Active NPI
Donna C. Wilson, FNP
- Family Nurse Practitioner
- Lebanon, MO
National Provider Identifier
1164523403
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 076398
- Practice address
- 510 Highway 32
Lebanon, MO 65536-5303 - Phone
- (417) 269-2278
- Fax
- (417) 269-2274
- NPI assigned
- Sep 26, 2006
- Last updated
- May 7, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 076398 | MO | Primary |
Addresses
Primary practice location
510 Highway 32
Lebanon, MO 65536-5303
Mailing address
PO Box 4046
Springfield, MO 65808-4046
Phone (417) 269-5712
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 190892 | Other | BLUE CROSS OF MO | |
| 428372809 | Medicaid | MO |
Other names 1
- Donna C. Gass
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 85.78 of 100
- Quality
- 74.39
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 78.21
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 076398 | MO | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lester E Cox Medical Centers | Past | Accepting new patients |
Interoperability endpoints
- christi.wilson@cernerdirect.coxhealth.com
Organizations & group practices 1
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.
-
dba CoxHealth Springfield Inpatient Physicians
- Hospitalist Physician
- Springfield, MO
- NPI 1902969272
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159228800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1557187200000",
"number": "1164523403",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 4046",
"city": "SPRINGFIELD",
"state": "MO",
"postal_code": "658084046",
"telephone_number": "417-269-5712",
"fax_number": "417-269-7567"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "510 HIGHWAY 32",
"city": "LEBANON",
"state": "MO",
"postal_code": "655365303",
"telephone_number": "417-269-2278",
"fax_number": "417-269-2274"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILSON",
"first_name": "DONNA",
"middle_name": "C.",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-26",
"last_updated": "2019-05-07",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MO",
"license": "076398",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS OF MO",
"identifier": "190892",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "428372809",
"state": "MO"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "DONNA",
"last_name": "GASS",
"middle_name": "C.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Lebanon, MO
- Suzanna Wilkerson, PT
- Wilkinson Pharmacy Inc (Wilkinson Pharmacy #285)
- Wilkinson Pharmacy, Inc (Wilkinson Homecare Equipment)
- Shannon Lee Williams, M.A., P.L.P.C.
- William Frank Williams, MD
- Bailee Rebekah Winterrowd, LMSW
- Jonathan Wiser
- Sue Ranette Wiser, COTA
- Juliana Zamora Cubillos, MD
- Jennifer Susan Ziehr, PTA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- 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.