NPIMap

Individual provider Active NPI

Valena Fiscus, D.O.

  • Internal Medicine Physician
  • Kirksville, MO
National Provider Identifier
1386087757
Registry record updated Oct 16, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
2020031312 Issued in MO
Practice address
800 W Jefferson St
Kirksville, MO 63501-1443
Phone
(660) 626-2223
NPI assigned
Apr 16, 2013
Last updated
Oct 16, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X OT015051 PA
Internal Medicine Physician 207R00000X 036140309 IL
Internal Medicine Physician 207R00000X 2020031312 MO Primary

Addresses

Primary practice location

800 W Jefferson St
Kirksville, MO 63501-1443

Mailing address

800 W Jefferson St
Kirksville, MO 63501-1443
Phone (660) 626-2223

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
I20201008000742 MO Practitioner - Internal Medicine 4486943636 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
At Still University of Health Sciences, College of Osteo Med, Kirksville, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1001 S Jamison St
Adair County Health Department
Kirksville, MO 63501-3986
Phone (660) 665-8491

800 W Jefferson St
Kirksville, MO 63501-1443
Phone (660) 626-2304

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036140309ILMDInternal Medicine Physician
OT015051PAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Kirksville Missouri Hospital Company, LLC CurrentSince Mar 12, 2022 Accepting new patients
A T Still University of Health Sciences CurrentSince Oct 1, 2020 Accepting new patients
A T Still University of Health Sciences CurrentSince Oct 1, 2020 Accepting new patients
Adair County Health Dept CurrentSince Jun 29, 2021 Accepting new patients
Kirksville Missouri Hospital Company LLC Internal Medicine CurrentSince Mar 12, 2022 Accepting new patients
Kirksville Manor Inc Past Accepting new patients
Adair County Nursing Home District Past Accepting new patients
Adair County Health Dept PastSince Jun 29, 2021 Accepting new patients

Locations

1001 S Jamison St
Kirksville, MO 63501
Phone (660) 665-8491

1607 S Baltimore St
Kirksville, MO 63501
Phone (660) 627-3363

800 W Jefferson St
Kirksville, MO 63501
Phone (660) 626-2235

Interoperability endpoints

  • Direct secure messaging: valena.fiscus@atsu.directbygreenway.com

Organizations & group practices 8

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 12

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": "1366070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602806400000",
    "number": "1386087757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 W JEFFERSON ST",
            "city": "KIRKSVILLE",
            "state": "MO",
            "postal_code": "635011443",
            "telephone_number": "660-626-2223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 W JEFFERSON ST",
            "city": "KIRKSVILLE",
            "state": "MO",
            "postal_code": "635011443",
            "telephone_number": "660-626-2223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FISCUS",
        "first_name": "VALENA",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-04-16",
        "last_updated": "2020-10-16",
        "certification_date": "2020-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "OT015051",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036140309",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MO",
            "license": "2020031312",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kirksville, MO

Sources for this page

Verify at the official NPI Registry.