Individual provider Active NPI

Anita Rene' West, RN, MSN, FNP-C

  • Family Nurse Practitioner
  • Springfield, MO
National Provider Identifier
1366705121
Registry record updated Jan 24, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
2012019128 Issued in MO
Practice address
1640 E Kearney St
Springfield, MO 65803-4106
Phone
(417) 863-9190
NPI assigned
Jun 18, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2018

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 2012019128 MO Primary

Addresses

Primary practice location

1640 E Kearney St
Springfield, MO 65803-4106

Mailing address

1640 E Kearney St
Springfield, MO 65803-4106
Phone (417) 863-9190

Other practice location 1

3525 S National Ave Ste 207
Springfield, MO 65807-7315
Phone (417) 269-9220

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
I20120820001075 MO Practitioner - Nurse Practitioner 5193972529 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Curana Health of Missouri-Kansas LLCGroup PAC ID 4789716531, 143 clinicians
CH Specialty Services Mo LLCGroup PAC ID 0345614459, 108 clinicians

Practice addresses (Care Compare)

400 SW Longview Blvd
Suite 200
Lees Summit, MO 64081-2116
Phone (913) 215-5008

402 W 1St St
Adrian, MO 64720-9277
Phone (337) 991-9276

Hospital & facility affiliations

  • Amedisys Home Health of Missouri Home health agency, Springfield, MO, CCN 267607
  • Ozarks Community Hospital of Gravette Hospital, Gravette, AR, CCN 041331

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner, Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
CH Specialty Services Mo LLC CurrentSince Nov 5, 2024 Accepting new patients
Curana Health of Missouri-Kansas LLC CurrentSince Nov 5, 2024 Accepting new patients
Southern NP Associates, LLC CurrentSince Mar 14, 2022 Accepting new patients
M D M DO LLC Past Accepting new patients

Locations

931 Fairfax Park
Tuscaloosa, AL 35406
Phone (205) 343-7301

402 W 1st St
Adrian, MO 64720
Phone (816) 297-2107

2218 W 32nd St
Joplin, MO 64804
Phone (417) 623-5264

2323 E 63rd St
Kansas City, MO 64130
Phone (816) 444-8161

400 SW Longview Blvd
Ste 200
Lees Summit, MO 64081
Phone (816) 477-7200

2920 Fee Fee Rd
Maryland Hts, MO 63043
Phone (314) 291-0121

11278 Schuetz Rd
Saint Louis, MO 63146
Phone (314) 991-4066

1302 W Sunset St
Springfield, MO 65807
Phone (417) 725-5774

1101 W Clay Rd
Versailles, MO 65084
Phone (573) 378-5312

Interoperability endpoints

  • Direct secure messaging: anita.mackey@cernerdirect.coxhealth.com

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 and National Provider Directory roles.

Hospital & facility affiliations 2

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": "1339977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1516752000000",
    "number": "1366705121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1640 E KEARNEY ST",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658034106",
            "telephone_number": "417-863-9190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1640 E KEARNEY ST",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658034106",
            "telephone_number": "417-863-9190"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3525 S National Ave Ste 207",
            "address_purpose": "LOCATION",
            "city": "Springfield",
            "state": "MO",
            "postal_code": "658077315",
            "country_code": "US",
            "telephone_number": "417-269-9220",
            "fax_number": "417-269-9229",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WEST",
        "first_name": "ANITA",
        "middle_name": "RENE'",
        "credential": "RN, MSN, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-06-18",
        "last_updated": "2018-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "2012019128",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, MO

Sources for this page

Verify at the official NPI Registry.