NPIMap

Individual provider Active NPI

Jacob M Barton, NP

  • Nurse Practitioner
  • Cameron, MO
National Provider Identifier
1295283067
Registry record updated Mar 13, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
2016044505 Issued in MO
Practice address
1600 E Evergreen St
MP II Ste C
Cameron, MO 64429-2400
Phone
(816) 632-2139
Fax
(816) 632-2315
NPI assigned
Sep 21, 2016
Last updated
Mar 13, 2017By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 2016044505 MO Primary
Registered Nurse 163W00000X 2011003589 MO

Addresses

Primary practice location

1600 E Evergreen St
MP II Ste C
Cameron, MO 64429-2400

Mailing address

1600 E Evergreen St
Cameron, MO 64429-2400
Phone (816) 632-2101

Other identifiers 1

IdentifierTypeStateIssuer
1295283067MedicaidMO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170403002460 MO Practitioner - Nurse Practitioner 6507142601 Reassigns benefits to 2 organizations

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

Practice addresses (Care Compare)

1600 E Evergreen St
Suite C
Cameron, MO 64429-2400
Phone (816) 632-2139

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
58.28 of 100Reported as group
Quality
38.51
Improvement activities
40
Cost
70.39

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Liberty Hospital Urgent Care, LLC CurrentSince Oct 1, 2018 Accepting new patients
Cameron Regional Medical Center Inc CurrentSince Feb 11, 2017 Accepting new patients
Cameron Regional Medical Center, Inc. CurrentSince Feb 11, 2017 Accepting new patients
Cameron Regional Medical Center Inc Past Accepting new patients
New Liberty Hospital Corporation PastSince Oct 1, 2018 Accepting new patients
Cameron Regional Medical Center Inc Past Accepting new patients

Locations

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

1600 E Evergreen St
Bldg Ii
Cameron, MO 64429

1600 E Evergreen St
Ste C
Cameron, MO 64429
Phone (816) 632-2139

221 E 7th St
Cameron, MO 64429
Phone (816) 632-2111

8300 N Church Rd
Kansas City, MO 64158
Phone (816) 407-2300

Interoperability endpoints

  • Direct secure messaging: jacob.bartonnp.p11@direct.nlhc.nextgenshare.com

Organizations & group practices 6

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 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": "1474416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1489363200000",
    "number": "1295283067",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 E EVERGREEN ST",
            "city": "CAMERON",
            "state": "MO",
            "postal_code": "644292400",
            "telephone_number": "816-632-2101",
            "fax_number": "816-649-3383"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 E EVERGREEN ST",
            "address_2": "MP II STE C",
            "city": "CAMERON",
            "state": "MO",
            "postal_code": "644292400",
            "telephone_number": "816-632-2139",
            "fax_number": "816-632-2315"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARTON",
        "first_name": "JACOB",
        "middle_name": "M",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-09-21",
        "last_updated": "2017-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MO",
            "license": "2016044505",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MO",
            "license": "2011003589",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1295283067",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cameron, MO

Sources for this page

Verify at the official NPI Registry.