Organization Active NPI

Core Medical & Aesthetics, LLC

  • Nurse Practitioner
  • Springfield, MO
National Provider Identifier
1245048255
Registry record updated Dec 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
Legal business name
CORE MEDICAL & AESTHETICS, LLC
Doing business as
C.O.R.A.MED HRT & Regeneration Center
Practice address
1301 E Sunshine St Ste 118
Springfield, MO 65804-1152
Phone
(417) 207-2441
NPI assigned
Dec 23, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 23, 2024

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

Authorized official

Name
Dr. Joseph Verna, DC
Title
Billing Manager
Phone
(417) 207-2441

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363L00000X Primary

Addresses

Primary practice location

1301 E Sunshine St Ste 118
Springfield, MO 65804-1152

Mailing address

1301 E Sunshine St Ste 118
Springfield, MO 65804-1152
Phone (417) 207-2441

Other names 1

  • C.O.R.A.MED HRT & Regeneration Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250417001953 MO Part B Supplier - Clinic/Group Practice 6103341557 Receives reassigned benefits from 3 practitioners
Practice locations: Springfield, MO; Lebanon, MO

National Provider Directory

National Provider Directory

Locations

441 W Elm St
Ste B
Lebanon, MO 65536
Phone (417) 207-2441

1301 E Sunshine St
Ste 118
Springfield, MO 65804
Phone (417) 207-2441

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1734912000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1734912000000",
    "number": "1245048255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1301 E SUNSHINE ST STE 118",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658041152",
            "telephone_number": "417-207-2441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 E SUNSHINE ST STE 118",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658041152",
            "telephone_number": "417-207-2441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORE MEDICAL & AESTHETICS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-12-23",
        "last_updated": "2024-12-23",
        "certification_date": "2024-12-23",
        "status": "A",
        "authorized_official_last_name": "VERNA",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "417-207-2441",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "C.O.R.A.MED HRT & Regeneration Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Springfield, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.