Active NPI
Joseph Albert Amavisca, MD
- Family Medicine Physician
- Hannibal, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 2025012600
- Practice address
- 100 Medical Dr
Hannibal, MO 63401-6877 - Phone
- (573) 221-5250
- Fax
- (573) 221-3706
- NPI assigned
- Jul 28, 2009
- Last updated
- Aug 24, 2026
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 2025012600 | MO | Primary |
| Family Medicine Physician | 207Q00000X | MD156341 | OR |
Addresses
Primary practice location
100 Medical Dr
Hannibal, MO 63401-6877
Mailing address
1005 Broadway St
Quincy, IL 62301-2834
Phone (217) 223-8400
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | jamavisca29542@blessing.medalliesdirect.net | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR, MO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Other, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
100 Medical Dr
Hannibal, MO 63401-6877
103 E Commercial St
Kahoka, MO 63445-1701
Phone (217) 223-8400
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2025012600 | MO | MD | Family Medicine Physician |
| MD156341 | OR | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Blessing Hospital | Current | Accepting new patients | |
| Legacy Meridian Park Hospital | Current | Accepting new patients | |
| Blessing Hospital | Current | Accepting new patients | |
| Legacy Meridian Park Hospital | Current | Accepting new patients | |
| Legacy Clinics LLC | Family Medicine | Current | Accepting new patients |
| Blessing Hospital | Past | Accepting new patients | |
| Blessing Hospital | Past | Accepting new patients | |
| Legacy Meridian Park Pediatric Rehab | Past | Accepting new patients |
Locations
1005 Broadway St
Quincy, IL 62301
100 Medical Dr
Hannibal, MO 63401
101 Medical Dr
Hannibal, MO 63401
103 E Commercial St
Kahoka, MO 63445
Phone (660) 727-3377
1130 NW 22nd Ave
Ste 220
Portland, OR 97210
Phone (503) 413-4134
19250 SW 65th Ave
Ste 250
Tualatin, OR 97062
Phone (503) 692-4820
19300 SW 65th Ave
Tualatin, OR 97062
Phone (503) 692-1212
19875 SW 65th Ave
Ste 100
Tualatin, OR 97062
Phone (503) 692-7785
1002 N Boones Ferry Rd
Woodburn, OR 97071
Phone (503) 981-9526
Interoperability endpoints
- https://fhir.blessinghospital.com/R4/open-Prod
Organizations & group practices 8
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.
-
- General Acute Care Hospital
- Tualatin, OR
- NPI 1184647620
-
dba Blessing Health Monroe City
- Rural Health Clinic/Center
- Monroe City, MO
- NPI 1013683507
-
- Hospitalist Physician
- Tualatin, OR
- NPI 1023305034
-
- Nurse Practitioner
- Quincy, IL
- NPI 1417204827
-
dba Blessing ER Physician Group
- Emergency Medical Services (Emergency Medicine) Physician
- Quincy, IL
- NPI 1558489021
-
- Children's Rehabilitation Hospital
- Tualatin, OR
- NPI 1801122593
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Rural Acute Care Hospital
- Hannibal, MO
- NPI 1922042704
-
- Home Health Agency
- Quincy, IL
- NPI 1548269426
-
- General Acute Care Hospital
- Quincy, IL
- NPI 1760571699
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1248739200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1787529600000",
"number": "1316178189",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1005 BROADWAY ST",
"city": "QUINCY",
"state": "IL",
"postal_code": "623012834",
"telephone_number": "217-223-8400",
"fax_number": "217-277-3960"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 MEDICAL DR",
"city": "HANNIBAL",
"state": "MO",
"postal_code": "634016877",
"telephone_number": "573-221-5250",
"fax_number": "573-221-3706"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AMAVISCA",
"first_name": "JOSEPH",
"middle_name": "ALBERT",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-07-28",
"last_updated": "2026-08-24",
"certification_date": "2026-08-24",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MO",
"license": "2025012600",
"primary": true
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "OR",
"license": "MD156341",
"primary": false
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "jamavisca29542@blessing.medalliesdirect.net",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "100 Medical Dr",
"city": "Hannibal",
"state": "MO",
"country_code": "US",
"postal_code": "634016877",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Hannibal, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2026; 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.