Active NPI
Gina Nicole Viser, FNP-C
- Family Nurse Practitioner
- Bolivar, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 2016035596
- 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, 2024
- Sex
- Female
- Sole proprietor
- No
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 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
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 2011001192 | MO | MD | Critical Care Medicine Registered Nurse |
| 2016035596 | MO | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Central Care PA | Current | Accepting new patients | |
| Citizens Memorial Healthcare | Current | Accepting new patients | |
| Citizens Memorial Healthcare | Current | Accepting new patients | |
| Central Care, PA | Current | 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
- 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.
-
- Surgery Physician
- Bolivar, MO
- NPI 1568566131
-
dba CMH Willard Medical Center
- Rural Health Clinic/Center
- Willard, MO
- NPI 1568127397
-
dba Central Care Cancer Center
- Radiation Oncology Physician
- El Dorado, KS
- NPI 1497617286
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Citizens Memorial Hospital
- General Acute Care Hospital
- Bolivar, MO
- NPI 1003981549
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2024; 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.