Individual provider Active NPI

Mary Sylvia Cunningham, FNP

  • Family Nurse Practitioner
  • Clinton, MO
National Provider Identifier
1396084869
Registry record updated Feb 4, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
2013001295 Issued in MO
Practice address
1408 E Franklin St
Clinton, MO 64735-1768
Phone
(660) 885-2901
NPI assigned
Feb 4, 2013
Last updated
Feb 4, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2013

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 2013001295 MO Primary

Addresses

Primary practice location

1408 E Franklin St
Clinton, MO 64735-1768

Mailing address

1408 E Franklin St
Clinton, MO 64735-1768
Phone (660) 885-2901

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
I20230914002008 MO Practitioner - Nurse Practitioner 6507220142 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wound Care Plus LLCGroup PAC ID 6709175912, 43 clinicians

Practice addresses (Care Compare)

1 Veterans Way
Mexico, MO 65265-3379
Phone (888) 256-3814

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2013001295MOMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Golden Valley Memorial Hospital District CurrentSince Aug 14, 2023 Accepting new patients
Healing Partners Plus PLLC CurrentSince Nov 1, 2025 Accepting new patients
Golden Valley Memorial Hospital District CurrentSince Aug 14, 2023 Accepting new patients
Consonant Healing Associates of de LLC CurrentSince Nov 10, 2025 Accepting new patients
Wound Care Plus, LLC CurrentSince Nov 20, 2023 Accepting new patients

Locations

909 Ridgebrook Rd
Ste 300
Sparks Glencoe, MD 21152
Phone (443) 483-9300

1600 N 2nd St
Clinton, MO 64735
Phone (660) 885-8171

1602 N 2nd St
Clinton, MO 64735
Phone (660) 885-8171

222 E Dunklin St
Ste 102
Jefferson Cty, MO 65101

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

1 Veterans Way
Mexico, MO 65265
Phone (573) 581-1088

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

100 S 4th St
Ste 550
Saint Louis, MO 63102
Phone (314) 391-2626

10600 Lewis and Clark Blvd
Saint Louis, MO 63136
Phone (314) 283-6955

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

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 5

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": "1359936000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1359936000000",
    "number": "1396084869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1408 E FRANKLIN ST",
            "city": "CLINTON",
            "state": "MO",
            "postal_code": "647351768",
            "telephone_number": "660-885-2901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1408 E FRANKLIN ST",
            "city": "CLINTON",
            "state": "MO",
            "postal_code": "647351768",
            "telephone_number": "660-885-2901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CUNNINGHAM",
        "first_name": "MARY",
        "middle_name": "SYLVIA",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-02-04",
        "last_updated": "2013-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "2013001295",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clinton, MO

Sources for this page

Verify at the official NPI Registry.