NPIMap

Individual provider Active NPI

Andrew Bennett Wright, DO

  • Family Medicine Physician
  • Moberly, MO
National Provider Identifier
1306462775
Registry record updated May 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
2020017748 Issued in MO
Practice address
1600 N Morley St
Moberly, MO 65270-3666
Phone
(660) 372-9595
Fax
(660) 372-9596
NPI assigned
Jun 22, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 24, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 2020017748 MO Primary

Addresses

Primary practice location

1600 N Morley St
Moberly, MO 65270-3666

Mailing address

1600 N Morley St
Moberly, MO 65270-3666
Phone (660) 372-9595

Other practice location 1

1611 S Baltimore St
Kirksville, MO 63501-4518
Phone (660) 665-7575

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
I20220718001839 MO Practitioner - Family Practice 4587087465 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

1600 N Morley St
Moberly, MO 65270-3666
Phone (660) 372-9595

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal of nail tissue1-10
Removal or shaving of skin growth1-10
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
Macon County Samaritan Hospital CurrentSince Jun 20, 2022 Accepting new patients
Hannibal Regional Healthcare System, Inc Family Medicine CurrentSince Aug 28, 2023 Accepting new patients
Hannibal Regional Healthcare System Inc CurrentSince Aug 28, 2023 Accepting new patients
Hannibal Regional Healthcare System, Inc Current Accepting new patients
General John J Pershing Memorial Hospital Association CurrentSince Jun 20, 2022 Accepting new patients

Locations

130 E Lockling St
Brookfield, MO 64628
Phone (660) 258-1050

6500 Hospital Dr
Hannibal, MO 63401
Phone (573) 629-3400

1611 S Baltimore St
#A
Kirksville, MO 63501

1611 S Baltimore St
Kirksville, MO 63501
Phone (660) 372-9595

1205 N Missouri St
Macon, MO 63552
Phone (660) 385-3151

101 E Hayward St
Meadville, MO 64659
Phone (660) 938-4213

2100 Silva Ln
Ste A
Moberly, MO 65270
Phone (660) 263-7201

1600 N Morley St
Ste A120
Moberly, MO 65270
Phone (660) 263-1225

1600 N Morley St
Moberly, MO 65270
Phone (660) 263-1225

Interoperability endpoints

  • Direct secure messaging: andrew.wright.p1@direct.cfmkv.nextgenshare.com
  • FHIR API: https://fhir.fhirpoint.open.allscripts.com/fhirroute/open/10040602
  • Direct secure messaging: ayaaz.habibullah.p1@direct.cfmkv.nextgenshare.com

Organizations & group practices 5

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 5

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": "1592784000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716508800000",
    "number": "1306462775",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 N MORLEY ST",
            "city": "MOBERLY",
            "state": "MO",
            "postal_code": "652703666",
            "telephone_number": "660-372-9595",
            "fax_number": "660-372-9596"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 N MORLEY ST",
            "city": "MOBERLY",
            "state": "MO",
            "postal_code": "652703666",
            "telephone_number": "660-372-9595",
            "fax_number": "660-372-9596"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1611 S Baltimore St",
            "address_purpose": "LOCATION",
            "city": "Kirksville",
            "state": "MO",
            "postal_code": "635014518",
            "country_code": "US",
            "telephone_number": "660-665-7575",
            "fax_number": "660-665-7576",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WRIGHT",
        "first_name": "ANDREW",
        "middle_name": "BENNETT",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-06-22",
        "last_updated": "2024-05-24",
        "certification_date": "2024-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MO",
            "license": "2020017748",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Moberly, MO

Sources for this page

Verify at the official NPI Registry.