Individual provider Active NPI

Jaime Renee Renfro, FNP

  • Adult Health Nurse Practitioner
  • Jefferson City, MO
National Provider Identifier
1356073712
Registry record updated Sep 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
2022024062 Issued in MO
Practice address
3527 W Truman Blvd
Jefferson City, MO 65109-5901
Phone
(573) 893-7848
Fax
(573) 893-1984
NPI assigned
Jun 25, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 2022024062 MO
Family Nurse Practitioner 363LF0000X 2022024062 MO
Adult Health Nurse Practitioner 363LA2200X 2022024062 MO Primary

Addresses

Primary practice location

3527 W Truman Blvd
Jefferson City, MO 65109-5901

Mailing address

PO Box 505673
Saint Louis, MO 63150-5673

Other practice location 1

1000 E Primrose St Ste 170
Springfield, MO 65807-5192
Phone (000) 000-0000

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address MUDOCREFERRAL@direct.health.missouri.edu Direct Curators of the University of Missouri

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
I20221007000866 MO Practitioner - Nurse Practitioner 6305222720 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lester E Cox Medical CentersGroup PAC ID 1254248917, shared by 28 NPIs, 336 clinicians

Practice addresses (Care Compare)

1819 S National Ave
Springfield, MO 65804-2217

3525 E Battlefield St
Suite 100
Springfield, MO 65809-3434
Phone (417) 269-0065

3801 S National Ave
Springfield, MO 65807-5210
Phone (417) 269-6000

501 N Old Wilderness Rd
Nixa, MO 65714-9490
Phone (417) 269-2150

5100 N Towne Centre Dr
Ozark, MO 65721-7479
Phone (417) 730-5360

525 Branson Landing Blvd
Suite 100
Branson, MO 65616-2152
Phone (417) 348-8646

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
80.85 of 100Reported as group
Quality
63.56
Promoting interoperability
100
Improvement activities
40
Cost
72.62

Merit-based Incentive Payment System (MIPS)

Final score
81.52 of 100Reported as group
Quality
61.64
Promoting interoperability
100
Improvement activities
40
Cost
76.77

Merit-based Incentive Payment System (MIPS)

Final score
80.23 of 100Reported as group
Quality
58.17
Promoting interoperability
100
Improvement activities
40
Cost
75.92

Merit-based Incentive Payment System (MIPS)

Final score
87.41 of 100Reported as group
Quality
76.32
Promoting interoperability
100
Improvement activities
40
Cost
81.7

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2022024062MOMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Lester E Cox Medical Centers CurrentSince Jun 24, 2024 Accepting new patients
Lester E Cox Medical Centers Family CurrentSince Jun 24, 2024 Accepting new patients
Lester E Cox Medical Centers CurrentSince Jun 24, 2024 Accepting new patients
Skaggs Community Hospital Association CurrentSince Jun 24, 2022 Accepting new patients
Lester E. Cox Medical Centers Current Accepting new patients
Lester E Cox Medical Centers CurrentSince Jun 24, 2024 Accepting new patients
Skaggs Community Hospital Association CurrentSince Jun 24, 2022 Accepting new patients
Lester E Cox Medical Centers CurrentSince Jun 24, 2024 Accepting new patients
Lester E Cox Medical Centers Current Accepting new patients

Locations

525 Branson Landing Blvd
Ste 100
Branson, MO 65616
Phone (417) 348-8646

2200 E Cleveland St
Monett, MO 65708
Phone (417) 236-2600

5100 N Towne Centre Dr
Ozark, MO 65721
Phone (417) 269-2215

3801 S National Ave
Fl 5
Springfield, MO 65807

3801 S National Ave
Springfield, MO 65807
Phone (417) 269-4056

1000 E Primrose St
Ste 170
Springfield, MO 65807
Phone (417) 269-0930

2750 S Campbell Ave
Springfield, MO 65807
Phone (417) 269-2281

Organizations & group practices 9

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 4

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

NPI Registry JSON

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

{
    "created_epoch": "1656115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725926400000",
    "number": "1356073712",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 505673",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631505673"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3527 W TRUMAN BLVD",
            "city": "JEFFERSON CITY",
            "state": "MO",
            "postal_code": "651095901",
            "telephone_number": "573-893-7848",
            "fax_number": "573-893-1984"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1000 E Primrose St Ste 170",
            "address_purpose": "LOCATION",
            "city": "Springfield",
            "state": "MO",
            "postal_code": "658075192",
            "country_code": "US",
            "telephone_number": "000-000-0000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RENFRO",
        "first_name": "JAIME",
        "middle_name": "RENEE",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-25",
        "last_updated": "2024-09-10",
        "certification_date": "2024-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MO",
            "license": "2022024062",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "2022024062",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "MO",
            "license": "2022024062",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "MUDOCREFERRAL@direct.health.missouri.edu",
            "affiliation": "Y",
            "endpointDescription": "Endpoint is used to receive electronic continuity of care documents (C-CDA) for outpatient referrals.",
            "affiliationName": "Curators of the University of Missouri",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Direct",
            "address_1": "One Hospital Dr",
            "city": "Columbia",
            "state": "MO",
            "country_code": "US",
            "postal_code": "652120001",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Jefferson City, MO

Sources for this page

Verify at the official NPI Registry.