Individual provider Active NPI

Jennifer L Lambert, D.O.

  • Family Medicine Physician
  • Mountain Grove, MO
National Provider Identifier
1467549865
Registry record updated Dec 22, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
2010024114 Issued in MO
Practice address
500 E 19TH St
Mountain Grove, MO 65711-1114
Phone
(417) 926-6563
Fax
(417) 926-5820
NPI assigned
Oct 6, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 22, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X OT011902 PA
Family Medicine Physician 207Q00000X 2010024114 MO Primary

Addresses

Primary practice location

500 E 19TH St
Mountain Grove, MO 65711-1114

Mailing address

1100 N Kentucky Ave
P.O. Box 1100
West Plains, MO 65775-2029
Phone (417) 256-9111

Other identifiers 3

IdentifierTypeStateIssuer
P00852014OtherRAILROAD MEDICARE GROUP CB9013
1467549865MedicaidMO
431560263OtherTRICARE WEST

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO, AR2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20100910000130 MO Practitioner - Family Practice 8921123266 Reassigns benefits to 1 organization
I20240815000382 AR Practitioner - Family Practice 8921123266 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Lake Erie College of Osteopathic Medicine, Erie, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ozarks Medical CenterGroup PAC ID 3870491863, shared by 15 NPIs, 166 clinicians

Practice addresses (Care Compare)

1100 N Kentucky Ave
West Plains, MO 65775-2029

312 N Kentucky Ave
Ozarks Healthcare Pediatrics
West Plains, MO 65775-2073
Phone (417) 257-7076

Hospital & facility affiliations

  • Elara Caring Home health agency, Dexter, MO, CCN 267589
  • Centerwell Home Health Home health agency, Rolla, MO, CCN 267098
  • Ozarks Healthcare Hospital, West Plains, MO, CCN 260078

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
OT011902PAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St Francis House Nwa, Inc Current Accepting new patients
Ozarks Medical Center CurrentSince Dec 31, 2016 Accepting new patients
Ozarks Medical Center CurrentSince Dec 31, 2016 Accepting new patients
St Francis House Nwa, Inc CurrentSince Aug 5, 2024 Accepting new patients
St Francis House Nwa, Inc CurrentSince Aug 5, 2024 Accepting new patients
Ozarks Medical Center Family Medicine Current Accepting new patients

Locations

314 E Centerton Blvd
Centerton, AR 72719

614 E Emma Ave
Ste 300
Springdale, AR 72764
Phone (479) 751-4898

500 E 19th St
Mountain Grove, MO 65711
Phone (417) 926-6563

1605 Martin Springs Dr
Ste 330
Rolla, MO 65401
Phone (573) 458-6379

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

181 N Kentucky Ave
Ste 100
West Plains, MO 65775
Phone (417) 257-5911

1100 N Kentucky Ave
West Plains, MO 65775
Phone (417) 257-5959

Interoperability endpoints

  • Direct secure messaging: jenniferlambert@omcmo.allscriptsdirect.net
  • Direct secure messaging: dr.lambert@mhccaremail.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 and National Provider Directory roles.

Hospital & facility affiliations 3

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": "1160092800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1482364800000",
    "number": "1467549865",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 N KENTUCKY AVE",
            "address_2": "P.O. BOX 1100",
            "city": "WEST PLAINS",
            "state": "MO",
            "postal_code": "657752029",
            "telephone_number": "417-256-9111",
            "fax_number": "417-257-5947"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 E 19TH ST",
            "city": "MOUNTAIN GROVE",
            "state": "MO",
            "postal_code": "657111114",
            "telephone_number": "417-926-6563",
            "fax_number": "417-926-5820"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAMBERT",
        "first_name": "JENNIFER",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-06",
        "last_updated": "2016-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "OT011902",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MO",
            "license": "2010024114",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE GROUP CB9013",
            "identifier": "P00852014",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1467549865",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE WEST",
            "identifier": "431560263",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mountain Grove, MO

Sources for this page

Verify at the official NPI Registry.