Active NPI
Patricia Louise Allen, APRN
- Nurse Practitioner
- Potosi, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 143173
- 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, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
| License | State | Type | Specialty |
|---|---|---|---|
| 143173 | MO | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Washington County Memorial Hospital | Current | Accepting new patients | |
| Washington County Memorial Hospital | Current | Accepting new patients | |
| Potosi Emergency Group, LLC | Nurse Practitioner | Current | Accepting new patients |
| Washington County Memorial Hospital | Past | 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
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
- 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.
-
- Critical Access Hospital
- Potosi, MO
- NPI 1194838821
-
dba Phelps Health
- General Acute Care Hospital
- Rolla, MO
- NPI 1891766051
-
- Emergency Medicine Physician
- Potosi, MO
- NPI 1881075349
Nurse Practitioner
-
dba Belgrade Rural Health Clinic
- Rural Health Clinic/Center
- Belgrade, MO
- NPI 1871102137
-
dba Austin Plaza Primary Care Clinic
- Rural Health Clinic/Center
- Potosi, MO
- NPI 1104933837
-
dba Austin Plaza Primary Care Clinic
- Rural Health Clinic/Center
- Potosi, MO
- NPI 1467424788
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Potosi, MO
- NPI 1194838821
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.