Individual provider Active NPI

Elaine Blevins, NP-C

  • Family Nurse Practitioner
  • Springfield, MO
National Provider Identifier
1245471994
Registry record updated Mar 10, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
153837 Issued in MO
Practice address
1000 E Primrose St
Suite 320 a & B
Springfield, MO 65807-5154
Phone
(417) 269-2300
Fax
(417) 269-2307
NPI assigned
Mar 10, 2009
Last updated
Mar 10, 2009By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 153837 MO Primary

Addresses

Primary practice location

1000 E Primrose St
Suite 320 a & B
Springfield, MO 65807-5154

Mailing address

1000 E Primrose St
Suite 320 a & B
Springfield, MO 65807-5154
Phone (417) 269-2300

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
I20100108000150 MO Practitioner - Nurse Practitioner 0042351397 Reassigns benefits to 8 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
153837MOMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Clinic Springfield Communities CurrentSince Jun 26, 2023 Accepting new patients
DRD Management, Inc Current Accepting new patients
Vcphcs XV, LLC CurrentSince Jul 15, 2021 Accepting new patients
Mercy Clinic Springfield Communities CurrentSince Jun 26, 2023 Accepting new patients
DRD Management, Inc CurrentSince Jul 15, 2022 Accepting new patients
BHG Lxxiv, LLC CurrentSince Dec 13, 2022 Accepting new patients
Bhgxxix, LLC CurrentSince Jul 15, 2021 Accepting new patients
BHG Xliii, LLC CurrentSince Aug 12, 2021 Accepting new patients
BHG Lxxiv, LLC CurrentSince Dec 13, 2022 Accepting new patients
Mercy Clinic Springfield Communities Family CurrentSince Jun 26, 2023 Accepting new patients
BHG Lxxiv, LLC CurrentSince Aug 19, 2025 Accepting new patients

Locations

448 State Highway 248
Ste 160
Branson, MO 65616
Phone (417) 213-4696

1301 Vandiver Dr
Ste Y
Columbia, MO 65202
Phone (573) 449-8338

2919 E 4th St
Joplin, MO 64801
Phone (417) 782-7966

1369 N Westwood Blvd
Poplar Bluff, MO 63901
Phone (573) 722-7937

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

2115 S Fremont Ave
Ste 2900
Springfield, MO 65804
Phone (417) 820-3535

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

2551 W Kearney St
Springfield, MO 65803
Phone (417) 210-6025

404 E Battlefield St
Springfield, MO 65807
Phone (214) 365-6132

1639 Bruce Smith Pkwy
West Plains, MO 65775
Phone (417) 255-6441

5001 Spring Valley Rd
Ste 600
Dallas, TX 75244

5001 Spring Vly
Ste 600E
Dallas, TX 75244

Interoperability endpoints

  • Direct secure messaging: elaine.blevins@cernerdirect.coxhealth.com

Organizations & group practices 13

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.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1236643200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1236643200000",
    "number": "1245471994",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 E PRIMROSE ST",
            "address_2": "SUITE 320 A & B",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658075154",
            "telephone_number": "417-269-2300",
            "fax_number": "417-269-2307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 E PRIMROSE ST",
            "address_2": "SUITE 320 A & B",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658075154",
            "telephone_number": "417-269-2300",
            "fax_number": "417-269-2307"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLEVINS",
        "first_name": "ELAINE",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-03-10",
        "last_updated": "2009-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "153837",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, MO

Sources for this page

Verify at the official NPI Registry.