Individual provider Active NPI

Patricia Louise Allen, APRN

  • Nurse Practitioner
  • Potosi, MO
National Provider Identifier
1457322778
Registry record updated Mar 4, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
143173 Issued in MO
Practice address
108 Frizzell St
Suite 5
Potosi, MO 63664-1505
Phone
(573) 438-8500
Fax
(573) 438-8787
NPI assigned
Jan 27, 2006
Last updated
Mar 4, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 143173 MO Primary

Addresses

Primary practice location

108 Frizzell St
Suite 5
Potosi, MO 63664-1505

Mailing address

200 Health Way Dr
Potosi, MO 63664-1434
Phone (573) 438-8500

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20100611000640 MO Practitioner - Nurse Practitioner 8527198878 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1000 W 10TH St
Rolla, MO 65401-2905
Phone (573) 458-8899

300 Health Way
Potosi, MO 63664-1420

300 Health Way Dr
Potosi, MO 63664-1420
Phone 5734385451355

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
143173MOMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Washington County Memorial Hospital CurrentSince Feb 14, 2015 Accepting new patients
Washington County Memorial Hospital CurrentSince Feb 14, 2015 Accepting new patients
Potosi Emergency Group, LLC Nurse Practitioner CurrentSince Aug 4, 2018 Accepting new patients
Washington County Memorial Hospital PastSince Aug 30, 2020 Accepting new patients
Washington County Memorial Hospital Past Accepting new patients

Locations

1 Kwan Plz
Potosi, MO 63664
Phone (573) 438-1899

108 Frizzell St
Ste 5
Potosi, MO 63664
Phone (573) 438-8500

200 Health Way Dr
Potosi, MO 63664
Phone (573) 438-2977

300 Health Way Dr
Potosi, MO 63664
Phone (573) 438-2977

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: patricia.allen.p1@direct.wcmh-clinics.nextgenshare.com

Organizations & group practices 6

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.

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": "1138320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583280000000",
    "number": "1457322778",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 HEALTH WAY DR",
            "city": "POTOSI",
            "state": "MO",
            "postal_code": "636641434",
            "telephone_number": "573-438-8500",
            "fax_number": "573-438-8787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 FRIZZELL ST",
            "address_2": "SUITE 5",
            "city": "POTOSI",
            "state": "MO",
            "postal_code": "636641505",
            "telephone_number": "573-438-8500",
            "fax_number": "573-438-8787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALLEN",
        "first_name": "PATRICIA",
        "middle_name": "LOUISE",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-27",
        "last_updated": "2020-03-04",
        "certification_date": "2020-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MO",
            "license": "143173",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Potosi, MO

Sources for this page

Verify at the official NPI Registry.