Active NPI
Robyn Ellen Powers, FNP
- Family Nurse Practitioner
- Jefferson City, MO
National Provider Identifier
1346603743
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 2018044471
- Practice address
- 3605 Country Club Dr
Jefferson City, MO 65109-1070 - Phone
- (573) 634-4878
- Fax
- (573) 636-3045
- NPI assigned
- Apr 1, 2016
- 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 |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 2002005041 | MO | |
| Family Nurse Practitioner | 363LF0000X | 2018044471 | MO | Primary |
Addresses
Primary practice location
3605 Country Club Dr
Jefferson City, MO 65109-1070
Mailing address
4900 E Eagle Ridge Rd
Columbia, MO 65201-9705
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
- Group practices
Practice addresses (Care Compare)
202 E Nifong Blvd
Providence Urgent Care Nifong
Columbia, MO 65203-3759
Phone (573) 874-6824
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2002005041 | MO | MD | Registered Nurse |
| 2018044471 | MO | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nextcare Missouri LLC | Current | Accepting new patients | |
| Providence Urgent Care LLC | Current | Accepting new patients |
Locations
202 E Nifong Blvd
Columbia, MO 65203
Phone (573) 874-6824
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.
-
- Urgent Care Clinic/Center
- Columbia, MO
- NPI 1245694082
-
- Urgent Care Clinic/Center
- Columbia, MO
- NPI 1144478033
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1459468800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1547769600000",
"number": "1346603743",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4900 E EAGLE RIDGE RD",
"city": "COLUMBIA",
"state": "MO",
"postal_code": "652019705"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3605 COUNTRY CLUB DR",
"city": "JEFFERSON CITY",
"state": "MO",
"postal_code": "651091070",
"telephone_number": "573-634-4878",
"fax_number": "573-636-3045"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POWERS",
"first_name": "ROBYN",
"middle_name": "ELLEN",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-04-01",
"last_updated": "2019-01-18",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "MO",
"license": "2002005041",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MO",
"license": "2018044471",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jefferson City, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2019; 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.