Individual provider Active NPI

Danielle Fowers, NP

  • Psychiatric/Mental Health Nurse Practitioner
  • Richland, MO
National Provider Identifier
1205437126
Registry record updated May 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
2020016680 Issued in MO
Practice address
304 W Washington Ave
Richland, MO 65556-7101
Phone
(877) 406-2662
NPI assigned
Nov 6, 2020
Last updated
May 16, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 16, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 2020016680 MO Primary

Addresses

Primary practice location

304 W Washington Ave
Richland, MO 65556-7101

Mailing address

PO Box 777
Richland, MO 65556-0777
Phone (877) 406-2662

Other practice location 1

3870 Columbia Ave
Osage Beach, MO 65065-8689
Phone (877) 406-2662

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
I20201110002229 MO Practitioner - Nurse Practitioner 3971913534 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Richland Medical Center, Inc.Group PAC ID 2062554025, 29 clinicians

Practice addresses (Care Compare)

304 W Washington Ave
Richland, MO 65556-7101
Phone (573) 836-7053

3870 Columbia Ave
Osage Beach, MO 65065-8689
Phone (877) 406-2662

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2020016680MOMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Richland Medical Center, Inc. Current Accepting new patients
Eustasis Foundation, Inc PastSince Aug 30, 2020 Accepting new patients

Locations

3870 Columbia Ave
Osage Beach, MO 65065
Phone (573) 302-7490

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": "1604620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652659200000",
    "number": "1205437126",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 777",
            "city": "RICHLAND",
            "state": "MO",
            "postal_code": "655560777",
            "telephone_number": "877-406-2662"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "304 W WASHINGTON AVE",
            "city": "RICHLAND",
            "state": "MO",
            "postal_code": "655567101",
            "telephone_number": "877-406-2662"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3870 Columbia Ave",
            "address_purpose": "LOCATION",
            "city": "Osage Beach",
            "state": "MO",
            "postal_code": "650658689",
            "country_code": "US",
            "telephone_number": "877-406-2662",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FOWERS",
        "first_name": "DANIELLE",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-11-06",
        "last_updated": "2022-05-16",
        "certification_date": "2022-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MO",
            "license": "2020016680",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richland, MO

Sources for this page

Verify at the official NPI Registry.