Individual provider Active NPI

Sarah Ellizabeth Couch

  • Family Nurse Practitioner
  • Poplar Bluff, MO
National Provider Identifier
1154053775
Registry record updated Jun 30, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
2022018771 Issued in MO
Practice address
225 Physicians Park Ste 301
Poplar Bluff, MO 63901-3930
Phone
(573) 686-2220
NPI assigned
Jun 30, 2022
Last updated
Jun 30, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 2022018771 MO Primary

Addresses

Primary practice location

225 Physicians Park Ste 301
Poplar Bluff, MO 63901-3930

Mailing address

607 County Road 480
Poplar Bluff, MO 63901-8546
Phone (573) 712-4562

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
I20220922000318 MO Practitioner - Nurse Practitioner 3577948892 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dexter Hospital, LLCGroup PAC ID 6507834579, 16 clinicians
Saint Francis Medical CenterGroup PAC ID 9931007929, 441 clinicians

Practice addresses (Care Compare)

1200 N One Mile Rd
Dexter, MO 63841-1000

1300 N One Mile
Suite 3
Dexter, MO 63841-1000

2002 Kanell Blvd
Suite 203
Poplar Bluff, MO 63901-4011
Phone (573) 727-9150

3100 Oak Grove Rd
Poplar Bluff, MO 63901-1573
Phone (573) 785-7721

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
67.07 of 100Reported as apm
Quality
85.4
Promoting interoperability
0
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Saint Francis Medical Center Current Accepting new patients
Saint Francis Medical Center CurrentSince Aug 29, 2022 Accepting new patients
Saint Francis Medical Center CurrentSince Aug 29, 2022 Accepting new patients

Locations

211 Saint Francis Dr
Cpe Girardeau, MO 63703
Phone (573) 331-3000

225 Physicians Park
Ste 300
Poplar Bluff, MO 63901
Phone (573) 686-4133

225 Physicians Park
Ste 301
Poplar Bluff, MO 63901
Phone (573) 686-2220

3100 Oak Grove Rd
Rombauer, MO 63901
Phone (573) 776-2000

Interoperability endpoints

  • Direct secure messaging: scouch100968@surescripts.sfmc.net

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 5

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

NPI Registry JSON

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

{
    "created_epoch": "1656547200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656547200000",
    "number": "1154053775",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "607 COUNTY ROAD 480",
            "city": "POPLAR BLUFF",
            "state": "MO",
            "postal_code": "639018546",
            "telephone_number": "573-712-4562"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 PHYSICIANS PARK STE 301",
            "city": "POPLAR BLUFF",
            "state": "MO",
            "postal_code": "639013930",
            "telephone_number": "573-686-2220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COUCH",
        "first_name": "SARAH",
        "middle_name": "ELLIZABETH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-30",
        "last_updated": "2022-06-30",
        "certification_date": "2022-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "2022018771",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Poplar Bluff, MO

Sources for this page

Verify at the official NPI Registry.