Margaret C Hart, NP
Individual provider Active NPI Family Nurse Practitioner · Iberia, MO
NPI 1104853050 · NPPES record last updated Feb 4, 2010
Key facts
- NPI
- 1104853050
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 086955 (MO)
- Practice address
- 2333 Highway 17
Iberia, MO 65486 - Phone
- (573) 793-6900
- Fax
- (573) 793-6688
- NPI assigned
- Jun 27, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 7
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MO
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040519001386 | MO | Practitioner - Nurse Practitioner | 6406847367 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 086955 | MO | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| McPherson Medical & Diagnostic, LLC | Current | Accepting new patients | |
| McPherson Medical & Diagnostic, LLC | Current |
Accepting new patients | |
| McPherson Medical & Diagnostic LLC | Current |
Accepting new patients | |
| Manzer Family Medicine, LLC | Current |
Accepting new patients | |
| Barton County Memorial Hospital | Family | Past | Accepting new patients |
| Citizens Memorial Healthcare | Past | Accepting new patients | |
| Citizens Memorial Healthcare | Past | Accepting new patients |
Locations
3071 S Grand Ave
Carthage, MO 64836
Phone (417) 310-9286
216 W Main St
Steele, MO 63877
Phone (573) 695-2181
216 W Main St
Ste B
Steele, MO 63877
Phone (573) 695-2181
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 086955 | MO | Yes |
| Nurse Practitioner | 363L00000X | 086955 | MO |
Addresses
Primary practice location
2333 Highway 17
Iberia, MO 65486
Mailing address
PO Box 1500
Osage Beach, MO 65065
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 135570018 | Other | MO | MEDICARE PTAN |
| 100028070A | Medicaid | OK | |
| 428676803 | Medicaid | MO | |
| 100301480A | Medicaid | KS | |
| P00780874 | Other | MO | RAILROAD MEDICAID |
Other providers in Iberia, MO
- Christina Louise Barron
- Rebekah Joy Carlson
- Chelsie Deardeuff
- Heather Deskin
- Brian Herzog
- Iberia R-V School District
- Lake Regional Health System
- Medley Pharmacy Inc.
- Kyle Nichols
All providers in Iberia, MO · Family Nurse Practitioner in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 4, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.