
| Mercy Hospital Springfield | Current | Accepting new patients | |
| Mercy Hospital Cassville | Current | Accepting new patients | |
| Mercy Clinic Joplin LLC | Current | Accepting new patients | |
| Mercy Clinic Springfield Communities | Current | Accepting new patients | |
| Mercy Hospital Cassville | Current | Accepting new patients | |
| Mercy Hospital Aurora | Current | Accepting new patients | |
| Sanford Clinic | Diagnostic Radiology | Current | Accepting new patients |
| Sanford Clinic | Current | Accepting new patients | |
| Sanford Clinic | Current | Accepting new patients | |
| Mercy Hospital Aurora | Current | Accepting new patients | |
| Mercy Hospital Carthage | Current | Accepting new patients | |
| Slci Physician Services, LLC | Diagnostic Radiology | Current | Accepting new patients |
| Mercy Clinic Springfield Communities | Current | Accepting new patients |
Locations
500 Porter Ave
Aurora, MO 65605
Phone (417) 678-2122
3116 Medical Park Dr
Carthage, MO 64836
Phone (417) 358-7574
3125 Dr Russell Smith Way
Carthage, MO 64836
Phone (417) 358-8121
94 Main St
Cassville, MO 65625
Phone (417) 782-7722
100 Mercy Way
Joplin, MO 64804
Phone (417) 556-2300
4321 Washington St
Ste 1000
Kansas City, MO 64111
Phone (816) 932-2307
1235 E Cherokee St
Springfield, MO 65804
Phone (417) 820-2115
2055 S Fremont Ave
Ste 120
Springfield, MO 65804
Phone (417) 820-2395
2115 S Fremont Ave
Ste 3050
Springfield, MO 65804
Phone (417) 820-3905
620 S Glenstone Ave
Springfield, MO 65802
Phone (417) 829-4215
525 N Foster St
Mitchell, SD 57301
Phone (605) 995-2000
1210 W 18th St
Ste LL03
Sioux Falls, SD 57104
Phone (605) 328-1410
1500 W 22nd St
Ste 102
Sioux Falls, SD 57105
Phone (605) 328-8800
Organizations & group practices 15
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.
-
- Family Medicine Physician
- Springfield, MO
- NPI 1245277631
-
- General Acute Care Hospital
- Springfield, MO
- NPI 1043242159
-
- Family Medicine Physician
- Joplin, MO
- NPI 1215264817
-
- Critical Access Hospital
- Aurora, MO
- NPI 1467543090
-
- Critical Access Hospital
- Carthage, MO
- NPI 1003201955
-
- Critical Access Hospital
- Cassville, MO
- NPI 1285676932
-
dba Sanford Health Psychiatry & Psychology Clinic
- Psychologist
- Sioux Falls, SD
- NPI 1396764254
-
dba Mercy Clinic Family Medicine-Willow Springs
- Rural Health Clinic/Center
- Willow Springs, MO
- NPI 1972771657
-
- Medicare Defined Swing Bed Hospital Unit
- Aurora, MO
- NPI 1295878981
-
- Family Medicine Physician
- Carthage, MO
- NPI 1558628222
-
- Medicare Defined Swing Bed Hospital Unit
- Cassville, MO
- NPI 1154535342
-
- Medicare Defined Swing Bed Hospital Unit
- Springfield, MO
- NPI 1053907113
Hospital & facility affiliations 9
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Mercy Life Line
- Air Ambulance
- Branson West, MO
- NPI 1144430760
Hospital
-
dba Mercy Emergency Medical Services-Mt. Vernon
- Land Ambulance
- Mount Vernon, MO
- NPI 1427279173
Hospital
-
dba Mercy Emergency Medical Services-Camden County
- Land Ambulance
- Camdenton, MO
- NPI 1477765204
Hospital
-
dba Mercy Emergency Medical Services-Shannon County
- Land Ambulance
- Winona, MO
- NPI 1538380654
Hospital
-
dba Mercy Emergency Medical Services-Cedar County
- Land Ambulance
- Stockton, MO
- NPI 1558573386
Hospital
-
dba Mercy Emergency Medical Services
- Land Ambulance
- Springfield, MO
- NPI 1558573410
Hospital
-
- General Acute Care Hospital
- Springfield, MO
- NPI 1578504056
-
dba Mercy Emergency Medical Services-Mt. View-Summersville
- Land Ambulance
- Mountain View, MO
- NPI 1639204308
Hospital
-
dba Mercy Emergency Medical Services-Carroll County
- Land Ambulance
- Green Forest, AR
- NPI 1477756609
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151020800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1527724800000",
"number": "1093741290",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2055 S FREMONT AVE STE 120",
"city": "SPRINGFIELD",
"state": "MO",
"postal_code": "658042206",
"telephone_number": "417-820-2500"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2055 S FREMONT AVE STE 120",
"city": "SPRINGFIELD",
"state": "MO",
"postal_code": "65804",
"telephone_number": "417-820-2500"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SOETAERT",
"first_name": "AMY",
"middle_name": "MICHELLE",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-23",
"last_updated": "2018-05-31",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "MO",
"license": "2008005527",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Springfield, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2018; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.