Individual provider Active NPI

Aaron B Davis, MSN, FPMHNP, RN

  • Psychiatric/Mental Health Nurse Practitioner
  • Springfield, MO
National Provider Identifier
1417519679
Registry record updated May 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
2023008359 Issued in MO
Practice address
1300 E Bradford Pkwy BLDG a
Springfield, MO 65804-4264
Phone
(417) 761-5000
NPI assigned
Jul 8, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 28, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 2019027482 MO
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 2023008359 MO Primary

Addresses

Primary practice location

1300 E Bradford Pkwy BLDG a
Springfield, MO 65804-4264

Mailing address

PO Box 844715
Kansas City, MO 64184-4715
Phone (417) 761-5214

Other practice location 1

1805 E Walnut St
Columbia, MO 65201-6425
Phone (573) 777-7500

Other practice location 2

7447 Holmes Rd
Kansas City, MO 64131-1691
Phone (816) 836-6720

Other practice location 3

1949 E Cherry St
Springfield, MO 65802-2952
Phone (417) 761-0300

Other practice location 4

800 S Park Ave
Springfield, MO 65802-4855
Phone (417) 893-7735

Other practice location 5

1795 W Main St
Sedalia, MO 65301-3634
Phone (660) 285-9270

Other practice location 6

17886 E 23rd St S
Independence, MO 64057-1840
Phone (816) 836-6705

Other practice location 7

1931 E Cherry St
Springfield, MO 65802-2952
Phone (417) 761-5400

Other practice location 8

155 Corporate Pl
Branson, MO 65616-9136
Phone (417) 761-5950

Other practice location 9

4231 S Hocker Dr
Independence, MO 64055-4723
Phone (816) 254-3652

Other practice location 10

17421 Medical Center Pkwy
Independence, MO 64057-1805
Phone (816) 455-9975

Other practice location 11

3401 Berrywood Dr
Columbia, MO 65201-8372
Phone (573) 777-8330

Other practice location 12

18593 Business 13 Ste 104-106
Branson West, MO 65737-9659
Phone (417) 761-5271

Other practice location 13

4480 Gretna Rd
Branson, MO 65616-7202
Phone (417) 761-5492

Other identifiers 1

IdentifierTypeStateIssuer
420079678MedicaidMO

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
I20191118000282 MO Practitioner - Nurse Practitioner 8628400439 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
Telehealth
Offers telehealth services
Group practices
Burrell IncGroup PAC ID 4486548625, 217 clinicians

Practice addresses (Care Compare)

1300 E Bradford Pkwy
BLDG a
Springfield, MO 65804-4264
Phone (417) 761-5000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Registered Nurse

State licenses

LicenseStateTypeSpecialty
2019027482MOMDFamily Nurse Practitioner
2023008359MOMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Advocates for a Healthy Community Inc CurrentSince Dec 30, 2019 Accepting new patients
Minuteclinic Diagnostic of Kansas PA Family CurrentSince Oct 23, 2019 Accepting new patients
Advocates for a Healthy Community, Inc CurrentSince Dec 30, 2019 Accepting new patients
Mercy Southern Missouri Ambulatory Services LLC CurrentSince Aug 23, 2021 Accepting new patients
Burrell, Inc. CurrentSince Jul 10, 2024 Accepting new patients
Burrell, Inc. CurrentSince Jul 10, 2024 Accepting new patients
Lincoln County Hospital Past Accepting new patients
Burrell, Inc. Past Accepting new patients

Locations

315 S Main Ave
Bolivar, MO 65613
Phone (417) 326-2902

155 Corporate Pl
Branson, MO 65616
Phone (417) 761-5950

4480 Gretna Rd
Branson, MO 65616
Phone (417) 334-2114

18593 Business 13
Ste 104106
Branson West, MO 65737
Phone (417) 761-5271

1805 E Walnut St
Columbia, MO 65201
Phone (573) 777-7500

3401 Berrywood Dr
Columbia, MO 65201
Phone (573) 777-7530

4231 S Hocker Dr
Independence, MO 64055
Phone (816) 350-3103

17886 E 23rd St S
Independence, MO 64057
Phone (816) 836-6705

17421 Medical Center Pkwy
Independence, MO 64057
Phone (816) 356-2000

3825 S Noland Rd
Independence, MO 64055
Phone (816) 254-6002

7447 Holmes Rd
Kansas City, MO 64131
Phone (816) 569-6360

1795 W Main St
Sedalia, MO 65301
Phone (660) 285-9270

440 E Tampa St
Springfield, MO 65806
Phone (417) 831-0191

1300 E Bradford Pkwy
#H
Springfield, MO 65804

2150 W Republic Rd
Ste 112
Springfield, MO 65807
Phone (417) 986-1291

800 S Park Ave
Springfield, MO 65802
Phone (417) 893-7700

1300 E Bradford Pkwy
Springfield, MO 65804
Phone (417) 269-5400

1931 E Cherry St
Springfield, MO 65802
Phone (417) 761-5400

303 W Sunshine St
Springfield, MO 65807
Phone (417) 986-0452

1220 E Republic Rd
Springfield, MO 65804
Phone (417) 823-4893

1300 E Bradford Pkwy
Bldg A
Springfield, MO 65804
Phone (417) 767-2273

900 E Battlefield St
Ste 124
Springfield, MO 65807
Phone (417) 556-8967

Interoperability endpoints

  • Direct secure messaging: aaron.davis.p1@direct.jordanvalley.nextgenshare.com

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.

NPI Registry JSON

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

{
    "created_epoch": "1562544000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779926400000",
    "number": "1417519679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 844715",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641844715",
            "telephone_number": "417-761-5214"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 E BRADFORD PKWY BLDG A",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658044264",
            "telephone_number": "417-761-5000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1805 E Walnut St",
            "address_purpose": "LOCATION",
            "city": "Columbia",
            "state": "MO",
            "postal_code": "652016425",
            "country_code": "US",
            "telephone_number": "573-777-7500",
            "fax_number": "573-777-7505",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7447 Holmes Rd",
            "address_purpose": "LOCATION",
            "city": "Kansas City",
            "state": "MO",
            "postal_code": "641311691",
            "country_code": "US",
            "telephone_number": "816-836-6720",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1949 E Cherry St",
            "address_purpose": "LOCATION",
            "city": "Springfield",
            "state": "MO",
            "postal_code": "658022952",
            "country_code": "US",
            "telephone_number": "417-761-0300",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "800 S Park Ave",
            "address_purpose": "LOCATION",
            "city": "Springfield",
            "state": "MO",
            "postal_code": "658024855",
            "country_code": "US",
            "telephone_number": "417-893-7735",
            "fax_number": "417-862-3362",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1795 W Main St",
            "address_purpose": "LOCATION",
            "city": "Sedalia",
            "state": "MO",
            "postal_code": "653013634",
            "country_code": "US",
            "telephone_number": "660-285-9270",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "17886 E 23rd St S",
            "address_purpose": "LOCATION",
            "city": "Independence",
            "state": "MO",
            "postal_code": "640571840",
            "country_code": "US",
            "telephone_number": "816-836-6705",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1931 E Cherry St",
            "address_purpose": "LOCATION",
            "city": "Springfield",
            "state": "MO",
            "postal_code": "658022952",
            "country_code": "US",
            "telephone_number": "417-761-5400",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "155 Corporate Pl",
            "address_purpose": "LOCATION",
            "city": "Branson",
            "state": "MO",
            "postal_code": "656169136",
            "country_code": "US",
            "telephone_number": "417-761-5950",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4231 S Hocker Dr",
            "address_purpose": "LOCATION",
            "city": "Independence",
            "state": "MO",
            "postal_code": "640554723",
            "country_code": "US",
            "telephone_number": "816-254-3652",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "17421 Medical Center Pkwy",
            "address_purpose": "LOCATION",
            "city": "Independence",
            "state": "MO",
            "postal_code": "640571805",
            "country_code": "US",
            "telephone_number": "816-455-9975",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3401 Berrywood Dr",
            "address_purpose": "LOCATION",
            "city": "Columbia",
            "state": "MO",
            "postal_code": "652018372",
            "country_code": "US",
            "telephone_number": "573-777-8330",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "18593 Business 13 Ste 104-106",
            "address_purpose": "LOCATION",
            "city": "Branson West",
            "state": "MO",
            "postal_code": "657379659",
            "country_code": "US",
            "telephone_number": "417-761-5271",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4480 Gretna Rd",
            "address_purpose": "LOCATION",
            "city": "Branson",
            "state": "MO",
            "postal_code": "656167202",
            "country_code": "US",
            "telephone_number": "417-761-5492",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "AARON",
        "middle_name": "B",
        "name_prefix": "Mr.",
        "credential": "MSN, FPMHNP, RN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-07-08",
        "last_updated": "2026-05-28",
        "certification_date": "2026-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "2019027482",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MO",
            "license": "2023008359",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "420079678",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, MO

Sources for this page

Verify at the official NPI Registry.