NPIMap

Individual provider Active NPI

Michelle L. Homesley, FNP

  • Family Nurse Practitioner
  • Springfield, MO
National Provider Identifier
1336461268
Registry record updated May 25, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
2010005645 Issued in MO
Practice address
1911 S National Ave
Suite 301
Springfield, MO 65804-2213
Phone
(417) 886-5000
Fax
(417) 886-1100
NPI assigned
Feb 19, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 25, 2010

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 2010005645 MO Primary

Addresses

Primary practice location

1911 S National Ave
Suite 301
Springfield, MO 65804-2213

Mailing address

1911 S National Ave
Suite 301
Springfield, MO 65804-2213
Phone (417) 886-5000

Other identifiers 1

IdentifierTypeStateIssuer
1336461268MedicaidMO

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100504000478 MO Practitioner - Nurse Practitioner 7113055633 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Springfield Nephrology Associates IncGroup PAC ID 6901905553, 13 clinicians

Practice addresses (Care Compare)

1911 S National Ave
Suite 301
Springfield, MO 65804-2213
Phone (417) 886-5000

Hospital & facility affiliations

  • Mercy Hospital Springfield Hospital, Springfield, MO, CCN 260065
  • Mercy St Francis Hospital Hospital, Mountain View, MO, CCN 261335
  • Texas County Memorial Hospital Hospital, Houston, MO, CCN 260024
  • Cox Medical Centers Hospital, Springfield, MO, CCN 260040

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Springfield Nephrology Associates Inc CurrentSince Feb 10, 2010 Accepting new patients
Ozarks Medical Center Past Accepting new patients

Locations

500 Porter Ave
Aurora, MO 65605
Phone (417) 678-2122

1200 N Main St
Mountain Grove, MO 65711
Phone (417) 926-0077

1200 N Main St
Ste B
Mountain Grove, MO 65711

3359 W Kearney St
Springfield, MO 65803
Phone (417) 866-7266

1235 E Cherokee St
Springfield, MO 65804
Phone (417) 820-2115

1911 S National Ave
Ste 301
Springfield, MO 65804
Phone (417) 725-8250

Interoperability endpoints

  • Direct secure messaging: mhomesley12055@direct.acumenmd.com

Organizations & group practices 2

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.

Hospital & facility affiliations 15

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1266537600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1274745600000",
    "number": "1336461268",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1911 S NATIONAL AVE",
            "address_2": "SUITE 301",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658042213",
            "telephone_number": "417-886-5000",
            "fax_number": "417-886-1100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1911 S NATIONAL AVE",
            "address_2": "SUITE 301",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658042213",
            "telephone_number": "417-886-5000",
            "fax_number": "417-886-1100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOMESLEY",
        "first_name": "MICHELLE",
        "middle_name": "L.",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-02-19",
        "last_updated": "2010-05-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "2010005645",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1336461268",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, MO

Sources for this page

Verify at the official NPI Registry.