Active NPI
Kimberly Nguyen, FNP-C
- Family Nurse Practitioner
- Neosho, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 2012031598
- Practice address
- 117 E Hickory St
Neosho, MO 64850-1806 - Phone
- (417) 451-4545
- NPI assigned
- Sep 12, 2012
- 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 | 2012031598 | MO | Primary |
Addresses
Primary practice location
117 E Hickory St
Neosho, MO 64850-1806
Mailing address
117 E Hickory St
Neosho, MO 64850-1806
Phone (417) 451-4545
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO, KS
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Mercy Clinic Joplin LLC
Practice addresses (Care Compare)
1717 S Range Line Rd B
Mercy Convenient Care
Joplin, MO 64804-3224
Phone (417) 623-2207
444 Four States Dr
Suite 1
Galena, KS 66739-4325
Phone (877) 783-4441
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mercy Clinic Joplin LLC | Current | Accepting new patients | |
| Mercy Clinic Joplin LLC | Current | Accepting new patients | |
| WH Ar Medical PLLC | Past | Accepting new patients |
Locations
220 N Pennsylvania Ave
Columbus, KS 66725
Phone (620) 429-2545
403 Woodland Hills Blvd
Fort Scott, KS 66701
Phone (417) 556-4762
444 Four States Dr
Ste 1
Galena, KS 66739
Phone (877) 783-4441
3125 Dr Russell Smith Way
Carthage, MO 64836
Phone (417) 358-8121
94 Main St
Cassville, MO 65625
Phone (417) 782-7722
1717 S Range Line Rd
Ste B
Joplin, MO 64804
Phone (417) 556-2231
100 Mercy Way
#430
Joplin, MO 64804
Phone (417) 556-2278
100 Mercy Way
Joplin, MO 64804
Phone (417) 556-2300
2550 Lusk Dr
Neosho, MO 64850
Phone (417) 451-2060
Organizations & group practices 3
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.
-
- Family Medicine Physician
- Joplin, MO
- NPI 1215264817
-
- Family Medicine Physician
- Columbus, KS
- NPI 1043547474
-
- Family Medicine Physician
- Springdale, AR
- NPI 1235861147
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Carthage, MO
- NPI 1003201955
-
- General Acute Care Hospital
- Carthage, MO
- NPI 1396012753
-
- General Acute Care Hospital
- Joplin, MO
- NPI 1700112745
-
- Special Hospital
- Galena, KS
- NPI 1992341473
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1347408000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1383696000000",
"number": "1215287750",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "117 E HICKORY ST",
"city": "NEOSHO",
"state": "MO",
"postal_code": "648501806",
"telephone_number": "417-451-4545"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "117 E HICKORY ST",
"city": "NEOSHO",
"state": "MO",
"postal_code": "648501806",
"telephone_number": "417-451-4545"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NGUYEN",
"first_name": "KIMBERLY",
"credential": "FNP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-09-12",
"last_updated": "2013-11-06",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MO",
"license": "2012031598",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Neosho, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.