Individual provider Active NPI

Janeice Hukill, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Joplin, MO
National Provider Identifier
1174945067
Registry record updated Feb 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
2024001836 Issued in MO
Practice address
530 E 34TH St
Joplin, MO 64804-3926
Phone
(417) 347-7630
NPI assigned
Jan 10, 2014
Last updated
Feb 16, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 2014000699 MO
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 2024001836 MO Primary
Primary Care Nurse Practitioner 363LP2300X 2014000699 MO

Addresses

Primary practice location

530 E 34TH St
Joplin, MO 64804-3926

Mailing address

1105 E 32ND St Ste 2
Joplin, MO 64804-2876
Phone (417) 347-7600

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
I20140311001497 MO Practitioner - Nurse Practitioner 2365672425 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Ozark CenterGroup PAC ID 4789588088, 38 clinicians

Practice addresses (Care Compare)

530 E 34TH St
Joplin, MO 64804-3926
Phone (417) 347-7600

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2014000699MOMDFamily Nurse Practitioner
2024001836MOMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Ozark Center CurrentSince Mar 14, 2024 Accepting new patients
Ozark Center CurrentSince Mar 14, 2024 Accepting new patients

Locations

1105 E 32nd St
Ste 2
Joplin, MO 64804

3901 E 32nd St
Joplin, MO 64804
Phone (417) 347-7567

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1389312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708041600000",
    "number": "1174945067",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1105 E 32ND ST STE 2",
            "city": "JOPLIN",
            "state": "MO",
            "postal_code": "648042876",
            "telephone_number": "417-347-7600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "530 E 34TH ST",
            "city": "JOPLIN",
            "state": "MO",
            "postal_code": "648043926",
            "telephone_number": "417-347-7630"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUKILL",
        "first_name": "JANEICE",
        "credential": "PMHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-01-10",
        "last_updated": "2024-02-16",
        "certification_date": "2024-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "2014000699",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MO",
            "license": "2024001836",
            "primary": true
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "MO",
            "license": "2014000699",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Joplin, MO

Sources for this page

Verify at the official NPI Registry.