Sarah Ellizabeth Couch
Individual provider Active NPI Family Nurse Practitioner · Poplar Bluff, MO
NPI 1154053775 · NPPES record last updated Jun 30, 2022
Key facts
- NPI
- 1154053775
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 2022018771 (MO)
- Practice address
- 225 Physicians Park Ste 301
Poplar Bluff, MO 63901-3930 - Phone
- (573) 686-2220
- NPI assigned
- Jun 30, 2022
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 33
Hospital & facility affiliations 5
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Dexter Hospital, LLC
Southeast Health Center of Stoddard County LLC
Southeast Missouri Hospital Physicians LLC
Saint Francis Medical Center
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
- Saint Francis Medical Center
- Mercy Hospital Stoddard
- Mercy Hospital Southeast
- Poplar Bluff Regional Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 67.07 of 100
- Quality
- 85.4
- Promoting interoperability
- 0
- Improvement activities
- 40
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 |
|---|---|---|---|---|
| I20220922000318 | MO | Practitioner - Nurse Practitioner | 3577948892 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2022018771 | MO | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Saint Francis Medical Center | Current |
Accepting new patients | |
| Saint Francis Medical Center | Current |
Accepting new patients | |
| Saint Francis Medical Center | Current | Accepting new patients |
Locations
211 Saint Francis Dr
Cpe Girardeau, MO 63703
Phone (573) 331-3000
225 Physicians Park
Ste 301
Poplar Bluff, MO 63901
Phone (573) 686-2220
225 Physicians Park
Ste 300
Poplar Bluff, MO 63901
Phone (573) 686-4133
3100 Oak Grove Rd
Rombauer, MO 63901
Phone (573) 776-2000
Interoperability endpoints
- scouch100968@surescripts.sfmc.net
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 2022018771 | MO | Yes |
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
Other providers in Poplar Bluff, MO
- Amy Cope
- Candice Leigh Copeland
- John Cornelius III
- Johnny A Cortinez
- Nichole Cossey
- Christina Marie Craddock
- Anna Christine Crafford
- Cheryl Crafford
- Jerry Austin Craft
- Sydney Marie Craft
All providers in Poplar Bluff, 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 Jun 30, 2022. 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).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.