Individual provider Active NPI

Quade Vickers

  • Family Nurse Practitioner
  • Springfield, MO
National Provider Identifier
1477178564
Registry record updated Jun 15, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F06200928 Issued in MO
Practice address
3801 S National Ave
Springfield, MO 65807-5210
Phone
(417) 875-3846
NPI assigned
Jun 15, 2020
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 15, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X F06200928 MO Primary

Addresses

Primary practice location

3801 S National Ave
Springfield, MO 65807-5210

Mailing address

PO Box 9007
Springfield, MO 65808-9007
Phone (417) 875-3000

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
I20200713001491 MO Practitioner - Nurse Practitioner 6507289378 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Skaggs Community Hospital AssociationGroup PAC ID 5092624320, 222 clinicians
Lester E Cox Medical CentersGroup PAC ID 1254248917, shared by 28 NPIs, 336 clinicians
Cox-Monett Hospital IncGroup PAC ID 0345236667, 69 clinicians

Practice addresses (Care Compare)

1601 Branson Hills Pkwy
Suite 130
Branson, MO 65616-9908
Phone (417) 348-8400

1819 S National Ave
Springfield, MO 65804-2217

2200 E Cleveland St
Monett, MO 65708-6149
Phone (417) 354-1570

3525 E Battlefield St
Suite 100
Springfield, MO 65809-3434
Phone (417) 269-0065

3801 S National Ave
Springfield, MO 65807-5210
Phone (417) 269-6000

501 N Old Wilderness Rd
Nixa, MO 65714-9490
Phone (417) 269-2150

5100 N Towne Centre Dr
Ozark, MO 65721-7479
Phone (417) 730-5360

525 Branson Landing Blvd
Suite 100
Branson, MO 65616-2152
Phone (417) 348-8646

Hospital & facility affiliations

  • Cox Medical Centers Hospital, Springfield, MO, CCN 260040
  • Cox Medical Center Branson Hospital, Branson, MO, CCN 260094

Merit-based Incentive Payment System (MIPS)

Final score
80.85 of 100Reported as group
Quality
63.56
Promoting interoperability
100
Improvement activities
40
Cost
72.62

Merit-based Incentive Payment System (MIPS)

Final score
81.52 of 100Reported as group
Quality
61.64
Promoting interoperability
100
Improvement activities
40
Cost
76.77

Merit-based Incentive Payment System (MIPS)

Final score
87.41 of 100Reported as group
Quality
76.32
Promoting interoperability
100
Improvement activities
40
Cost
81.7

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
F06200928MOMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Lester E Cox Medical Centers Current Accepting new patients
Lester E Cox Medical Centers CurrentSince May 13, 2022 Accepting new patients
Skaggs Community Hospital Association CurrentSince Aug 20, 2023 Accepting new patients
Lester E Cox Medical Centers CurrentSince Jul 7, 2020 Accepting new patients
Skaggs Community Hospital Association CurrentSince Aug 20, 2023 Accepting new patients
Lester E Cox Medical Centers Family CurrentSince May 13, 2022 Accepting new patients
Cox-Monett Hospital, Inc. CurrentSince Jun 21, 2023 Accepting new patients
Lester E. Cox Medical Centers Current Accepting new patients
Lester E Cox Medical Centers CurrentSince Jul 7, 2020 Accepting new patients
Cox-Monett Hospital, Inc. CurrentSince Jun 21, 2023 Accepting new patients
Lester E Cox Medical Centers CurrentSince Jul 12, 2021 Accepting new patients
Lester E Cox Medical Centers Past Accepting new patients
Skaggs Community Hospital Association Past Accepting new patients
Skaggs Community Hospital Association Past Accepting new patients

Locations

1601 Branson Hills Pkwy
Ste 130
Branson, MO 65616
Phone (417) 348-8400

525 Branson Landing Blvd
Ste 100
Branson, MO 65616
Phone (417) 348-8646

510 Highway 32
Ste B
Lebanon, MO 65536
Phone (417) 533-0848

2200 E Cleveland St
Monett, MO 65708
Phone (417) 236-2600

501 N Old Wilderness Rd
Nixa, MO 65714
Phone (417) 269-2150

5100 N Towne Centre Dr
Ozark, MO 65721
Phone (417) 269-2215

3801 S National Ave
Springfield, MO 65807
Phone (417) 269-4056

2750 S Campbell Ave
Springfield, MO 65807
Phone (417) 269-2281

1819 S National Ave
Springfield, MO 65804
Phone (417) 269-2700

3801 S National Ave
Fl 5
Springfield, MO 65807

Organizations & group practices 14

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.

View all 14

Hospital & facility affiliations 4

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": "1592179200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1592179200000",
    "number": "1477178564",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9007",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658089007",
            "telephone_number": "417-875-3000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3801 S NATIONAL AVE",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658075210",
            "telephone_number": "417-875-3846"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VICKERS",
        "first_name": "QUADE",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-06-15",
        "last_updated": "2020-06-15",
        "certification_date": "2020-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "F06200928",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, MO

Sources for this page

Verify at the official NPI Registry.