Organization Active NPI

Lester E Cox Medical Centers

Doing business as Coxhealth Virtual Visits Monett

  • Family Nurse Practitioner
  • Monett, MO
National Provider Identifier
1427613926
Registry record updated May 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
Legal business name
LESTER E COX MEDICAL CENTERS
Doing business as
Coxhealth Virtual Visits Monett
Regional Services
Practice address
801 N Lincoln Ave
Monett, MO 65708-1641
Phone
(417) 269-4636
Fax
(417) 269-7036
NPI assigned
May 9, 2019
Last updated
May 19, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 19, 2021

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

Authorized official

Name
Brock Shamel
Title
Vice President
Phone
(417) 269-4368

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X NU Primary

Addresses

Primary practice location

801 N Lincoln Ave
Monett, MO 65708-1641

Mailing address

PO Box 802843
Kansas City, MO 64180-2843
Phone (417) 730-6430

Other names 2

  • COXHEALTH VIRTUAL VISITS MONETT Doing business as
  • REGIONAL SERVICES Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070206000541 MO Part B Supplier - Clinic/Group Practice 5799787784 Receives reassigned benefits from 129 practitioners
12 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Springfield, MO

Other NPIs on the same Medicare enrollment 12

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1557360000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1621382400000",
    "number": "1427613926",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 802843",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641802843",
            "telephone_number": "417-730-6430",
            "fax_number": "417-269-7567"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 N LINCOLN AVE",
            "city": "MONETT",
            "state": "MO",
            "postal_code": "657081641",
            "telephone_number": "417-269-4636",
            "fax_number": "417-269-7036"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LESTER E COX MEDICAL CENTERS",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-09",
        "last_updated": "2021-05-19",
        "certification_date": "2021-05-19",
        "status": "A",
        "authorized_official_last_name": "SHAMEL",
        "authorized_official_first_name": "BROCK",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "417-269-4368"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "COXHEALTH VIRTUAL VISITS MONETT",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "REGIONAL SERVICES",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Monett, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.