Reilly Lucille Etcheson, DNP, APRN-CNP, FNP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

2019021621 Issued in MO

Practice address

3130 Wisconsin Ave Ste 6
Joplin, MO 64804-2800

Phone

(417) 206-9300

Fax

(417) 209-9306

NPI assigned

Jul 1, 2019

Last updated

Jun 18, 2024By 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 1

Addresses

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

Specialty

Nurse Practitioner

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Barton County Memorial HospitalGroup PAC ID 2365333234, 19 clinicians

CBCH LLCGroup PAC ID 6406116797, 19 clinicians

Cox Barton County HospitalGroup PAC ID 8820329782, 30 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Cox Barton County Hospital Hospital, Lamar, MO, CCN 261325

Merit-based Incentive Payment System (MIPS)

Final score

74.07 of 100Reported as group

Quality

45.41

Promoting interoperability

97

Improvement activities

40

Cost

70.66

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Cox Barton County Hospital

  • Emergency Medicine Physician
  • Lamar, MO
  • NPI 1174166177
  Medicare reassignment Care Compare group NPD
• Allmo Collective LLC

  dba Afc Urgent Care Joplin

  • Family Medicine Physician
  • Joplin, MO
  • NPI 1881473569
  Medicare reassignment NPD
• Cox Barton County Hospital

  dba Medical One Clinic

  • Rural Health Clinic/Center
  • Lamar, MO
  • NPI 1255847745
  NPD
• Barton County Memorial Hospital

  dba Golden City Clinic

  • General Practice Physician
  • Golden City, MO
  • NPI 1144557620
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Cox Barton County Hospital

  • Critical Access Hospital
  • Lamar, MO
  • NPI 1922514629
  Care Compare affiliation

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

{
    "created_epoch": "1561939200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718668800000",
    "number": "1427610377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2009",
            "city": "JOPLIN",
            "state": "MO",
            "postal_code": "648032009",
            "telephone_number": "417-206-9300",
            "fax_number": "417-206-9306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3130 WISCONSIN AVE STE 6",
            "city": "JOPLIN",
            "state": "MO",
            "postal_code": "648042800",
            "telephone_number": "417-206-9300",
            "fax_number": "417-209-9306"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ETCHESON",
        "first_name": "REILLY",
        "middle_name": "LUCILLE",
        "name_prefix": "Dr.",
        "credential": "DNP, APRN-CNP, FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-01",
        "last_updated": "2024-06-18",
        "certification_date": "2023-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MO",
            "license": "2019021621",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dennis A Estep, DO
• Sarah E Estep
• William Allard Estep, DO
• Melinda Estes, FNP
• Kelly Estus
• Colton Dewayne Eubanks, DO
• Jordan F Eubanks
• Eugene E. Langevin,D.O.,P.C. (Cardiovascular Medicine)
• Kaelynn Evans
• Kristin Michelle Evans, FNP-C

• Nurse Practitioner in Joplin, MO
• Providers in Joplin, MO by specialty
• Nurse Practitioner in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2024; 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.

Verify at the official NPI Registry.