Active NPI
Rachel Lyn Hurst, PA
- Physician Assistant
- Springfield, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 2007001661
- Practice address
- 3801 S National Ave
Springfield, MO 65807-5210 - Phone
- (417) 269-7728
- Fax
- (417) 269-7729
- NPI assigned
- Jan 10, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 2007001661 | MO | Primary |
Addresses
Primary practice location
3801 S National Ave
Springfield, MO 65807-5210
Mailing address
PO Box 4024
Springfield, MO 65808-4024
Phone (417) 882-1207
Other identifiers 9
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1076297 | Other | NCCPA BOARD CERTIFICATION | |
| P00823594 | Other | RAILROAD MEDICARE-SJC | |
| Q75949 | Other | MO | USPS (W/C) |
| 0600288 | Other | MO | UNITED HEALTH CARE |
| 502277007 | Medicaid | MO | |
| 0219383 | Other | WA | DEBARTMENT OF LABOR WA |
| 217261 | Other | MO | BLUE CROSS/BLUE SHIELD |
| 2565515 | Other | MO | COX HEALTH |
| 431560263 | Other | MO | TRICARE WEST |
Other names 1
- Rachel Lyn Small
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Springfield Neurological Institute, L.L.C. | Current | Accepting new patients | |
| Neurological and Spine Institute of the Ozarks LLC | Past | Accepting new patients |
Locations
3801 S National Ave
Ste 1122
Springfield, MO 65807
1411 E Primrose St
Ste C
Springfield, MO 65804
Phone (417) 882-1207
2900 S National Ave
Springfield, MO 65804
Phone (417) 269-1499
3801 S National Ave
Fl 5
Springfield, MO 65807
3801 S National Ave
Springfield, MO 65807
Phone (417) 269-4056
3801 S National Ave
Ste 700
Springfield, MO 65807
Phone (417) 882-1207
Interoperability endpoints
- rachel.hurst@cernerdirect.coxhealth.com
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 and National Provider Directory roles.
-
- Neurological Surgery Physician
- Fayetteville, AR
- NPI 1093088593
-
- Neurological Surgery Physician
- Branson, MO
- NPI 1740422104
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168387200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678233600000",
"number": "1285783845",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 4024",
"city": "SPRINGFIELD",
"state": "MO",
"postal_code": "658084024",
"telephone_number": "417-882-1207",
"fax_number": "417-881-7268"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3801 S NATIONAL AVE",
"city": "SPRINGFIELD",
"state": "MO",
"postal_code": "658075210",
"telephone_number": "417-269-7728",
"fax_number": "417-269-7729"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HURST",
"first_name": "RACHEL",
"middle_name": "LYN",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-10",
"last_updated": "2023-03-08",
"certification_date": "2023-03-08",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "MO",
"license": "2007001661",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NCCPA BOARD CERTIFICATION",
"identifier": "1076297",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE-SJC",
"identifier": "P00823594",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "USPS (W/C)",
"identifier": "Q75949",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTH CARE",
"identifier": "0600288",
"state": "MO"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "502277007",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DEBARTMENT OF LABOR WA",
"identifier": "0219383",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS/BLUE SHIELD",
"identifier": "217261",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "COX HEALTH",
"identifier": "2565515",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRICARE WEST",
"identifier": "431560263",
"state": "MO"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "RACHEL",
"last_name": "SMALL",
"middle_name": "LYN",
"credential": "PA",
"code": "1",
"type": "Former Name"
}
]
}
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 Mar 8, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.