Active NPI
Brenda M. Cupp, DNP
- Family Nurse Practitioner
- Joplin, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 123412
- Practice address
- 100 Mercy Way
Suite 320-330
Joplin, MO 64804-4524 - Phone
- (417) 781-5387
- Fax
- (417) 781-7174
- NPI assigned
- Oct 11, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 123412 | MO | Primary |
Addresses
Primary practice location
100 Mercy Way
Suite 320-330
Joplin, MO 64804-4524
Mailing address
100 Mercy Way
Suite 320-330
Joplin, MO 64804-4524
Phone (417) 781-5387
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200096720A | Medicaid | OK | |
| 424021004 | Medicaid | MO | |
| 200406720B | Medicaid | KS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO, KS
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
100 Mercy Way
Joplin, MO 64804-4524
625 S Ash
Nevada, MO 64772-3218
Phone (417) 781-5387
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mercy Clinic Joplin LLC | Current | Accepting new patients | |
| Mercy Clinic Joplin LLC | Current | Accepting new patients | |
| Sjmgroup | Past | Accepting new patients |
Locations
220 N Pennsylvania Ave
Columbus, KS 66725
Phone (620) 429-2545
403 Woodland Hills Blvd
Fort Scott, KS 66701
Phone (417) 556-4762
94 Main St
Cassville, MO 65625
Phone (417) 782-7722
100 Mercy Way
Ste 320330
Joplin, MO 64804
Phone (417) 627-9993
100 Mercy Way
Joplin, MO 64804
Phone (417) 556-2300
3126 S Jackson Ave
Joplin, MO 64804
Phone (417) 782-1600
1717 S Range Line Rd
Ste B
Joplin, MO 64804
Phone (417) 556-2231
800 S Ash St
Nevada, MO 64772
Phone (417) 667-3355
Interoperability endpoints
- bcupp200160@directc.mercy.net
- bcupp190703@directb.mercy.net
Organizations & group practices 3
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.
-
- Family Medicine Physician
- Joplin, MO
- NPI 1215264817
-
- Family Medicine Physician
- Columbus, KS
- NPI 1043547474
-
- Endocrinology, Diabetes & Metabolism Physician
- Englewood, CO
- NPI 1376590034
Hospital & facility affiliations 9
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- El Dorado Springs, MO
- NPI 1720039605
-
- Critical Access Hospital
- Carthage, MO
- NPI 1003201955
-
- General Acute Care Hospital
- Carthage, MO
- NPI 1396012753
-
- General Acute Care Hospital
- Joplin, MO
- NPI 1700112745
-
- Rural Acute Care Hospital
- Nevada, MO
- NPI 1942283866
-
- General Acute Care Hospital
- Pittsburg, KS
- NPI 1639921430
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160524800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1510876800000",
"number": "1366530628",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 MERCY WAY",
"address_2": "SUITE 320-330",
"city": "JOPLIN",
"state": "MO",
"postal_code": "648044524",
"telephone_number": "417-781-5387",
"fax_number": "417-781-7174"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 MERCY WAY",
"address_2": "SUITE 320-330",
"city": "JOPLIN",
"state": "MO",
"postal_code": "648044524",
"telephone_number": "417-781-5387",
"fax_number": "417-781-7174"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CUPP",
"first_name": "BRENDA",
"middle_name": "M.",
"credential": "DNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-11",
"last_updated": "2017-11-17",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MO",
"license": "123412",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200096720A",
"state": "OK"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "424021004",
"state": "MO"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200406720B",
"state": "KS"
}
],
"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 Nov 17, 2017; 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.