Individual provider Active NPI

Alyssa Easter, MD

  • Family Medicine Physician
  • Springfield, MO
National Provider Identifier
1265882120
Registry record updated Mar 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
2017034295 Issued in MO
Practice address
3800 S National Ave Ste 700
Springfield, MO 65807-5279
Phone
(417) 269-8817
Fax
(417) 269-8744
NPI assigned
Jun 21, 2016
Last updated
Mar 8, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 8, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 2017034295 MO Primary

Addresses

Primary practice location

3800 S National Ave Ste 700
Springfield, MO 65807-5279

Mailing address

3800 S National Ave Ste 700
Springfield, MO 65807-5279
Phone (417) 269-8817

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190710001064 MO Practitioner - Family Practice 4789919945 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

440 E Tampa St
Springfield, MO 65806-1131
Phone (417) 831-0150

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
2017034295MOMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lester E Cox Medical Centers CurrentSince Jul 1, 2019 Accepting new patients
Skaggs Community Hospital Association Family Medicine CurrentSince Sep 1, 2020 Accepting new patients
Skaggs Community Hospital Association Family Medicine CurrentSince Sep 1, 2020 Accepting new patients
Lester E. Cox Medical Centers Family Medicine Current Accepting new patients
Advocates for a Healthy Community, Inc CurrentSince Oct 14, 2019 Accepting new patients
Lester E Cox Medical Centers CurrentSince Jul 1, 2019 Accepting new patients
Advocates for a Healthy Community Inc CurrentSince Oct 14, 2019 Accepting new patients
Skaggs Community Hospital Association Current Accepting new patients
Lester E Cox Medical Centers Past Accepting new patients
Mercy Hospital Springfield Past Accepting new patients
Advocates for a Healthy Community, Inc. Past Accepting new patients

Locations

525 Branson Landing Blvd
Ste 508
Branson, MO 65616
Phone (417) 335-7540

1000 E Primrose St
Ste 360
Springfield, MO 65807
Phone (417) 269-4037

1423 N Jefferson Ave
Springfield, MO 65802
Phone (417) 269-6583

3800 S National Ave
Ste 700
Springfield, MO 65807
Phone (417) 269-8817

3805 S Kansas Expy
Ste A
Springfield, MO 65807
Phone (417) 269-6896

440 E Tampa St
Springfield, MO 65806
Phone (417) 831-0191

Interoperability endpoints

  • Direct secure messaging: aeaster694342@direct.ochin.org

Organizations & group practices 11

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": "1466467200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678233600000",
    "number": "1265882120",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3800 S NATIONAL AVE STE 700",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658075279",
            "telephone_number": "417-269-8817",
            "fax_number": "417-269-8744"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3800 S NATIONAL AVE STE 700",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658075279",
            "telephone_number": "417-269-8817",
            "fax_number": "417-269-8744"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EASTER",
        "first_name": "ALYSSA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-21",
        "last_updated": "2023-03-08",
        "certification_date": "2023-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MO",
            "license": "2017034295",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, MO

Sources for this page

Verify at the official NPI Registry.