NPIMap

Individual provider Active NPI

Clara Nancy Applegate

  • Specialist
  • West Plains, MO
National Provider Identifier
1366518789
Registry record updated Jan 27, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
R5F76 Issued in MO
Practice address
1100 N Kentucky Ave
West Plains, MO 65775-2029
Phone
(417) 257-6777
NPI assigned
Nov 28, 2006
Last updated
Jan 27, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X R5F76 MO Primary

Addresses

Primary practice location

1100 N Kentucky Ave
West Plains, MO 65775-2029

Mailing address

PO Box 1100
West Plains, MO 65775-1100

Other identifiers 2

IdentifierTypeStateIssuer
202286233MedicaidMO
120747001MedicaidAR

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
I20100607000648 MO Practitioner - Neurology 2769512482 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Southern Illinois University School of Medicine, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ozarks Medical CenterGroup PAC ID 3870491863, 166 clinicians

Practice addresses (Care Compare)

1100 N Kentucky Ave
West Plains, MO 65775-2029
Phone 41725691116036

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
88.96 of 100Reported as group
Quality
78.58
Promoting interoperability
99
Improvement activities
40
Cost
77.82

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
R5F76MOMDSpecialist

Interoperability endpoints

  • Direct secure messaging: claraapplegate@omcmo.allscriptsdirect.net
  • Direct secure messaging: dr.applegate@mhccaremail.com

Ownership & related parties

All facility ownership & control disclosures 12

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Ozarks Healthcare at HomeWest Plains, MO, CCN 267186 Home health agency Corporate Officer Jan 1, 2025
Ozarks Healthcare at HomeWest Plains, MO, CCN 261522 Hospice Corporate Director Jan 1, 2023
Ozarks Healthcare Mountain GroveMountain Grove, MO, CCN 268579 Rural health clinic Corporate Officer Jan 1, 2026
Ozarks Healthcare Mountain ViewMountain View, MO, CCN 268616 Rural health clinic Corporate Director Jan 1, 2023
Ozarks Healthcare ThayerThayer, MO, CCN 263438 Rural health clinic Corporate Director Jan 1, 2023
Ozarks Healthcare WinonaWinona, MO, CCN 263979 Rural health clinic Corporate Officer Jan 1, 2026
Ozarks Healthcare GainesvilleGainesville, MO, CCN 263981 Rural health clinic Corporate Director Jan 1, 2025
Ozarks Healthcare West PlainsWest Plains, MO, CCN 263484 Rural health clinic Corporate Officer Jan 1, 2026
Ozarks Healthcare AltonAlton, MO, CCN 268523 Rural health clinic Corporate Director Jan 1, 2025
Ozarks Healthcare PediatricsWest Plains, MO, CCN 268761 Rural health clinic Corporate Officer Jan 1, 2026
Ozarks Healthcare Zizzer ClinicWest Plains, MO, CCN 268784 Rural health clinic Corporate Director Jan 1, 2024
Ozarks Healthcare Willow SpringsWillow Springs, MO, CCN 268814 Rural health clinic Corporate Director Jan 1, 2025

Owned or controlled facilities with NPI records 12

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 1

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.

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": "1164672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1485475200000",
    "number": "1366518789",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1100",
            "city": "WEST PLAINS",
            "state": "MO",
            "postal_code": "657751100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 N KENTUCKY AVE",
            "city": "WEST PLAINS",
            "state": "MO",
            "postal_code": "657752029",
            "telephone_number": "417-257-6777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "APPLEGATE",
        "first_name": "CLARA",
        "middle_name": "NANCY",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-28",
        "last_updated": "2017-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "MO",
            "license": "R5F76",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "202286233",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "120747001",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in West Plains, MO

Sources for this page

Verify at the official NPI Registry.