Jordan Phenicie, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

2018003312 Issued in MO

Practice address

3555 S National Ave
Springfield, MO 65807-7310

Phone

(417) 875-3800

NPI assigned

Feb 21, 2018

Last updated

Dec 27, 2018By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

Physician Assistant

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Cox-Monett Hospital IncGroup PAC ID 0345236667, 69 clinicians

Lester E Cox Medical CentersGroup PAC ID 8628092897, 243 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Coxhealth at Home Home health agency, Springfield, MO, CCN 267087
• Cox Medical Centers Hospital, Springfield, MO, CCN 260040

Merit-based Incentive Payment System (MIPS)

Final score

82.25 of 100Reported as group

Quality

64.73

Promoting interoperability

100

Improvement activities

40

Cost

76.1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

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.

• Lester E Cox Medical Centers

  dba Ferrell-Duncan Clinic

  • General Practice Physician
  • Springfield, MO
  • NPI 1760405864
  Medicare reassignment Care Compare group NPD
• Cox-Monett Hospital Inc

  dba CoxHealth Cassville

  • Family Medicine Physician
  • Cassville, MO
  • NPI 1942467410
  Medicare reassignment Care Compare group
• Cox-Monett Hospital, Inc.

  dba Cox Monett Hospital

  • Emergency Medicine Physician
  • Monett, MO
  • NPI 1669687125
  NPD
• Lester E Cox Medical Centers

  dba Springfield Inpatient Physicians

  • Hospitalist Physician
  • Springfield, MO
  • NPI 1952355646
  NPD (past)
• Ozarks Medical Center

  dba Ozarks Healthcare

  • General Acute Care Hospital
  • West Plains, MO
  • NPI 1831115641
  NPD (past)
• Skaggs Community Hospital Association

  dba CoxHealth Orthopedics

  • Orthopaedic Surgery Physician
  • Branson, MO
  • NPI 1871523357
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Cox HPS of the Ozarks, Inc.

  dba CoxHealth at Home

  • Home Health Agency
  • Springfield, MO
  • NPI 1952348138
  Care Compare affiliation
• Lester E Cox Medical Centers

  dba Cox Medical Centers

  • General Acute Care Hospital
  • Springfield, MO
  • NPI 1093740128
  Care Compare affiliation
• Lester E Cox Medical Centers

  dba CoxHealth

  • Land Ambulance
  • Springfield, MO
  • NPI 1114044823

  Hospital

  Care Compare affiliation
• Lester E. Cox Medical Centers

  dba Cox Air Care

  • Air Ambulance
  • Springfield, MO
  • NPI 1578680286

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1519171200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1545868800000",
    "number": "1114428547",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9007",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658089007",
            "telephone_number": "417-875-3000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3555 S NATIONAL AVE",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658077310",
            "telephone_number": "417-875-3800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHENICIE",
        "first_name": "JORDAN",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-02-21",
        "last_updated": "2018-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MO",
            "license": "2018003312",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "220051881",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• John Pharris, DO
• Amanda Phelps, MA, LPC
• Andrew T Phelps, LMSW
• Elizabeth Carrie Phelps, PA-C
• Jamie Phelps, MD
• Emilie Noel Phillips
• Holly Ann Phillips, CLC
• James Lee Phillips, DO
• Katherine R Phillips, MS CCC SLP
• Kathleen Phillips, M.S., CCC-SLP

• Physician Assistant in Springfield, MO
• Providers in Springfield, MO by specialty
• Physician Assistant in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 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.

Verify at the official NPI Registry.