Caleb Coulter

Key facts

NPI

1124979679

Entity type

Individual (NPI type 1)

Primary specialty

Clinical Nurse Specialist 364S00000X

License

2026012438 (MO)

Practice address

100 Mercy Way
Joplin, MO 64804-4524

Phone

(417) 781-2727

NPI assigned

Feb 9, 2026

Sex

Male

Sole proprietor

No

Organizations & group practices 3

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.

• Mercy Clinic Joplin LLC Family Medicine Physician · Joplin, MO · NPI 1215264817
  Medicare reassignment Care Compare group MO
• Mercy Clinic Joplin LLC Family Medicine Physician · Columbus, KS · NPI 1043547474
  Care Compare group
• Mercy Clinic Joplin LLC Sleep Medicine (Internal Medicine) Physician · Berryville, AR · NPI 1356739288
  Care Compare group

Hospital & facility affiliations 1

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

• Mercy Hospital Joplin General Acute Care Hospital · Joplin, MO · NPI 1700112745
  Care Compare affiliation Hospital

Medicare Care Compare profile

Specialty

Certified Clinical Nurse Specialist (CNS)

Education

University of Missouri, Columbia School of Medicine, 2025

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Mercy Clinic Joplin LLC (288 clinicians)

Practice addresses (Care Compare)

Hospital & facility affiliations

• Mercy Hospital Joplin Hospital · Joplin, MO · CCN 260001

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

National Provider Directory

Medicare enrollment (NPD)

Yes

State licenses

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Mar 31, 2026.

{
    "created_epoch": "1770595200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774915200000",
    "number": "1124979679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 MERCY WAY",
            "city": "JOPLIN",
            "state": "MO",
            "postal_code": "648044524",
            "telephone_number": "417-781-2727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 MERCY WAY",
            "city": "JOPLIN",
            "state": "MO",
            "postal_code": "648044524",
            "telephone_number": "417-781-2727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COULTER",
        "first_name": "CALEB",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2026-02-09",
        "last_updated": "2026-03-31",
        "certification_date": "2026-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364S00000X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist",
            "state": "MO",
            "license": "2026012438",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MO",
            "license": "2017019077",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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