Individual provider Active NPI

Jenifer Corter, FNP-C

  • Family Nurse Practitioner
  • Neosho, MO
National Provider Identifier
1306694625
Registry record updated May 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
2024005950 Issued in MO
Practice address
719 S Neosho Blvd
Neosho, MO 64850-2051
Phone
(417) 451-9501
NPI assigned
May 10, 2024
Last updated
May 10, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 10, 2024

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 2024005950 MO Primary

Addresses

Primary practice location

719 S Neosho Blvd
Neosho, MO 64850-2051

Mailing address

17404 Kodiak Rd
Neosho, MO 64850-8906
Phone (417) 455-6411

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250415003472 MO Practitioner - Nurse Practitioner 1254856974 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

530 S Maiden LN
Joplin, MO 64801-3084
Phone (417) 782-6200

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Ozark Tri-County Health Care Consortium CurrentSince Feb 1, 2025 Accepting new patients
Ozark Tri-County Health Care Consortium CurrentSince Feb 1, 2025 Accepting new patients
Ozark Tri-County Health Care Consortium Past Accepting new patients

Locations

927 N Highway 71
Anderson, MO 64831
Phone (417) 845-2273

530 S Maiden Ln
Joplin, MO 64801
Phone (417) 223-4385

Interoperability endpoints

  • Direct secure messaging: jenifer.corter@115443077021700.direct.elationemr.com
  • Direct secure messaging: jennifer.corter.1@32068.direct.athenahealth.com

Organizations & group practices 3

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1715299200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715299200000",
    "number": "1306694625",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17404 KODIAK RD",
            "city": "NEOSHO",
            "state": "MO",
            "postal_code": "648508906",
            "telephone_number": "417-455-6411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "719 S NEOSHO BLVD",
            "city": "NEOSHO",
            "state": "MO",
            "postal_code": "648502051",
            "telephone_number": "417-451-9501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORTER",
        "first_name": "JENIFER",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-05-10",
        "last_updated": "2024-05-10",
        "certification_date": "2024-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "2024005950",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Neosho, MO

Sources for this page

Verify at the official NPI Registry.