Individual provider Active NPI

Paula J Gimson, RN, FNP-C

  • Family Nurse Practitioner
  • Trenton, MO
National Provider Identifier
1285618306
Registry record updated Aug 9, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
106392 Issued in MO
Practice address
189 Iowa Blvd
Trenton, MO 64683
Phone
(660) 358-5750
Fax
(660) 358-5740
NPI assigned
Dec 1, 2005
Last updated
Aug 9, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2018

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 106392 MO Primary

Addresses

Primary practice location

189 Iowa Blvd
Trenton, MO 64683

Mailing address

711 N 36TH St
Saint Joseph, MO 64506-2977
Phone (816) 271-7826

Other practice location 1

189 Iowa Blvd
Trenton, MO 64683-8343
Phone (660) 358-5750

Other identifiers 1

IdentifierTypeStateIssuer
1285618306MedicaidMO

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
I20071030000238 MO Practitioner - Nurse Practitioner 6103913736 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Heartland Regional Medical CenterGroup PAC ID 6709772767, 394 clinicians

Practice addresses (Care Compare)

711 N 36TH St Entrance a
Mosaic Life Care
St Joseph, MO 64506-2968
Phone (816) 271-8110

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
84.76 of 100Reported as group
Quality
74.35
Promoting interoperability
100
Improvement activities
40
Cost
74.85

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Heartland Regional Medical Center CurrentSince Aug 29, 2018 Accepting new patients
Heartland Regional Medical Center CurrentSince Aug 29, 2018 Accepting new patients

Locations

1600 E Evergreen St
Cameron, MO 64429
Phone (816) 632-2101

1115 N Belt Hwy
Saint Joseph, MO 64506
Phone (816) 271-7077

5202 Faraon St
Ste A
Saint Joseph, MO 64506
Phone (816) 271-1070

5301 Faraon St
Ste 120
Saint Joseph, MO 64506
Phone (816) 271-6406

5325 Faraon St
Saint Joseph, MO 64506
Phone (816) 271-3500

5506 Corporate Dr
Ste 1600
Saint Joseph, MO 64507
Phone (816) 271-7593

711 N 36th St
Saint Joseph, MO 64506
Phone (816) 271-4022

711 N 36th St
Ste A
Saint Joseph, MO 64506
Phone (816) 271-8120

901 Heartland Rd
Ste 2800
Saint Joseph, MO 64506
Phone (816) 271-1005

Organizations & group practices 2

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1133395200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1533772800000",
    "number": "1285618306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "711 N 36TH ST",
            "city": "SAINT JOSEPH",
            "state": "MO",
            "postal_code": "645062977",
            "telephone_number": "816-271-7826",
            "fax_number": "816-271-1266"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "189 IOWA BLVD",
            "city": "TRENTON",
            "state": "MO",
            "postal_code": "64683",
            "telephone_number": "660-358-5750",
            "fax_number": "660-358-5740"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "189 Iowa Blvd",
            "address_purpose": "LOCATION",
            "city": "Trenton",
            "state": "MO",
            "postal_code": "646838343",
            "country_code": "US",
            "telephone_number": "660-358-5750",
            "fax_number": "660-358-5740",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GIMSON",
        "first_name": "PAULA",
        "middle_name": "J",
        "credential": "RN, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-01",
        "last_updated": "2018-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "106392",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1285618306",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Trenton, MO

Sources for this page

Verify at the official NPI Registry.