Active NPI
Robert M Vardaman II, AGACNP
- Nurse Practitioner
- Columbia, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 223880
- 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, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | rvardaman178604@nghs.gadirect.net | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA, LA, OK, FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 4
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
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 100
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| 2026031494 | MO | MD | Nurse Practitioner |
| 223880 | OK | MD | Nurse Practitioner |
| 11020905 | FL | MD | Acute Care Nurse Practitioner |
| RN214917 | GA | MD | Acute Care Nurse Practitioner |
| 235809 | LA | MD | Acute Care Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Emory Medical Care Foundation Inc | Nurse Practitioner | Current | Accepting new patients |
| Emory Medical Care Foundation Inc | Current | Accepting new patients | |
| New Orleans Physician Services Inc | Nurse Practitioner | Current | Accepting new patients |
| Ou Health Partners, Inc | Current | Accepting new patients | |
| Ou Health Partners, Inc | Current | Accepting new patients | |
| Cep America LLC | Current | Accepting new patients | |
| Cep America LLC | Current | 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
- 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.
-
dba Ou Health Partners
- Multi-Specialty Clinic/Center
- Oklahoma City, OK
- NPI 1528642642
-
- Internal Medicine Physician
- Atlanta, GA
- NPI 1063452381
Nurse Practitioner
-
- Internal Medicine Physician
- Marrero, LA
- NPI 1396169678
Nurse Practitioner
-
- Emergency Medicine Physician
- Miramar Beach, FL
- NPI 1295442614
-
- Hospitalist Physician
- Oklahoma City, OK
- NPI 1891962460
-
- Emergency Medicine Physician
- Fort Lauderdale, FL
- NPI 1700747946
-
- Emergency Medicine Physician
- Pensacola, FL
- NPI 1841165628
-
- Diagnostic Radiology Physician
- Atlanta, GA
- NPI 1225294739
-
dba OUHP Orthotics & Prosthetic
- Prosthetic/Orthotic Supplier
- Oklahoma City, OK
- NPI 1447834460
-
- Specialist
- Marrero, LA
- NPI 1376669952
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Oklahoma City, OK
- NPI 1649794157
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2026; 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.