Individual provider Active NPI

Regan Martin

  • Nurse Practitioner
  • Joplin, MO
National Provider Identifier
1467833871
Registry record updated Sep 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
2019006014 Issued in MO
Practice address
2613 S Main St Ste D
Joplin, MO 64804-2678
Phone
(417) 553-7920
NPI assigned
Jun 11, 2015
Last updated
Sep 25, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 2019006014 MO Primary
Family Nurse Practitioner 363LF0000X 76805 KS

Addresses

Primary practice location

2613 S Main St Ste D
Joplin, MO 64804-2678

Mailing address

2613 S Main St Ste D
Joplin, MO 64804-2678
Phone (417) 553-7920

Other identifiers 1

IdentifierTypeStateIssuer
2007017822OtherRN

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
I20190620002114 MO Practitioner - Nurse Practitioner 5799092177 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cornerstone Medical LLCGroup PAC ID 4284000183, 8 clinicians

Practice addresses (Care Compare)

2613 S Main St
Suite D
Joplin, MO 64804-2678

2702 Cunningham Ave
Suite a
Joplin, MO 64804-1593
Phone (417) 553-7920

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
76805KSMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Cornerstone Medical, LLC CurrentSince Oct 14, 2022 Accepting new patients

Locations

2613 S Main St
Ste D
Joplin, MO 64804
Phone (417) 553-7920

2702 Cunningham Ave
Ste A
Joplin, MO 64804
Phone (417) 553-7920

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/
  • Direct secure messaging: regangass@aimap-mo.direct.office.nextgen.com

Organizations & group practices 1

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 2

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": "1433980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758758400000",
    "number": "1467833871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2613 S MAIN ST STE D",
            "city": "JOPLIN",
            "state": "MO",
            "postal_code": "648042678",
            "telephone_number": "417-553-7920",
            "fax_number": "877-464-5922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2613 S MAIN ST STE D",
            "city": "JOPLIN",
            "state": "MO",
            "postal_code": "648042678",
            "telephone_number": "417-553-7920"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "REGAN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-06-11",
        "last_updated": "2025-09-25",
        "certification_date": "2025-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MO",
            "license": "2019006014",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KS",
            "license": "76805",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RN",
            "identifier": "2007017822",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Joplin, MO

Sources for this page

Verify at the official NPI Registry.