Active NPI
Dayna Lynette Patterson, FNP
- Family Nurse Practitioner
- Jefferson City, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 2018015618
- Practice address
- 3308 W Edgewood Dr Ste B
Jefferson City, MO 65109-6891 - Phone
- (573) 893-7848
- NPI assigned
- Mar 16, 2018
- Last updated
- Feb 17, 2021
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 2018015618 | MO | Primary |
Addresses
Primary practice location
3308 W Edgewood Dr Ste B
Jefferson City, MO 65109-6891
Mailing address
3308 W Edgewood Dr Ste B
Jefferson City, MO 65109-6891
Phone (573) 893-7848
Other practice location 1
812 N Keene St
Columbia, MO 65201-6633
Phone (573) 817-3000
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2511 W Edgewood Dr
Suite H
Jefferson City, MO 65109-5869
Phone (573) 761-5277
Merit-based Incentive Payment System (MIPS)
- Final score
- 88.07 of 100
- Quality
- 86.39
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 73.83
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Genesis Company, LLC | Current | Accepting new patients |
Locations
2511 W Edgewood Dr
Ste A
Jefferson City, MO 65109
Phone (573) 761-5277
2511 W Edgewood Dr
Ste D
Jefferson City, MO 65109
Phone (573) 761-0304
2511 W Edgewood Dr
Ste F
Jefferson City, MO 65109
Phone (573) 634-4133
2511 W Edgewood Dr
Ste G
Jefferson City, MO 65109
Phone (573) 761-0458
2511 W Edgewood Dr
Ste H
Jefferson Cty, MO 65109
Phone (573) 761-5277
Organizations & group practices 1
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.
-
dba Genesis Laser and Vein Center
- Phlebology Physician
- Jefferson City, MO
- NPI 1609382159
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1521158400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1613520000000",
"number": "1306349261",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3308 W EDGEWOOD DR STE B",
"city": "JEFFERSON CITY",
"state": "MO",
"postal_code": "651096891",
"telephone_number": "573-893-7848"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3308 W EDGEWOOD DR STE B",
"city": "JEFFERSON CITY",
"state": "MO",
"postal_code": "651096891",
"telephone_number": "573-893-7848"
}
],
"practiceLocations": [
{
"address_1": "812 N Keene St",
"address_purpose": "LOCATION",
"city": "Columbia",
"state": "MO",
"postal_code": "652016633",
"country_code": "US",
"telephone_number": "573-817-3000",
"fax_number": "573-876-6950",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PATTERSON",
"first_name": "DAYNA",
"middle_name": "LYNETTE",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-03-16",
"last_updated": "2021-02-17",
"certification_date": "2021-02-17",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MO",
"license": "2018015618",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jefferson City, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2021; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.