Sara Openshaw, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

2015034707 Issued in MO

Practice address

4430 Missouri Ave
Fort Leonard Wood, MO 65473-9098

Phone

(573) 596-1765

NPI assigned

Sep 30, 2015

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 6

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

Specialty

Nurse Practitioner

Education

Other, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Texas County Memorial HospitalGroup PAC ID 9436041696, 30 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Texas County Memorial Hospital Hospital, Houston, MO, CCN 260024

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Texas County Memorial Hospital

  • Primary Care Clinic/Center
  • Mountain Grove, MO
  • NPI 1285957001

  MO

  Medicare reassignment Care Compare group NPD
• Texas County Memorial Hospital

  • Multi-Specialty Clinic/Center
  • Houston, MO
  • NPI 1306885587

  MO

  Medicare reassignment Care Compare group NPD
• Texas County Memorial Hospital

  • Clinic/Center
  • Houston, MO
  • NPI 1497593719
  Care Compare group NPD
• Texas County Memorial Hospital

  • Rural Health Clinic/Center
  • Mountain Grove, MO
  • NPI 1265754501
  Care Compare group NPD (past)
• Texas County Memorial Hospital

  • Rural Health Clinic/Center
  • Houston, MO
  • NPI 1710004486
  Care Compare group NPD (past)
• Texas County Memorial Hospital

  • General Acute Care Hospital
  • Houston, MO
  • NPI 1790740363
  Care Compare group NPD (past)
• Texas County Memorial Hospital

  • Medicare Defined Swing Bed Hospital Unit
  • Houston, MO
  • NPI 1023179298
  Care Compare group
• Texas County Memorial Hospital

  • Community Based Hospice Care Agency
  • Houston, MO
  • NPI 1093780678
  Care Compare group
• Texas County Memorial Hospital

  • Multi-Specialty Clinic/Center
  • Houston, MO
  • NPI 1164921300
  Care Compare group
• Texas County Memorial Hospital

  • Primary Care Clinic/Center
  • Licking, MO
  • NPI 1235178930
  Care Compare group
• Texas County Memorial Hospital

  • Home Health Agency
  • Houston, MO
  • NPI 1356324727
  Care Compare group
• Texas County Memorial Hospital

  • Primary Care Clinic/Center
  • Cabool, MO
  • NPI 1396785135
  Care Compare group

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

• Texas County Memorial Hospital

  • Medicare Defined Swing Bed Hospital Unit
  • Houston, MO
  • NPI 1023179298

  Hospital

  Care Compare affiliation
• Texas County Memorial Hospital

  • General Acute Care Hospital
  • Houston, MO
  • NPI 1790740363

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1443571200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660089600000",
    "number": "1467822650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4430 MISSOURI AVE",
            "city": "FORT LEONARD WOOD",
            "state": "MO",
            "postal_code": "654739098",
            "telephone_number": "573-596-1765"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4430 MISSOURI AVE",
            "city": "FORT LEONARD WOOD",
            "state": "MO",
            "postal_code": "654739098",
            "telephone_number": "573-596-1765"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OPENSHAW",
        "first_name": "SARA",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-09-30",
        "last_updated": "2022-08-10",
        "certification_date": "2022-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "2015034707",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE - GROUP (MOB)",
            "identifier": "000012169",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA (MOB)",
            "identifier": "26D0889777",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID - GROUP",
            "identifier": "1265754501",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE - GROUP",
            "identifier": "MA2517",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID - GROUP (MOB)",
            "identifier": "509319209",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA",
            "identifier": "26D2006074",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mona Novakoski
• Meghan Nicole O'Connor
• Ryan Matthew O'Keefe, MD
• Ifesonye Emiloju Okwuchi, NP
• Gabriel D Olivo, MD
• Optical Center
• Salvador Ortiz III, APA-C
• Mariah Lynne Osborne
• Alan Ostrovsky, DDS
• Jennifer Marie Osweiler, PHARMD

• All providers in Fort Leonard Wood, MO
• Family Nurse Practitioner in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2022; 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.

Verify at the official NPI Registry.