Individual provider Active NPI

Billy Dean Bailey

  • Physician Assistant
  • Springfield, MO
National Provider Identifier
1164288387
Registry record updated Apr 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
2024006183 Issued in MO
Practice address
1000 E Primrose St Ste 170
Springfield, MO 65807-5192
Phone
(417) 269-9817
Fax
(417) 269-9853
NPI assigned
Feb 26, 2024
Last updated
Apr 30, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 2024006183 MO Primary

Addresses

Primary practice location

1000 E Primrose St Ste 170
Springfield, MO 65807-5192

Mailing address

PO Box 505673
Saint Louis, MO 63150-5673
Phone (417) 730-6430

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
I20240319003809 MO Practitioner - Physician Assistant 6800233388 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lester E Cox Medical CentersGroup PAC ID 1254248917, 336 clinicians
Cox-Monett Hospital IncGroup PAC ID 0345236667, 69 clinicians

Practice addresses (Care Compare)

1819 S National Ave
Springfield, MO 65804-2217

2200 E Cleveland St
Monett, MO 65708-6149
Phone (417) 354-1570

3525 E Battlefield St
Suite 100
Springfield, MO 65809-3434
Phone (417) 269-0065

3801 S National Ave
Springfield, MO 65807-5210
Phone (417) 269-6000

501 N Old Wilderness Rd
Nixa, MO 65714-9490
Phone (417) 269-2150

5100 N Towne Centre Dr
Ozark, MO 65721-7479
Phone (417) 730-5360

525 Branson Landing Blvd
Suite 100
Branson, MO 65616-2152
Phone (417) 348-8646

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
2024006183MOMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Lester E Cox Medical Centers CurrentSince Apr 22, 2024 Accepting new patients
Cox-Monett Hospital, Inc. CurrentSince Apr 22, 2024 Accepting new patients
Lester E Cox Medical Centers CurrentSince Apr 22, 2024 Accepting new patients
Skaggs Community Hospital Association CurrentSince Apr 22, 2024 Accepting new patients
Lester E Cox Medical Centers CurrentSince Apr 22, 2024 Accepting new patients
Skaggs Community Hospital Association CurrentSince Apr 22, 2024 Accepting new patients
Cox-Monett Hospital, Inc. CurrentSince Apr 22, 2024 Accepting new patients
Lester E Cox Medical Centers CurrentSince Apr 22, 2024 Accepting new patients
Lester E Cox Medical Centers CurrentSince Apr 22, 2024 Accepting new patients
Lester E. Cox Medical Centers Past Accepting new patients
Lester E Cox Medical Centers Past Accepting new patients

Locations

525 Branson Landing Blvd
Ste 100
Branson, MO 65616
Phone (417) 348-8646

2200 E Cleveland St
Monett, MO 65708
Phone (417) 236-2600

801 N Lincoln Ave
Monett, MO 65708
Phone (417) 236-2440

5100 N Towne Centre Dr
Ozark, MO 65721
Phone (417) 269-2215

1000 E Primrose St
Ste 170
Springfield, MO 65807
Phone (417) 269-0930

1423 N Jefferson Ave
Springfield, MO 65802
Phone (417) 269-6583

2750 S Campbell Ave
Springfield, MO 65807
Phone (417) 269-2281

3801 S National Ave
Springfield, MO 65807
Phone (417) 269-4056

3801 S National Ave
Fl 5
Springfield, MO 65807

Organizations & group practices 13

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.

View all 13

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": "1708905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714435200000",
    "number": "1164288387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 505673",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631505673",
            "telephone_number": "417-730-6430",
            "fax_number": "417-269-7567"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 E PRIMROSE ST STE 170",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658075192",
            "telephone_number": "417-269-9817",
            "fax_number": "417-269-9853"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAILEY",
        "first_name": "BILLY",
        "middle_name": "DEAN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-02-26",
        "last_updated": "2024-04-30",
        "certification_date": "2024-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MO",
            "license": "2024006183",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, MO

Sources for this page

Verify at the official NPI Registry.