Individual provider Active NPI

Casey R Parrish, FNP

  • Nurse Practitioner
  • Springfield, MO
National Provider Identifier
1417560640
Registry record updated Feb 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
2020027489 Issued in MO
Practice address
2150 W Republic Rd Ste 112
Springfield, MO 65807-6056
Phone
(417) 986-1291
NPI assigned
Aug 27, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 8, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Health Nurse Practitioner 363LX0106X 2020027489 MO
Nurse Practitioner 363L00000X 2020027489 MO Primary

Addresses

Primary practice location

2150 W Republic Rd Ste 112
Springfield, MO 65807-6056

Mailing address

2150 W Republic Rd Ste 112
Springfield, MO 65807-6056
Phone (417) 986-1291

Other practice location 1

1308 N Glenstone Ave
Springfield, MO 65802-2130
Phone (417) 832-1171

Other practice location 2

900 E Battlefield St Ste 124
Springfield, MO 65807-5208
Phone (417) 986-1289

Other practice location 3

303 W Sunshine St
Springfield, MO 65807-2656
Phone (417) 986-0452

Other practice location 4

3233 E Sunshine St Ste 100
Springfield, MO 65804-2106
Phone (417) 812-8149

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
I20220214000208 MO Practitioner - Nurse Practitioner 3577956622 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mercy Southern Missouri Ambulatory Services LLCGroup PAC ID 5193089621, 32 clinicians

Practice addresses (Care Compare)

2150 W Republic Rd
112 Mercy GH Urgent Care SW Springfield
Springfield, MO 65807-6056
Phone (417) 986-1291

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
2020027489MOMDOccupational Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Lincoln County Hospital PastSince Feb 13, 2022 Accepting new patients

Organizations & group practices 2

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": "1598486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644278400000",
    "number": "1417560640",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2150 W REPUBLIC RD STE 112",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658076056",
            "telephone_number": "417-986-1291"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2150 W REPUBLIC RD STE 112",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658076056",
            "telephone_number": "417-986-1291"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1308 N Glenstone Ave",
            "address_purpose": "LOCATION",
            "city": "Springfield",
            "state": "MO",
            "postal_code": "658022130",
            "country_code": "US",
            "telephone_number": "417-832-1171",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "900 E Battlefield St Ste 124",
            "address_purpose": "LOCATION",
            "city": "Springfield",
            "state": "MO",
            "postal_code": "658075208",
            "country_code": "US",
            "telephone_number": "417-986-1289",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "303 W Sunshine St",
            "address_purpose": "LOCATION",
            "city": "Springfield",
            "state": "MO",
            "postal_code": "658072656",
            "country_code": "US",
            "telephone_number": "417-986-0452",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3233 E Sunshine St Ste 100",
            "address_purpose": "LOCATION",
            "city": "Springfield",
            "state": "MO",
            "postal_code": "658042106",
            "country_code": "US",
            "telephone_number": "417-812-8149",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PARRISH",
        "first_name": "CASEY",
        "middle_name": "R",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-27",
        "last_updated": "2022-02-08",
        "certification_date": "2022-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LX0106X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Occupational Health",
            "state": "MO",
            "license": "2020027489",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MO",
            "license": "2020027489",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, MO

Sources for this page

Verify at the official NPI Registry.