Catherine Renesa Pearson, FNP-BC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

2010031270 Issued in MO

Practice address

1801 E State Route K
West Plains, MO 65775-6616

Phone

(417) 257-2454

Fax

(573) 325-4996

NPI assigned

Sep 9, 2010

Last updated

May 8, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

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

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Ozarks Medical Center

  dba Ozarks Healthcare Mountain View

  • Rural Health Clinic/Center
  • Mt View, MO
  • NPI 1295815017
  NPD (past)
• Ozarks Medical Center

  dba Ozarks Healthcare Alton

  • Rural Health Clinic/Center
  • Alton, MO
  • NPI 1588791842
  NPD (past)
• Ozarks Medical Center

  dba Ozarks Healthcare

  • General Acute Care Hospital
  • West Plains, MO
  • NPI 1831115641
  NPD (past)

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

{
    "created_epoch": "1283990400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746662400000",
    "number": "1407163652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1801 E. ST RT K",
            "city": "WEST PLAINS",
            "state": "MO",
            "postal_code": "65775",
            "telephone_number": "417-257-2454",
            "fax_number": "573-325-4996"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1801 E STATE ROUTE K",
            "city": "WEST PLAINS",
            "state": "MO",
            "postal_code": "657756616",
            "telephone_number": "417-257-2454",
            "fax_number": "573-325-4996"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1008 North Highway 19",
            "address_purpose": "LOCATION",
            "city": "Winona",
            "state": "MO",
            "postal_code": "655883896",
            "country_code": "US",
            "telephone_number": "573-325-4237",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "500 E 19th St",
            "address_purpose": "LOCATION",
            "city": "Mountain Grove",
            "state": "MO",
            "postal_code": "657111114",
            "country_code": "US",
            "telephone_number": "417-926-6563",
            "fax_number": "417-926-5820",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "PO Box 32",
            "address_purpose": "LOCATION",
            "city": "Mountain View",
            "state": "MO",
            "postal_code": "655480032",
            "country_code": "US",
            "telephone_number": "417-934-2273",
            "fax_number": "417-934-2332",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "181 N Kentucky Ave Ste 100",
            "address_purpose": "LOCATION",
            "city": "West Plains",
            "state": "MO",
            "postal_code": "657752092",
            "country_code": "US",
            "telephone_number": "417-257-5911",
            "fax_number": "417-257-5913",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "100 Medical Drive",
            "address_purpose": "LOCATION",
            "city": "Alton",
            "state": "MO",
            "postal_code": "65606",
            "country_code": "US",
            "telephone_number": "417-778-7227",
            "fax_number": "417-778-7225",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PEARSON",
        "first_name": "CATHERINE",
        "middle_name": "RENESA",
        "name_prefix": "Ms.",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-09-09",
        "last_updated": "2025-05-08",
        "certification_date": "2025-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MO",
            "license": "2010031270",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "2010031270",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200115758",
            "state": "AR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1407163652",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Family Nurse Practitioner in West Plains, MO
• Providers in West Plains, MO by specialty
• Family Nurse Practitioner in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2025; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.