NPIMap

Individual provider Active NPI

Jean R Menown, NP-C

  • Family Nurse Practitioner
  • Marshfield, MO
National Provider Identifier
1457674301
Registry record updated Jan 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
2010007620 Issued in MO
Practice address
1245 Banning St
Marshfield, MO 65706
Phone
(417) 269-1940
Fax
(417) 269-1948
NPI assigned
Mar 8, 2010
Last updated
Jan 13, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 2010007620 MO Primary

Addresses

Primary practice location

1245 Banning St
Marshfield, MO 65706

Mailing address

1435 W Whiteside St
Springfield, MO 65807-2356

Other identifiers 1

IdentifierTypeStateIssuer
426602108MedicaidMO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100629000465 MO Practitioner - Nurse Practitioner 4981735370 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mercy Clinic Springfield CommunitiesGroup PAC ID 7416865845, shared by 26 NPIs, 1,121 clinicians

Practice addresses (Care Compare)

1965 S Fremont Ave
100 MC General and Specialty Surgery
Springfield, MO 65804-2299
Phone (417) 820-3800

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
98.15 of 100Reported as apm
Quality
88.15
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
82.25 of 100Reported as group
Quality
64.73
Promoting interoperability
100
Improvement activities
40
Cost
76.1

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2010007620MOMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Clinic Springfield Communities CurrentSince Dec 9, 2024 Accepting new patients
Mercy Clinic Springfield Communities CurrentSince Dec 9, 2024 Accepting new patients
Mercy Clinic Springfield Communities Family CurrentSince Dec 9, 2024 Accepting new patients
Family Health Associates, P.C. Past Accepting new patients
Ozarks Medical Center Past Accepting new patients
Lester E Cox Medical Centers PastSince Mar 13, 2022 Accepting new patients

Locations

341 Hospital Dr
Lebanon, MO 65536
Phone (417) 532-7850

1605 Martin Springs Dr
Rolla, MO 65401
Phone (573) 458-6379

1965 S Fremont Ave
Ste 100
Springfield, MO 65804
Phone (417) 820-3800

2115 S Fremont Ave
Ste 3050
Springfield, MO 65804
Phone (417) 820-3905

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 9

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": "1268006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736726400000",
    "number": "1457674301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1435 W WHITESIDE ST",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658072356"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1245 BANNING ST",
            "city": "MARSHFIELD",
            "state": "MO",
            "postal_code": "65706",
            "telephone_number": "417-269-1940",
            "fax_number": "417-269-1948"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MENOWN",
        "first_name": "JEAN",
        "middle_name": "R",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-03-08",
        "last_updated": "2025-01-13",
        "certification_date": "2025-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "2010007620",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "426602108",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Marshfield, MO

Sources for this page

Verify at the official NPI Registry.