Individual provider Active NPI

Gina Nicole Viser, FNP-C

  • Family Nurse Practitioner
  • Bolivar, MO
National Provider Identifier
1316495492
Registry record updated Oct 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
2016035596 Issued in MO
Practice address
1501 N Oakland Ave
Bolivar, MO 65613-3020
Phone
(417) 326-7200
Fax
(417) 326-7201
NPI assigned
Sep 16, 2016
Last updated
Oct 10, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 2016035596 MO Primary
Critical Care Medicine Registered Nurse 163WC0200X 2011001192 MO

Addresses

Primary practice location

1501 N Oakland Ave
Bolivar, MO 65613-3020

Mailing address

PO Box 256
Salina, KS 67402-0256
Phone (785) 823-0633

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
I20161111000616 MO Practitioner - Nurse Practitioner 4284913435 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Central Care PAGroup PAC ID 7911801014, 15 clinicians
Citizens Memorial HealthcareGroup PAC ID 4183528169, 144 clinicians

Practice addresses (Care Compare)

1501 N Oakland Ave
Bolivar, MO 65613-3020
Phone (417) 326-7200

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2011001192MOMDCritical Care Medicine Registered Nurse
2016035596MOMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Central Care PA CurrentSince Apr 1, 2024 Accepting new patients
Citizens Memorial Healthcare CurrentSince Oct 25, 2016 Accepting new patients
Citizens Memorial Healthcare CurrentSince Oct 25, 2016 Accepting new patients
Central Care, PA CurrentSince Apr 1, 2024 Accepting new patients

Locations

1500 N Oakland Ave
Bolivar, MO 65613
Phone (417) 326-6000

1501 N Oakland Ave
Bolivar, MO 65613
Phone (417) 326-7200

Interoperability endpoints

  • Direct secure messaging: gina.viser@cccancer.ikm.direct-ci.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

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": "1473984000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728518400000",
    "number": "1316495492",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 256",
            "city": "SALINA",
            "state": "KS",
            "postal_code": "674020256",
            "telephone_number": "785-823-0633",
            "fax_number": "844-854-4662"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 N OAKLAND AVE",
            "city": "BOLIVAR",
            "state": "MO",
            "postal_code": "656133020",
            "telephone_number": "417-326-7200",
            "fax_number": "417-326-7201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VISER",
        "first_name": "GINA",
        "middle_name": "NICOLE",
        "name_prefix": "Mrs.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-09-16",
        "last_updated": "2024-10-10",
        "certification_date": "2024-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "2016035596",
            "primary": true
        },
        {
            "code": "163WC0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Critical Care Medicine",
            "state": "MO",
            "license": "2011001192",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bolivar, MO

Sources for this page

Verify at the official NPI Registry.