Active NPI
Samantha Jo Primm, FNP
- Family Nurse Practitioner
- Joplin, MO
National Provider Identifier
1407412406
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 2019015946
- Practice address
- 1532 W 32ND St
Joplin, MO 64804-1607 - Phone
- (417) 347-7009
- NPI assigned
- May 15, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 2019015946 | MO | Primary |
Addresses
Primary practice location
1532 W 32ND St
Joplin, MO 64804-1607
Mailing address
1532 W 32ND St
Joplin, MO 64804-1607
Phone (417) 347-7009
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20190625000829 | MO | Practitioner - Nurse Practitioner | 8224362272 | Reassigns benefits to 4 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Mercy Hospital Carthage
Practice addresses (Care Compare)
3125 Dr Russell Smith Way
Mercy Hospital Carthage Emergency
Carthage, MO 64836-7402
Phone (405) 260-4165
Hospital & facility affiliations
- Mercy Hospital Carthage
- Mercy Hospital Springfield
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mercy Hospital Carthage | Current | Accepting new patients | |
| Green Country Emergency Physicians Group of Tulsa PLLC | Current | Accepting new patients | |
| Mercy Clinic Joplin LLC | Current | Accepting new patients | |
| Mercy Hospital Carthage | Current | Accepting new patients | |
| Freeman-Oak Hill Health System | Past | Accepting new patients |
Locations
3116 Medical Park Dr
Carthage, MO 64836
Phone (417) 358-7574
3125 Dr Russell Smith Way
Carthage, MO 64836
Phone (417) 358-8121
100 Mercy Way
Joplin, MO 64804
Phone (417) 556-2300
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 and National Provider Directory roles.
-
- Emergency Medicine Physician
- Tulsa, OK
- NPI 1972698553
MO
-
- Rural Health Clinic/Center
- Carthage, MO
- NPI 1285904342
-
- Medicare Defined Swing Bed Hospital Unit
- Carthage, MO
- NPI 1912392861
-
- Rural Health Clinic/Center
- Carthage, MO
- NPI 1992074959
-
- Family Medicine Physician
- Carthage, MO
- NPI 1558628222
-
- Oxygen Equipment & Supplies (DME)
- Neosho, MO
- NPI 1063477800
Hospital & facility affiliations 11
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": "1557878400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1557878400000",
"number": "1407412406",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1532 W 32ND ST",
"city": "JOPLIN",
"state": "MO",
"postal_code": "648041607",
"telephone_number": "417-347-7009"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1532 W 32ND ST",
"city": "JOPLIN",
"state": "MO",
"postal_code": "648041607",
"telephone_number": "417-347-7009"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PRIMM",
"first_name": "SAMANTHA",
"middle_name": "JO",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-05-15",
"last_updated": "2019-05-15",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MO",
"license": "2019015946",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Joplin, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2019; 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.