Individual provider Active NPI

Gary Jones, FNP

  • Nurse Practitioner
  • Joplin, MO
National Provider Identifier
1366484461
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
139525 Issued in MO
Practice address
2817 McClelland Blvd
Suite 224
Joplin, MO 64804-1629
Phone
(417) 781-5387
Fax
(417) 781-7174
NPI assigned
Jun 12, 2006
Last updated
Jul 13, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 139525 MO Primary

Addresses

Primary practice location

2817 McClelland Blvd
Suite 224
Joplin, MO 64804-1629

Mailing address

2631 Cunningham Ave
Suite a
Joplin, MO 64804-1543
Phone (417) 627-8967

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
139525MOMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
St. John's Medical Group Past Accepting new patients
Sjmgroup Past Accepting new patients
Rediclinic LLC Past Accepting new patients
St. John's Medical Group Past Accepting new patients

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1150070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1366484461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2631 CUNNINGHAM AVE",
            "address_2": "SUITE A",
            "city": "JOPLIN",
            "state": "MO",
            "postal_code": "648041543",
            "telephone_number": "417-627-8967",
            "fax_number": "417-627-8951"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2817 MCCLELLAND BLVD",
            "address_2": "SUITE 224",
            "city": "JOPLIN",
            "state": "MO",
            "postal_code": "648041629",
            "telephone_number": "417-781-5387",
            "fax_number": "417-781-7174"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JONES",
        "first_name": "GARY",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-12",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MO",
            "license": "139525",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Joplin, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.