Individual provider Active NPI

Jamshid Nikbakht, FNP

  • Family Nurse Practitioner
  • Lebanon, MO
National Provider Identifier
1437488657
Registry record updated Dec 10, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
2018038473 Issued in MO
Practice address
1216 Deadra Dr
Lebanon, MO 65536-4669
Phone
(417) 730-5650
Fax
(417) 730-5655
NPI assigned
Dec 17, 2009
Last updated
Dec 10, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 7573 TN
Family Nurse Practitioner 363LF0000X 2018038473 MO Primary

Addresses

Primary practice location

1216 Deadra Dr
Lebanon, MO 65536-4669

Mailing address

PO Box 4046
Springfield, MO 65808-4046
Phone (417) 269-5712

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, MO2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20100120000691 TN Practitioner - Nurse Practitioner 4688716210 Reassigns benefits to 1 organization
I20181213001572 MO Practitioner - Nurse Practitioner 4688716210 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lester E Cox Medical CentersGroup PAC ID 1254248917, shared by 28 NPIs, 336 clinicians

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

Merit-based Incentive Payment System (MIPS)

Final score
80.85 of 100Reported as group
Quality
63.56
Promoting interoperability
100
Improvement activities
40
Cost
72.62

Merit-based Incentive Payment System (MIPS)

Final score
81.52 of 100Reported as group
Quality
61.64
Promoting interoperability
100
Improvement activities
40
Cost
76.77

Merit-based Incentive Payment System (MIPS)

Final score
87.41 of 100Reported as group
Quality
76.32
Promoting interoperability
100
Improvement activities
40
Cost
81.7

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
7573TNMDDentist
2018038473MOMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Lester E Cox Medical Centers CurrentSince Jan 1, 2019 Accepting new patients
Methodist Heatlhcare Community Care Associates CurrentSince Mar 19, 2012 Accepting new patients
Methodist Healthcare Community Care Associates Current Accepting new patients
Lester E Cox Medical Centers Family CurrentSince May 1, 2019 Accepting new patients
Skaggs Community Hospital Association CurrentSince Aug 1, 2020 Accepting new patients
Lester E Cox Medical Centers CurrentSince May 1, 2019 Accepting new patients
Skaggs Community Hospital Association CurrentSince Aug 1, 2020 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 CurrentSince Jan 1, 2019 Accepting new patients
Lester E Cox Medical Centers CurrentSince Jan 1, 2019 Accepting new patients
Adult Primary Care of Memphis PC Past Accepting new patients
Pediatric Physician Services, Inc. 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

2200 E Cleveland St
Monett, MO 65708
Phone (417) 236-2600

801 N Lincoln Ave
Monett, MO 65708
Phone (417) 236-2440

5100 N Towne Centre Dr
Ozark, MO 65721
Phone (417) 269-2215

1423 N Jefferson Ave
Springfield, MO 65802
Phone (417) 269-6583

2750 S Campbell Ave
Springfield, MO 65807
Phone (417) 269-2281

3801 S National Ave
Springfield, MO 65807
Phone (417) 269-4056

3801 S National Ave
Fl 5
Springfield, MO 65807

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

  • Direct secure messaging: jnikbakht1416462@direct.hopkinsmedicine.org

Organizations & group practices 14

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.

View all 14

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1261008000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1544400000000",
    "number": "1437488657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4046",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658084046",
            "telephone_number": "417-269-5712",
            "fax_number": "417-269-7567"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1216 DEADRA DR",
            "city": "LEBANON",
            "state": "MO",
            "postal_code": "655364669",
            "telephone_number": "417-730-5650",
            "fax_number": "417-730-5655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NIKBAKHT",
        "first_name": "JAMSHID",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-12-17",
        "last_updated": "2018-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "7573",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "2018038473",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lebanon, MO

Sources for this page

Verify at the official NPI Registry.