Individual provider Active NPI

Robyn Ellen Powers, FNP

  • Family Nurse Practitioner
  • Jefferson City, MO
National Provider Identifier
1346603743
Registry record updated Jan 18, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
2018044471 Issued in MO
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

Updated by the provider on Jan 18, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190124002907 MO Practitioner - Nurse Practitioner 5799022026 Reassigns benefits to 1 organization

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
Nextcare Missouri LLCGroup PAC ID 7517259252, 9 clinicians

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

LicenseStateTypeSpecialty
2002005041MOMDRegistered Nurse
2018044471MOMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Nextcare Missouri LLC CurrentSince Sep 16, 2023 Accepting new patients
Providence Urgent Care LLC CurrentSince Jul 29, 2009 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.

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

Verify at the official NPI Registry.