Individual provider Active NPI

Deborah K Capshaw, DNP, ACNP-BC

  • Adult Health Nurse Practitioner
  • Joplin, MO
National Provider Identifier
1295186203
Registry record updated Oct 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
2016021963 Issued in MO
Practice address
100 Mercy Way
Joplin, MO 64804-4524
Phone
(417) 781-5387
NPI assigned
Jun 30, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 78872 OK
Adult Health Nurse Practitioner 363LA2200X 78872 OK
Adult Health Nurse Practitioner 363LA2200X 2016021963 MO Primary

Addresses

Primary practice location

100 Mercy Way
Joplin, MO 64804-4524

Mailing address

100 Mercy Way
Joplin, MO 64804-4524
Phone (417) 781-5387

Other practice location 1

11151 S 689 Rd
Wyandotte, OK 74370-9504
Phone (918) 232-6953

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO, OK, KS3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20160816002980 MO Practitioner - Nurse Practitioner 6002101904 Reassigns benefits to 1 organization
I20170109002216 OK Practitioner - Nurse Practitioner 6002101904 Reassigns benefits to 1 organization
I20220207001795 KS Practitioner - Nurse Practitioner 6002101904 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mercy Clinic Joplin LLCGroup PAC ID 0547300196, shared by 3 NPIs, 288 clinicians

Practice addresses (Care Compare)

100 Mercy Way
330 Mercy Clinic Joplin Cardiology
Joplin, MO 64804-4524
Phone (417) 627-9993

401 Woodland Hills Blvd C
MC Joplin Cardiac Thorac and Vasc Sur
Fort Scott, KS 66701-8797
Phone (417) 556-8600

Hospital & facility affiliations

  • Mercy Hospital Joplin Hospital, Joplin, MO, CCN 260001
  • Mercy Hospital Carthage Hospital, Carthage, MO, CCN 261338
  • Mercy Hospital Columbus Hospital, Columbus, KS, CCN 171308
  • Girard Medical Center Hospital, Girard, KS, CCN 171376
  • Mercy Hospital Pittsburg, Inc Hospital, Pittsburg, KS, CCN 170006

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2016021963MOMDAdult Health Nurse Practitioner
78872OKMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Clinic Joplin LLC CurrentSince Nov 1, 2021 Accepting new patients
Mercy Clinic Joplin LLC CurrentSince Nov 4, 2021 Accepting new patients

Locations

220 N Pennsylvania Ave
Columbus, KS 66725
Phone (620) 429-2545

401 Woodland Hills Blvd
Ste C
Fort Scott, KS 66701

403 Woodland Hills Blvd
Fort Scott, KS 66701
Phone (417) 556-4762

94 Main St
Cassville, MO 65625
Phone (417) 782-7722

1102 W 32nd St
Ste 300
Joplin, MO 64804
Phone (417) 347-5000

1102 W 32nd St
Joplin, MO 64804
Phone (417) 347-1078

100 Mercy Way
Ste 320330
Joplin, MO 64804
Phone (417) 627-9993

100 Mercy Way
Joplin, MO 64804
Phone (417) 556-2300

1121 Neo Loop
Grove, OK 74344
Phone (877) 783-4441

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.

Hospital & facility affiliations 6

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": "1467244800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635120000000",
    "number": "1295186203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 MERCY WAY",
            "city": "JOPLIN",
            "state": "MO",
            "postal_code": "648044524",
            "telephone_number": "417-781-5387"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 MERCY WAY",
            "city": "JOPLIN",
            "state": "MO",
            "postal_code": "648044524",
            "telephone_number": "417-781-5387"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11151 S 689 Rd",
            "address_purpose": "LOCATION",
            "city": "Wyandotte",
            "state": "OK",
            "postal_code": "743709504",
            "country_code": "US",
            "telephone_number": "918-232-6953",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CAPSHAW",
        "first_name": "DEBORAH",
        "middle_name": "K",
        "name_prefix": "Dr.",
        "credential": "DNP, ACNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-30",
        "last_updated": "2021-10-25",
        "certification_date": "2021-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "OK",
            "license": "78872",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "OK",
            "license": "78872",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "MO",
            "license": "2016021963",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Joplin, MO

Sources for this page

Verify at the official NPI Registry.