Jamshid Nikbakht, FNP
Individual provider Active NPI Family Nurse Practitioner · Lebanon, MO
NPI 1437488657 · NPPES record last updated Dec 10, 2018
Key facts
- NPI
- 1437488657
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 2018038473 (MO)
- Practice address
- 1216 Deadra Dr
Lebanon, MO 65536-4669 - Phone
- (417) 730-5650
- Fax
- (417) 730-5655
- NPI assigned
- Dec 17, 2009
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 30
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Skaggs Community Hospital Association
Lester E Cox Medical Centers
Practice addresses (Care Compare)
1601 Branson Hills Pkwy
Suite 130
Branson, MO 65616-9908
Phone (417) 348-8400
1819 S National Ave
Springfield, MO 65804-2217
3525 E Battlefield St
Suite 100
Springfield, MO 65809-3434
Phone (417) 269-0065
5100 N Towne Centre Dr
Ozark, MO 65721-7479
Phone (417) 730-5360
525 Branson Landing Blvd
Suite 100
Branson, MO 65616-2152
Phone (417) 348-8646
Hospital & facility affiliations
- Cox Medical Center Branson
Merit-based Incentive Payment System (MIPS)
- Final score
- 80.85 of 100
- Quality
- 63.56
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 72.62
Merit-based Incentive Payment System (MIPS)
- Final score
- 81.52 of 100
- Quality
- 61.64
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 76.77
Merit-based Incentive Payment System (MIPS)
- Final score
- 87.41 of 100
- Quality
- 76.32
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 81.7
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in TN, MO
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100120000691 | TN | Practitioner - Nurse Practitioner | 4688716210 | Reassigns benefits to 1 organization |
| I20181213001572 | MO | Practitioner - Nurse Practitioner | 4688716210 | Reassigns benefits to 4 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7573 | TN | MD | Dentist |
| 2018038473 | MO | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Methodist Healthcare Community Care Associates | Current | Accepting new patients | |
| Lester E Cox Medical Centers | Current | Accepting new patients | |
| Lester E Cox Medical Centers | Family | Current |
Accepting new patients |
| Lester E Cox Medical Centers | Current |
Accepting new patients | |
| Lester E Cox Medical Centers | Current | Accepting new patients | |
| Lester E Cox Medical Centers | Current |
Accepting new patients | |
| Lester E. Cox Medical Centers | Current | Accepting new patients | |
| Methodist Heatlhcare Community Care Associates | Current |
Accepting new patients | |
| Lester E Cox Medical Centers | Current |
Accepting new patients | |
| Skaggs Community Hospital Association | Current |
Accepting new patients | |
| Lester E Cox Medical Centers | Current |
Accepting new patients | |
| Skaggs Community Hospital Association | Current |
Accepting new patients | |
| Pediatric Physician Services, Inc. | Past | Accepting new patients | |
| Adult Primary Care of Memphis PC | Past | Accepting new patients |
Locations
525 Branson Landing Blvd
Ste 100
Branson, MO 65616
Phone (417) 348-8646
1216 Deadra Dr
Lebanon, MO 65536
Phone (417) 532-7102
801 N Lincoln Ave
Monett, MO 65708
Phone (417) 236-2440
2200 E Cleveland St
Monett, MO 65708
Phone (417) 236-2600
5100 N Towne Centre Dr
Ozark, MO 65721
Phone (417) 269-2215
2750 S Campbell Ave
Springfield, MO 65807
Phone (417) 269-2281
3801 S National Ave
Fl 5
Springfield, MO 65807
1423 N Jefferson Ave
Springfield, MO 65802
Phone (417) 269-6583
3801 S National Ave
Springfield, MO 65807
Phone (417) 269-4056
3801 S National Ave
Ste 1122
Springfield, MO 65807
8035 Club Pkwy
Cordova, TN 38016
Phone (901) 758-6035
8071 Winchester Rd
Memphis, TN 38125
Phone (901) 367-9001
Interoperability endpoints
- jnikbakht1416462@direct.hopkinsmedicine.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 7573 | TN | |
| Family Nurse Practitioner | 363LF0000X | 2018038473 | MO | Yes |
Addresses
Primary practice location
1216 Deadra Dr
Lebanon, MO 65536-4669
Mailing address
PO Box 4046
Springfield, MO 65808-4046
Phone (417) 269-5712
Other providers in Lebanon, MO
- N & R of Lebanon South LLC
- Nathaniel Littman DC LLC
- David I Nawoor
- Jill Nelson
- Mandie Shannon Nelson
- Noble Drug, Inc.
- Northland Hearing Center, Inc.
- Casey Null
- Chukwudi Emmanuel Nwodo
- O.C.C.S., Inc.
All providers in Lebanon, MO · Family Nurse Practitioner in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 10, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.