Individual provider Active NPI

Fatten F Elkomy, DNS, FMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Columbia, MO
National Provider Identifier
1316388754
Registry record updated May 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
2013024819 Issued in MO
Practice address
3401 Berrywood Dr
Columbia, MO 65201-8372
Phone
(573) 777-8330
Fax
(573) 777-8330
NPI assigned
Jul 15, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 19, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 2013024819 MO Primary

Addresses

Primary practice location

3401 Berrywood Dr
Columbia, MO 65201-8372

Mailing address

2885 W Battlefield St
Springfield, MO 65807-3952
Phone (417) 761-5214

Other practice location 1

201 W 3rd St
Sedalia, MO 65301-4352
Phone (660) 827-2494

Other practice location 2

800 S Park Ave
Springfield, MO 65802-4855
Phone (417) 893-7735

Other practice location 3

17421 Medical Center Pkwy
Independence, MO 64057-1805
Phone (816) 455-9975

Other practice location 4

1805 E Walnut St
Columbia, MO 65201-6425
Phone (573) 777-7500

Other identifiers 1

IdentifierTypeStateIssuer
1316388754MedicaidMO

Other names 1

  • Fatten F Mohamed Other name

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
I20131017000403 MO Practitioner - Nurse Practitioner 2466686969 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Burrell IncGroup PAC ID 4486548625, 217 clinicians

Practice addresses (Care Compare)

2013 William St
Suite a
Jefferson City, MO 65109-4771
Phone (573) 636-8108

3401 Berrywood Dr
Columbia, MO 65201-6515
Phone (573) 777-8300

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2013024819MOMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Burrell, Inc. CurrentSince Jul 7, 2025 Accepting new patients
New Horizons Community Support Services, Inc. CurrentSince Mar 12, 2018 Accepting new patients
Burrell, Inc. CurrentSince Jul 7, 2025 Accepting new patients
Centerpointe Hospital of Columbia, LLC CurrentSince Nov 10, 2020 Accepting new patients

Locations

1805 E Walnut St
Columbia, MO 65201
Phone (573) 777-7500

3401 Berrywood Dr
Columbia, MO 65201
Phone (573) 777-7530

1201 International Dr
Columbia, MO 65202
Phone (573) 615-2001

1408 Hathman Pl
Columbia, MO 65201
Phone (573) 443-0405

17421 Medical Center Pkwy
Independence, MO 64057
Phone (816) 356-2000

17611 E US Highway 24
#H
Independence, MO 64056
Phone (816) 836-6350

2013 William St
Ste A
Jefferson Cty, MO 65109
Phone (573) 636-8108

201 W 3rd St
Sedalia, MO 65301
Phone (660) 827-2494

1300 E Bradford Pkwy
#H
Springfield, MO 65804

800 S Park Ave
Springfield, MO 65802
Phone (417) 893-7700

2885 W Battlefield St
Springfield, MO 65807
Phone (417) 761-5214

6100 Tower Cir
Ste 1000
Franklin, TN 37067
Phone (615) 454-7459

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1373846400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779148800000",
    "number": "1316388754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2885 W BATTLEFIELD ST",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658073952",
            "telephone_number": "417-761-5214"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3401 BERRYWOOD DR",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652018372",
            "telephone_number": "573-777-8330",
            "fax_number": "573-777-8330"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "201 W 3rd St",
            "address_purpose": "LOCATION",
            "city": "Sedalia",
            "state": "MO",
            "postal_code": "653014352",
            "country_code": "US",
            "telephone_number": "660-827-2494",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "800 S Park Ave",
            "address_purpose": "LOCATION",
            "city": "Springfield",
            "state": "MO",
            "postal_code": "658024855",
            "country_code": "US",
            "telephone_number": "417-893-7735",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "17421 Medical Center Pkwy",
            "address_purpose": "LOCATION",
            "city": "Independence",
            "state": "MO",
            "postal_code": "640571805",
            "country_code": "US",
            "telephone_number": "816-455-9975",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1805 E Walnut St",
            "address_purpose": "LOCATION",
            "city": "Columbia",
            "state": "MO",
            "postal_code": "652016425",
            "country_code": "US",
            "telephone_number": "573-777-7500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ELKOMY",
        "first_name": "FATTEN",
        "middle_name": "F",
        "credential": "DNS, FMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-07-15",
        "last_updated": "2026-05-19",
        "certification_date": "2026-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MO",
            "license": "2013024819",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1316388754",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "FATTEN",
            "last_name": "MOHAMED",
            "middle_name": "F",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Columbia, MO

Sources for this page

Verify at the official NPI Registry.