Individual provider Active NPI

Julia Ann Babin, FNP

  • Family Nurse Practitioner
  • Jefferson City, MO
National Provider Identifier
1366912362
Registry record updated Feb 6, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
2018040238 Issued in MO
Practice address
1620 Bald Hill Rd
Jefferson City, MO 65101-3804
Phone
(573) 638-7593
NPI assigned
Dec 3, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2020

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 2018040238 MO Primary

Addresses

Primary practice location

1620 Bald Hill Rd
Jefferson City, MO 65101-3804

Mailing address

210 NE Tudor Rd
Lees Summit, MO 64086-5696
Phone (888) 256-3814

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
I20200221000231 MO Practitioner - Nurse Practitioner 4183051733 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
77.88 of 100Reported as group
Quality
69
Improvement activities
40
Cost
49.76

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2018040238MOMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Wound Care Plus, LLC CurrentSince Feb 1, 2020 Accepting new patients

Locations

1221 Southgate Ln
Jefferson City, MO 65109
Phone (573) 635-3131

4240 Blue Ridge Blvd
Ste 530
Kansas City, MO 64133
Phone (816) 291-4601

210 NE Tudor Rd
Lees Summit, MO 64086
Phone (660) 359-7773

609 Golf St
Odessa, MO 64076
Phone (816) 230-3363

11400 Hidden Lake Dr
Raytown, MO 64133
Phone (816) 737-1010

10600 Lewis and Clark Blvd
Saint Louis, MO 63136
Phone (314) 340-6389

1800 S Ingram Ave
Sedalia, MO 65301
Phone (660) 826-2300

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1543795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580947200000",
    "number": "1366912362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 NE TUDOR RD",
            "city": "LEES SUMMIT",
            "state": "MO",
            "postal_code": "640865696",
            "telephone_number": "888-256-3814",
            "fax_number": "888-256-9054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1620 BALD HILL RD",
            "city": "JEFFERSON CITY",
            "state": "MO",
            "postal_code": "651013804",
            "telephone_number": "573-638-7593"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BABIN",
        "first_name": "JULIA",
        "middle_name": "ANN",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-12-03",
        "last_updated": "2020-02-06",
        "certification_date": "2020-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "2018040238",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jefferson City, MO

Sources for this page

Verify at the official NPI Registry.