Individual provider Active NPI

Mandi D Griffin, FNP

  • Family Nurse Practitioner
  • Saint Joseph, MO
National Provider Identifier
1366610537
Registry record updated Nov 21, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
2002016178 Issued in MO
Practice address
802 N Riverside Rd.,
Ste. 200
Saint Joseph, MO 64506-2553
Phone
(816) 271-6666
Fax
(816) 271-1300
NPI assigned
Feb 11, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 2002016178 MO Primary

Addresses

Primary practice location

802 N Riverside Rd.,
Ste. 200
Saint Joseph, MO 64506-2553

Mailing address

802 N Riverside Rd Ste 200
Saint Joseph, MO 64507-2553
Phone (816) 271-6666

Other identifiers 4

IdentifierTypeStateIssuer
200544470BMedicaidKS
P00858875OtherMORR MEDICARE
428378301MedicaidMO
1366610537MedicaidMO

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
I20080403000297 MO Practitioner - Nurse Practitioner 3173600988 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of Missouri, Kansas City, School of Medicine, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
SSM Regional Health ServicesGroup PAC ID 8921917352, shared by 13 NPIs, 165 clinicians
Heartland Regional Medical CenterGroup PAC ID 6709772767, 394 clinicians

Practice addresses (Care Compare)

114 E S Hills Dr
Maryville, MO 64468-2659

5202 Faraon St
Suite a
Saint Joseph, MO 64506-3840
Phone (816) 271-1067

5301 Faraon St
Saint Joseph, MO 64506-3512
Phone (816) 271-7546

5325 Faraon St
Saint Joseph, MO 64506-3488
Phone (816) 271-3500

802 N Riverside Rd
200 Mosaic Life Care
St Joseph, MO 64507-2553
Phone (816) 271-6666

901 Heartland Rd
Saint Joseph, MO 64506-6201

Hospital & facility affiliations

  • Mosaic Life Care at St Joseph Hospital, Saint Joseph, MO, CCN 260006
  • Mosaic Medical Center - Maryville Hospital, Maryville, MO, CCN 261340
  • Amberwell Atchison Association Hospital, Atchison, KS, CCN 171382

Merit-based Incentive Payment System (MIPS)

Final score
84.76 of 100Reported as group
Quality
74.35
Promoting interoperability
100
Improvement activities
40
Cost
74.85

Merit-based Incentive Payment System (MIPS)

Final score
87.36 of 100Reported as group
Quality
81.83
Promoting interoperability
99
Improvement activities
40
Cost
74.61

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Heartland Regional Medical Center CurrentSince Aug 2, 2010 Accepting new patients
Heartland Regional Medical Center CurrentSince Aug 2, 2010 Accepting new patients
Mosaic Medical Center - Maryville CurrentSince Jan 13, 2026 Accepting new patients
Mosaic Medical Center - Maryville Family CurrentSince Jan 13, 2026 Accepting new patients
Mosaic Medical Center - Maryville Past Accepting new patients
Heartland Regional Medical Center Past Accepting new patients
Northwest Health Services Inc Past Accepting new patients

Locations

2016 S Main St
Maryville, MO 64468
Phone (660) 562-2525

114 E South Hills Dr
Maryville, MO 64468
Phone (660) 562-2525

802 N Riverside Rd
Ste 200
Saint Joseph, MO 64507
Phone (816) 271-6666

802 N Riverside Rd
Ste 225
Saint Joseph, MO 64507
Phone (816) 271-8150

901 Heartland Rd
Ste 2800
Saint Joseph, MO 64506
Phone (816) 271-1213

5202 Faraon St
Ste A
Saint Joseph, MO 64506
Phone (816) 271-1070

901 Heartland Rd
Ste 3800
Saint Joseph, MO 64506
Phone (816) 671-4800

5301 Faraon St
Ste 120
Saint Joseph, MO 64506
Phone (816) 271-6406

Interoperability endpoints

  • Direct secure messaging: mandi.griffin@direct.mymlc.com

Organizations & group practices 7

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 3

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": "1202688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1511222400000",
    "number": "1366610537",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "802 N RIVERSIDE RD STE 200",
            "city": "SAINT JOSEPH",
            "state": "MO",
            "postal_code": "645072553",
            "telephone_number": "816-271-6666",
            "fax_number": "816-271-1300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "802 N RIVERSIDE RD.,",
            "address_2": "STE. 200",
            "city": "SAINT JOSEPH",
            "state": "MO",
            "postal_code": "645062553",
            "telephone_number": "816-271-6666",
            "fax_number": "816-271-1300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRIFFIN",
        "first_name": "MANDI",
        "middle_name": "D",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-02-11",
        "last_updated": "2017-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "2002016178",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200544470B",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P00858875",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "428378301",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1366610537",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Joseph, MO

Sources for this page

Verify at the official NPI Registry.