NPIMap

Organization Active NPI

Advanced Provider Services, P.C.

Doing business as The Neighborhood Clinic

  • Clinic/Center
  • Bates City, MO
National Provider Identifier
1437428398
Registry record updated Dec 22, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
104126 Issued in MO
Legal business name
ADVANCED PROVIDER SERVICES, P.C.
Doing business as
The Neighborhood Clinic
Practice address
203 E Market St
Bates City, MO 64011-9745
Phone
(816) 896-0416
Fax
(816) 690-3147
NPI assigned
Dec 22, 2011
Last updated
Dec 22, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 22, 2011

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

Authorized official

Name
Mrs. Angela Jo Hilbrenner, FNP-CNPI 1871754564
Title
Owner/Nurse Practitioner
Phone
(816) 896-0416

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X 104126 MO Primary

Addresses

Primary practice location

203 E Market St
Bates City, MO 64011-9745

Mailing address

901 S Spruce St
Bates City, MO 64011-9707
Phone (816) 896-0416

Other names 1

  • The Neighborhood Clinic Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20121017000228 MO Part B Supplier - Clinic/Group Practice 3870743495 Receives reassigned benefits from 2 practitioners
Practice locations: Bates City, MO

National Provider Directory

National Provider Directory
Tax ID family
Advanced Provider Services2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

203 E Market St
Bates City, MO 64011
Phone (816) 625-1274

309 N Oak St
#A
Bates City, MO 64011
Phone (816) 625-1274

Practitioners & affiliated clinicians

Practitioners 3

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": "1324512000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1324512000000",
    "number": "1437428398",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 S SPRUCE ST",
            "city": "BATES CITY",
            "state": "MO",
            "postal_code": "640119707",
            "telephone_number": "816-896-0416",
            "fax_number": "816-690-3147"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "203 E MARKET ST",
            "city": "BATES CITY",
            "state": "MO",
            "postal_code": "640119745",
            "telephone_number": "816-896-0416",
            "fax_number": "816-690-3147"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED PROVIDER SERVICES, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-22",
        "last_updated": "2011-12-22",
        "status": "A",
        "authorized_official_last_name": "HILBRENNER",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_middle_name": "JO",
        "authorized_official_title_or_position": "OWNER/NURSE PRACTITIONER",
        "authorized_official_telephone_number": "816-896-0416",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "FNP-C"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "MO",
            "license": "104126",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Neighborhood Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bates City, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2011; 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.