Individual provider Active NPI

Lee-Amy K. Choate, NP

  • Nurse Practitioner
  • Springfield, MO
National Provider Identifier
1386162691
Registry record updated Mar 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
2017025611 Issued in MO
Practice address
3322 S Campbell Ave Ste T-1
Springfield, MO 65807-4980
Phone
(417) 220-4480
NPI assigned
Sep 7, 2017
Last updated
Mar 11, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse Practitioner 363LG0600X 2017025611 MO
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 2017025611 MO
Nurse Practitioner 363L00000X 2017025611 MO Primary

Addresses

Primary practice location

3322 S Campbell Ave Ste T-1
Springfield, MO 65807-4980

Mailing address

3322 S Campbell Ave Ste T-1
Springfield, MO 65807-4980
Phone (417) 220-4480

Other identifiers 1

IdentifierTypeStateIssuer
420046560MedicaidMO

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
I20170920000117 MO Practitioner - Nurse Practitioner 0143594887 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Elite Professional Providers, LLCGroup PAC ID 1254792740, 7 clinicians

Practice addresses (Care Compare)

3322 S Campbell Ave
Suite T 1
Springfield, MO 65807-4980
Phone (417) 220-4480

Merit-based Incentive Payment System (MIPS)

Final score
28.46 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
94.85

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2017025611MOMDGerontology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Elite Professional Providers, LLC Psychiatric/Mental Health CurrentSince Dec 1, 2023 Accepting new patients
Eustasis Foundation, Inc CurrentSince May 10, 2021 Accepting new patients

Locations

3600 S National Ave
Springfield, MO 65807
Phone (417) 322-6622

3100 S National Ave
Ste 103
Springfield, MO 65807
Phone (417) 322-6622

3322 S Campbell Ave
Ste T1
Springfield, MO 65807
Phone (417) 220-4480

2135 E Independence St
Springfield, MO 65804
Phone (305) 482-1494

Interoperability endpoints

  • Direct secure messaging: ms_lchoate1@landmarkhealth-direct.org
  • Direct secure messaging: lchoate@landmarkhealth-direct.org

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1504742400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710115200000",
    "number": "1386162691",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3322 S CAMPBELL AVE STE T-1",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658074980",
            "telephone_number": "417-220-4480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3322 S CAMPBELL AVE STE T-1",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658074980",
            "telephone_number": "417-220-4480"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHOATE",
        "first_name": "LEE-AMY",
        "middle_name": "K.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-09-07",
        "last_updated": "2024-03-11",
        "certification_date": "2024-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "MO",
            "license": "2017025611",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MO",
            "license": "2017025611",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MO",
            "license": "2017025611",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "420046560",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, MO

Sources for this page

Verify at the official NPI Registry.