NPIMap

Individual provider Active NPI

Elaine Joetta Luna, FNP

  • Family Nurse Practitioner
  • Mountain Grove, MO
National Provider Identifier
1306583935
Registry record updated Apr 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
2022016766 Issued in MO
Practice address
120 W 16TH St
Mountain Grove, MO 65711-1039
Phone
(417) 926-6111
NPI assigned
May 16, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 21, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 2022016766 MO Primary

Addresses

Primary practice location

120 W 16TH St
Mountain Grove, MO 65711-1039

Mailing address

120 W 16TH St
Mountain Grove, MO 65711-1039
Phone (417) 926-6111

Other practice location 1

205 W 3rd St Ste 3
Mountain Grove, MO 65711-1600
Phone (417) 926-3743

Other practice location 2

120 W Lincoln Ave
Ava, MO 65608-5567
Phone (417) 683-6790

Other practice location 3

304 W Commercial St
Mansfield, MO 65704-9527
Phone (417) 924-3066

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
I20230424002155 MO Practitioner - Nurse Practitioner 5294190468 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mercy Clinic Springfield CommunitiesGroup PAC ID 7416865845, shared by 26 NPIs, 1,121 clinicians
Ozarks Medical CenterGroup PAC ID 3870491863, 166 clinicians

Practice addresses (Care Compare)

120 W 16TH St
MC Family Medicine Mountain Grove
Mountain Grove, MO 65711-1039
Phone (417) 926-6111

1307 Porter Wagoner Blvd
Ozarks Healthcare Family Care
West Plains, MO 65775-1828
Phone (417) 255-8645

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Ozarks Medical Center CurrentSince Sep 1, 2025 Accepting new patients
Mercy Clinic Springfield Communities CurrentSince May 8, 2023 Accepting new patients
Mercy Clinic Springfield Communities CurrentSince May 8, 2023 Accepting new patients
Family Walk in Clinic of Mountain Grove Inc CurrentSince May 1, 2022 Accepting new patients
Ozarks Medical Center CurrentSince Sep 1, 2025 Accepting new patients
Mercy Clinic Springfield Communities Family CurrentSince May 8, 2023 Accepting new patients
Mansfield Clinic, Inc. Past Accepting new patients
Ozarks Medical Center Past Accepting new patients
Mansfield Clinic, Inc. Past Accepting new patients

Locations

100 Medical Dr
Alton, MO 65606
Phone (417) 778-7227

37 Medical Dr
Gainesville, MO 65655
Phone (417) 679-4613

304 W Commercial St
Mansfield, MO 65704
Phone (417) 924-3066

500 E 19th St
Mountain Grove, MO 65711
Phone (417) 926-6563

205 W 3rd St
Ste 3
Mountain Grv, MO 65711
Phone (417) 924-3066

1905 W 19th St
Mountain Grv, MO 65711
Phone (417) 926-1770

120 W 16th St
Mountain Grv, MO 65711
Phone (417) 926-6111

220 N Elm St
Mountain View, MO 65548
Phone (417) 296-6563

1605 Martin Springs Dr
Rolla, MO 65401
Phone (573) 458-6379

1605 Martin Springs Dr
Ste 330
Rolla, MO 65401
Phone (573) 458-6379

2115 S Fremont Ave
Ste 3050
Springfield, MO 65804
Phone (417) 820-3905

1375 Nettleton Ave
Thayer, MO 65791
Phone (417) 264-7136

1100 N Kentucky Ave
West Plains, MO 65775
Phone (417) 257-5959

1013 N College St
West Plains, MO 65775
Phone (417) 505-7123

1307 Porter Wagoner Blvd
West Plains, MO 65775
Phone (417) 255-8645

181 N Kentucky Ave
West Plains, MO 65775
Phone (417) 257-5911

9104 State Highway 19
Winona, MO 65588
Phone (573) 325-4237

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 9

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 11

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": "1652659200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682035200000",
    "number": "1306583935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 W 16TH ST",
            "city": "MOUNTAIN GROVE",
            "state": "MO",
            "postal_code": "657111039",
            "telephone_number": "417-926-6111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 W 16TH ST",
            "city": "MOUNTAIN GROVE",
            "state": "MO",
            "postal_code": "657111039",
            "telephone_number": "417-926-6111"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "205 W 3rd St Ste 3",
            "address_purpose": "LOCATION",
            "city": "Mountain Grove",
            "state": "MO",
            "postal_code": "657111600",
            "country_code": "US",
            "telephone_number": "417-926-3743",
            "fax_number": "417-926-7625",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "120 W Lincoln Ave",
            "address_purpose": "LOCATION",
            "city": "Ava",
            "state": "MO",
            "postal_code": "656085567",
            "country_code": "US",
            "telephone_number": "417-683-6790",
            "fax_number": "417-683-6770",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "304 W Commercial St",
            "address_purpose": "LOCATION",
            "city": "Mansfield",
            "state": "MO",
            "postal_code": "657049527",
            "country_code": "US",
            "telephone_number": "417-924-3066",
            "fax_number": "417-924-3925",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LUNA",
        "first_name": "ELAINE",
        "middle_name": "JOETTA",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-05-16",
        "last_updated": "2023-04-21",
        "certification_date": "2023-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "2022016766",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mountain Grove, MO

Sources for this page

Verify at the official NPI Registry.