Individual provider Active NPI

Rachel Nix, CNP

  • Family Nurse Practitioner
  • St Robert, MO
National Provider Identifier
1194267708
Registry record updated Aug 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
2022029955 Issued in MO
Practice address
608 City Route 66
St Robert, MO 65584-3730
Phone
(573) 336-5100
NPI assigned
Nov 14, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2022

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 2022029955 MO Primary
Family Nurse Practitioner 363LF0000X 56030 NM

Addresses

Primary practice location

608 City Route 66
St Robert, MO 65584-3730

Mailing address

608 City Route 66
St Robert, MO 65584-3730
Phone (573) 336-5100

Other practice location 1

204 Angelina Blvd
Chaparral, NM 88081-7558
Phone (575) 824-8100

Other practice location 2

218 E 5th St
Tuscumbia, AL 35674-2520
Phone (256) 320-7365

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
I20220818003655 MO Practitioner - Nurse Practitioner 6507299013 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
Mercy Clinic Springfield CommunitiesGroup PAC ID 7416865845, shared by 26 NPIs, 1,121 clinicians

Practice addresses (Care Compare)

1605 Martin Springs Dr
Rolla, MO 65401-2980

3231 S National Ave
Springfield, MO 65807-7304
Phone (417) 888-6735

608 Old Route 66
Saint Robert, MO 65584-3730

Hospital & facility affiliations

  • Mercy Hospital Lebanon Hospital, Lebanon, MO, CCN 260059
  • Mercy Hospital Springfield Hospital, Springfield, MO, CCN 260065
  • Phelps County Regional Medical Center Hospital, Rolla, MO, CCN 260017

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Practitioner, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
2022029955MOMDFamily Nurse Practitioner
56030NMMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Clinic Springfield Communities CurrentSince Aug 22, 2022 Accepting new patients
Mercy Clinic Springfield Communities Family CurrentSince Aug 22, 2022 Accepting new patients
Mercy Clinic Springfield Communities CurrentSince Aug 22, 2022 Accepting new patients
Mercy Hospital Springfield PastSince Aug 28, 2022 Accepting new patients

Locations

1605 Martin Springs Dr
Rolla, MO 65401
Phone (573) 458-6379

1605 Martin Springs Dr
Ste 330
Rolla, MO 65401
Phone (573) 458-6379

608 Old Route 66
Saint Robert, MO 65584
Phone (573) 336-5100

2115 S Fremont Ave
Ste 3050
Springfield, MO 65804
Phone (417) 820-3905

3231 S National Ave
Ste 130
Springfield, MO 65807
Phone (417) 888-5665

Interoperability endpoints

  • Direct secure messaging: rnix1310074@directc.mercy.net

Organizations & group practices 4

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 14

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1479081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660780800000",
    "number": "1194267708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "608 CITY ROUTE 66",
            "city": "ST ROBERT",
            "state": "MO",
            "postal_code": "655843730",
            "telephone_number": "573-336-5100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "608 CITY ROUTE 66",
            "city": "ST ROBERT",
            "state": "MO",
            "postal_code": "655843730",
            "telephone_number": "573-336-5100"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "204 Angelina Blvd",
            "address_purpose": "LOCATION",
            "city": "Chaparral",
            "state": "NM",
            "postal_code": "880817558",
            "country_code": "US",
            "telephone_number": "575-824-8100",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "218 E 5th St",
            "address_purpose": "LOCATION",
            "city": "Tuscumbia",
            "state": "AL",
            "postal_code": "356742520",
            "country_code": "US",
            "telephone_number": "256-320-7365",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NIX",
        "first_name": "RACHEL",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-11-14",
        "last_updated": "2022-08-18",
        "certification_date": "2022-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "2022029955",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NM",
            "license": "56030",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St Robert, MO

Sources for this page

Verify at the official NPI Registry.