Derringer Fenton, NP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

2021020649 Issued in MO

Practice address

440 E Tampa St
Springfield, MO 65806-1131

Phone

(417) 851-1551

Fax

(417) 865-3479

NPI assigned

Jun 8, 2021

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Nurse Practitioner

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Advocates for a Healthy Community IncGroup PAC ID 5395653562, 55 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: dfenton694358@direct.ochin.org
• Direct secure messaging: fenton.derringer.p1@direct.jordanvalley.nextgenshare.com

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.

• Advocates for a Healthy Community, Inc

  • Federally Qualified Health Center (FQHC)
  • Springfield, MO
  • NPI 1558303057

  MO

  Medicare reassignment Care Compare group NPD
• Advocates for a Healthy Community Inc

  • Federally Qualified Health Center (FQHC)
  • Buffalo, MO
  • NPI 1750179610
  Care Compare group NPD
• Advocates for a Healthy Community, Inc.

  • Federally Qualified Health Center (FQHC)
  • Springfield, MO
  • NPI 1861590861
  Care Compare group NPD (past)
• Advocates for a Healthy Community Inc

  • Federally Qualified Health Center (FQHC)
  • Springfield, MO
  • NPI 1164657318
  Care Compare group
• Advocates for a Healthy Community Inc

  • Federally Qualified Health Center (FQHC)
  • Lebanon, MO
  • NPI 1356424352
  Care Compare group
• Advocates for a Healthy Community Inc

  • Federally Qualified Health Center (FQHC)
  • Marshfield, MO
  • NPI 1356519524
  Care Compare group
• Advocates for a Healthy Community, Inc

  • Federally Qualified Health Center (FQHC)
  • Republic, MO
  • NPI 1073939849
  Care Compare group
• Advocates for a Healthy Community, Inc

  • Federally Qualified Health Center (FQHC)
  • Lebanon, MO
  • NPI 1356032643
  Care Compare group
• Advocates for a Healthy Community, Inc

  • Federally Qualified Health Center (FQHC)
  • Hollister, MO
  • NPI 1417388067
  Care Compare group
• Advocates for a Healthy Community, Inc.

  • Federally Qualified Health Center (FQHC)
  • Springfield, MO
  • NPI 1366575573
  Care Compare group

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

{
    "created_epoch": "1623110400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623110400000",
    "number": "1386211308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "440 E TAMPA ST",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658061131",
            "telephone_number": "417-851-1551",
            "fax_number": "417-865-3479"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "440 E TAMPA ST",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658061131",
            "telephone_number": "417-851-1551",
            "fax_number": "417-865-3479"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FENTON",
        "first_name": "DERRINGER",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-06-08",
        "last_updated": "2021-06-08",
        "certification_date": "2021-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MO",
            "license": "2021020649",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Britni L Fear, MSW, LCSW
• Rebekah Feemster, RD
• Sylvia Monika Feeney, CRNA
• Sharon Feistner
• Andrea Fenton, LCSW
• Jeffrey Richard Fenwick, MD
• Jerry Fenwick, MD
• Crystal J Ferguson, CPM
• Rhonda Ferguson, LPC
• Erica Fermon

• All providers in Springfield, MO
• Nurse Practitioner in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.