Individual provider Active NPI

Kayla Colleen Reeves, FNP-C

  • Family Medicine Physician
  • Osage Beach, MO
National Provider Identifier
1285496125
Registry record updated Apr 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
2024002804 Issued in MO
Practice address
1029 Nichols Rd Ste 301
Osage Beach, MO 65065-3008
Phone
(573) 302-2864
NPI assigned
Jan 26, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2024

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 2024002804 MO Primary

Addresses

Primary practice location

1029 Nichols Rd Ste 301
Osage Beach, MO 65065-3008

Mailing address

324 Hollyhock Dr
Camdenton, MO 65020-9810
Phone (573) 480-2740

Other names 1

  • Kayla Colleen Binns Former name

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
I20240409001137 MO Practitioner - Nurse Practitioner 3476991514 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

2020 Evergreen Pkwy
Lebanon, MO 65536-4611
Phone (417) 334-3590

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Advocates for a Healthy Community, Inc CurrentSince Oct 8, 2024 Accepting new patients
Advocates for a Healthy Community Inc CurrentSince Oct 8, 2024 Accepting new patients
Advocates for a Healthy Community, Inc. Past Accepting new patients

Locations

2020 Evergreen Pkwy
Lebanon, MO 65536
Phone (417) 334-8337

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

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.

NPI Registry JSON

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

{
    "created_epoch": "1706227200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711929600000",
    "number": "1285496125",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "324 HOLLYHOCK DR",
            "city": "CAMDENTON",
            "state": "MO",
            "postal_code": "650209810",
            "telephone_number": "573-480-2740"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1029 NICHOLS RD STE 301",
            "city": "OSAGE BEACH",
            "state": "MO",
            "postal_code": "650653008",
            "telephone_number": "573-302-2864"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REEVES",
        "first_name": "KAYLA",
        "middle_name": "COLLEEN",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-01-26",
        "last_updated": "2024-04-01",
        "certification_date": "2024-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MO",
            "license": "2024002804",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KAYLA",
            "last_name": "BINNS",
            "middle_name": "COLLEEN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Osage Beach, MO

Sources for this page

Verify at the official NPI Registry.