Individual provider Active NPI

Sierra Masters, FNP

  • Family Nurse Practitioner
  • Cape Girardeau, MO
National Provider Identifier
1316639263
Registry record updated May 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
2023018399 Issued in MO
Practice address
3095 Lexington Ave Ste 200
Cape Girardeau, MO 63701-2629
Phone
(573) 803-2287
NPI assigned
May 22, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 22, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 2023018399 MO Primary

Addresses

Primary practice location

3095 Lexington Ave Ste 200
Cape Girardeau, MO 63701-2629

Mailing address

5490 County Road 620
Cape Girardeau, MO 63701-8411
Phone (573) 450-8746

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
I20230608001889 MO Practitioner - Nurse Practitioner 0345607255 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Heartland Weight Loss Clinic, LLCGroup PAC ID 7113339607, 5 clinicians

Practice addresses (Care Compare)

64 Doctors Park
Cape Girardeau, MO 63703-4928
Phone (573) 987-5355

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
DRX - East Missouri Providers, P.C. CurrentSince Mar 6, 2024 Accepting new patients
Heartland Weight Loss Clinic, LLC CurrentSince Jun 1, 2023 Accepting new patients

Locations

465 S Mount Auburn Rd
Ste 103
Cpe Girardeau, MO 63703
Phone (573) 335-2900

3095 Lexington Ave
Ste 200
Cpe Girardeau, MO 63701
Phone (573) 339-0004

64 Doctors Park
Cpe Girardeau, MO 63703
Phone (573) 334-5265

Interoperability endpoints

  • Direct secure messaging: heartlandweightlossclinicllc.sierramasters@148325.advancedmd-direct.com

Organizations & group practices 3

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": "1684713600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684713600000",
    "number": "1316639263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5490 COUNTY ROAD 620",
            "city": "CAPE GIRARDEAU",
            "state": "MO",
            "postal_code": "637018411",
            "telephone_number": "573-450-8746"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3095 LEXINGTON AVE STE 200",
            "city": "CAPE GIRARDEAU",
            "state": "MO",
            "postal_code": "637012629",
            "telephone_number": "573-803-2287"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MASTERS",
        "first_name": "SIERRA",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-05-22",
        "last_updated": "2023-05-22",
        "certification_date": "2023-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "2023018399",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cape Girardeau, MO

Sources for this page

Verify at the official NPI Registry.