Individual provider Active NPI

Robert M Vardaman II, AGACNP

  • Nurse Practitioner
  • Columbia, MO
National Provider Identifier
1467876193
Registry record updated Aug 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
223880 Issued in OK
Practice address
1 Hospital Dr
Columbia, MO 65212-1000
Phone
(573) 882-1515
Fax
(573) 884-4249
NPI assigned
Feb 17, 2014
Last updated
Aug 11, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2026

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 223880 OK Primary
Nurse Practitioner 363L00000X 2026031494 MO
Acute Care Nurse Practitioner 363LA2100X RN214917 GA
Acute Care Nurse Practitioner 363LA2100X 235809 LA
Acute Care Nurse Practitioner 363LA2100X 11020905 FL
Acute Care Nurse Practitioner 363LA2100X 69138 NM

Addresses

Primary practice location

1 Hospital Dr
Columbia, MO 65212-1000

Mailing address

PO Box 843966
Kansas City, MO 64184-3966
Phone (573) 884-3300

Other practice location 1

825 NE 10th St # 5B
Oklahoma City, OK 73104-5417
Phone (405) 271-3635 ext. 46127

Other practice location 2

2000 Canal Street
New Orleans, LA 70112-3018
Phone (504) 527-9917

Other practice location 3

743 Spring St NE
Gainesville, GA 30501-3715
Phone (770) 219-9000

Other practice location 4

1501 W Nine Mile Rd
Pensacola, FL 32534-5307
Phone (850) 746-4958

Other practice location 5

5151 N 9th Ave
Pensacola, FL 32504-8721
Phone (850) 416-7000

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address rvardaman178604@nghs.gadirect.net Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, LA, OK, FL4 enrollments
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 4

Enrollment IDStateProvider typePAC IDDetails
I20140411000854 GA Practitioner - Nurse Practitioner 7315179017 Reassigns benefits to 1 organization
I20241122002167 LA Practitioner - Nurse Practitioner 7315179017 Reassigns benefits to 1 organization
I20250930002544 OK Practitioner - Nurse Practitioner 7315179017 Reassigns benefits to 2 organizations
I20260102003693 FL Practitioner - Nurse Practitioner 7315179017 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ou Health Partners IncGroup PAC ID 5991105876, 1,167 clinicians

Practice addresses (Care Compare)

900 NE 10TH St
Ouhp Family Medicine
Oklahoma City, OK 73104-5420
Phone (572) 244-0065

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
87.83 of 100Reported as group
Quality
80.36
Promoting interoperability
100
Improvement activities
40
Cost
79.08

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2026031494MOMDNurse Practitioner
223880OKMDNurse Practitioner
11020905FLMDAcute Care Nurse Practitioner
RN214917GAMDAcute Care Nurse Practitioner
235809LAMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Emory Medical Care Foundation Inc Nurse Practitioner CurrentSince Feb 17, 2014 Accepting new patients
Emory Medical Care Foundation Inc CurrentSince Feb 17, 2014 Accepting new patients
New Orleans Physician Services Inc Nurse Practitioner CurrentSince Aug 25, 2024 Accepting new patients
Ou Health Partners, Inc CurrentSince Sep 8, 2025 Accepting new patients
Ou Health Partners, Inc CurrentSince Sep 8, 2025 Accepting new patients
Cep America LLC CurrentSince Oct 20, 2025 Accepting new patients
Cep America LLC CurrentSince Oct 20, 2025 Accepting new patients
Culicchia Neurological Clinic, LLC Past Accepting new patients

Locations

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 900-3125

7800 US Highway 98 W
Miramar Beach, FL 32550
Phone (850) 267-1603

1501 W Nine Mile Rd
Pensacola, FL 32534
Phone (850) 416-4940

5151 N 9th Ave
Pensacola, FL 32504
Phone (850) 202-4700

80 Jesse Hill Jr Dr SE
Atlanta, GA 30303
Phone (404) 616-4370

1101 Medical Center Blvd
Marrero, LA 70072
Phone (504) 347-5511

1100 Poydras St
New Orleans, LA 70163
Phone (504) 527-9952

1100 Poydras St
Ste 2500
New Orleans, LA 70163
Phone (504) 527-9953

2000 Canal St
New Orleans, LA 70112
Phone (504) 702-2287

900 NE 10th St
Oklahoma City, OK 73104
Phone (405) 271-2230

Interoperability endpoints

  • Direct secure messaging: rvardaman178604@nghs.gadirect.net

Organizations & group practices 10

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 1

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": "1392595200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786406400000",
    "number": "1467876193",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 843966",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641843966",
            "telephone_number": "573-884-3300",
            "fax_number": "573-884-0943"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 HOSPITAL DR",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652121000",
            "telephone_number": "573-882-1515",
            "fax_number": "573-884-4249"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "825 NE 10th St # 5B",
            "address_purpose": "LOCATION",
            "city": "Oklahoma City",
            "state": "OK",
            "postal_code": "731045417",
            "country_code": "US",
            "telephone_number": "405-271-3635 x46127",
            "fax_number": "405-271-2523",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2000 Canal Street",
            "address_purpose": "LOCATION",
            "city": "New Orleans",
            "state": "LA",
            "postal_code": "701123018",
            "country_code": "US",
            "telephone_number": "504-527-9917",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "743 Spring St NE",
            "address_purpose": "LOCATION",
            "city": "Gainesville",
            "state": "GA",
            "postal_code": "305013715",
            "country_code": "US",
            "telephone_number": "770-219-9000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1501 W Nine Mile Rd",
            "address_purpose": "LOCATION",
            "city": "Pensacola",
            "state": "FL",
            "postal_code": "325345307",
            "country_code": "US",
            "telephone_number": "850-746-4958",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5151 N 9th Ave",
            "address_purpose": "LOCATION",
            "city": "Pensacola",
            "state": "FL",
            "postal_code": "325048721",
            "country_code": "US",
            "telephone_number": "850-416-7000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VARDAMAN",
        "first_name": "ROBERT",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "name_suffix": "II",
        "credential": "AGACNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-02-17",
        "last_updated": "2026-08-11",
        "certification_date": "2026-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "OK",
            "license": "223880",
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MO",
            "license": "2026031494",
            "primary": false
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "GA",
            "license": "RN214917",
            "primary": false
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "LA",
            "license": "235809",
            "primary": false
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "FL",
            "license": "11020905",
            "primary": false
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "NM",
            "license": "69138",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rvardaman178604@nghs.gadirect.net",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1315 Jesse Jewell Pkwy NE Ste 300",
            "city": "Gainesville",
            "state": "GA",
            "country_code": "US",
            "postal_code": "305013875",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Columbia, MO

Sources for this page

Verify at the official NPI Registry.