Individual provider Active NPI

Joshua Clay Herbert, NP-C

  • Family Nurse Practitioner
  • Raymore, MO
National Provider Identifier
1194267161
Registry record updated Oct 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
2016039173 Issued in MO
Practice address
1215 W Foxwood Dr
Raymore, MO 64083-8301
Phone
(866) 389-2727
NPI assigned
Nov 8, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 2016039173 MO Primary
Family Nurse Practitioner 363LF0000X 53-82533-102 KS

Addresses

Primary practice location

1215 W Foxwood Dr
Raymore, MO 64083-8301

Mailing address

1215 W Foxwood Dr
Raymore, MO 64083-8301
Phone (866) 389-2727

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
I20161208000211 MO Practitioner - Nurse Practitioner 4587944525 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Minuteclinic Diagnostic of Kansas PAGroup PAC ID 7416043807, 139 clinicians
Lee'S Summit Family Care LLCGroup PAC ID 4385636778, 9 clinicians

Practice addresses (Care Compare)

3351 SW 3Rd St
Lees Summit, MO 64081-4006
Phone (866) 389-2727

600 NW Murray Rd
Suite 210
Lees Summit, MO 64081-1245
Phone (816) 524-2626

Hospital & facility affiliations

  • Lee'S Summit Medical Center Hospital, Lees Summit, MO, CCN 260190

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
53-82533-102KSMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Minuteclinic Diagnostic of Kansas PA Family CurrentSince Dec 5, 2016 Accepting new patients
Lee'S Summit Family Care LLC CurrentSince May 1, 2025 Accepting new patients

Locations

3825 S Noland Rd
Independence, MO 64055
Phone (816) 254-6002

3351 SW 3rd St
Lees Summit, MO 64081
Phone (816) 966-1455

600 NW Murray Rd
Ste 210
Lees Summit, MO 64081
Phone (816) 524-2626

1215 W Foxwood Dr
Raymore, MO 64083
Phone (816) 318-8022

8021 Watson Rd
Webster Groves, MO 63119
Phone (314) 963-0398

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

Networks

  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H5989

Interoperability endpoints

  • Direct secure messaging: josh.herbert@hca2.eclinicaldirectplus.com

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 and National Provider Directory roles.

Hospital & facility affiliations 1

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": "1478563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730160000000",
    "number": "1194267161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1215 W FOXWOOD DR",
            "city": "RAYMORE",
            "state": "MO",
            "postal_code": "640838301",
            "telephone_number": "866-389-2727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1215 W FOXWOOD DR",
            "city": "RAYMORE",
            "state": "MO",
            "postal_code": "640838301",
            "telephone_number": "866-389-2727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERBERT",
        "first_name": "JOSHUA",
        "middle_name": "CLAY",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-11-08",
        "last_updated": "2024-10-29",
        "certification_date": "2024-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "2016039173",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KS",
            "license": "53-82533-102",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Raymore, MO

Sources for this page

Verify at the official NPI Registry.