Individual provider Active NPI

Nancy Wingsze Lo, MD

  • Gynecology Physician
  • Cape Girardeau, MO
National Provider Identifier
1316197221
Registry record updated May 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gynecology PhysicianTaxonomy code 207VG0400X
License
2023033023 Issued in MO
Practice address
711 S Mount Auburn Rd
Cape Girardeau, MO 63703-6387
Phone
(573) 686-4151
NPI assigned
Sep 27, 2008
Last updated
May 19, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 19, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 01067380A IN
Gynecology Physician 207VG0400X 2023033023 MO Primary

Addresses

Primary practice location

711 S Mount Auburn Rd
Cape Girardeau, MO 63703-6387

Mailing address

711 S Mount Auburn Rd
Cape Girardeau, MO 63703-6387
Phone (573) 686-4151

Other practice location 1

2901 W Jackson St
Muncie, IN 47304-4307
Phone (765) 286-3900

Other practice location 2

4881 Sugar Maple Dr
Dept OB/GYN
Wpafb, OH 45433-5529
Phone (937) 257-1941

Other identifiers 1

IdentifierTypeStateIssuer
1316197221MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN, MO2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20200329000568 IN Practitioner - Obstetrics/Gynecology 5799909537 Reassigns benefits to 1 organization
I20240405002830 MO Practitioner - Obstetrics/Gynecology 5799909537 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2023033023MOMDGynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Indiana University Health Ball Memorial Physicians, Inc. Obstetrics & Gynecology CurrentSince Mar 1, 2020 Accepting new patients
Southeast Missouri Hospital Physicians, LLC Obstetrics & Gynecology CurrentSince Mar 22, 2024 Accepting new patients
Missouri Delta Medical Center Past Accepting new patients
Joint Township District Memorial Hospital Past Accepting new patients
Ozarks Medical Center Past Accepting new patients

Locations

3832 Solutions Ctr
Chicago, IL 60677

250 N Shadeland Ave
Indianapolis, IN 46219
Phone (317) 948-9174

1200 W White River Blvd
Muncie, IN 47303
Phone (765) 254-4009

221 N Celia Ave
Muncie, IN 47303
Phone (765) 747-3141

2401 W University Ave
Muncie, IN 47303
Phone (765) 747-3111

2901 W Jackson St
Muncie, IN 47304
Phone (765) 286-3900

5501 W Bethel Ave
Muncie, IN 47304
Phone (765) 741-2957

1701 Lacey St
Cpe Girardeau, MO 63701
Phone (573) 334-4822

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, 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": "1222473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747612800000",
    "number": "1316197221",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "711 S MOUNT AUBURN RD",
            "city": "CAPE GIRARDEAU",
            "state": "MO",
            "postal_code": "637036387",
            "telephone_number": "573-686-4151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "711 S MOUNT AUBURN RD",
            "city": "CAPE GIRARDEAU",
            "state": "MO",
            "postal_code": "637036387",
            "telephone_number": "573-686-4151"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2901 W Jackson St",
            "address_purpose": "LOCATION",
            "city": "Muncie",
            "state": "IN",
            "postal_code": "473044307",
            "country_code": "US",
            "telephone_number": "765-286-3900",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4881 Sugar Maple Dr",
            "address_2": "Dept OB/GYN",
            "address_purpose": "LOCATION",
            "city": "WPAFB",
            "state": "OH",
            "postal_code": "454335529",
            "country_code": "US",
            "telephone_number": "937-257-1941",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LO",
        "first_name": "NANCY",
        "middle_name": "WINGSZE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-09-27",
        "last_updated": "2025-05-19",
        "certification_date": "2025-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "IN",
            "license": "01067380A",
            "primary": false
        },
        {
            "code": "207VG0400X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "MO",
            "license": "2023033023",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1316197221",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cape Girardeau, MO

Sources for this page

Verify at the official NPI Registry.