Individual provider Active NPI

Sonya Marie Pearman

  • Family Nurse Practitioner
  • Cape Girardeau, MO
National Provider Identifier
1477257525
Registry record updated Mar 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
2022152444 Issued in MO
Practice address
2311 Bloomfield Rd Ste 103
Cape Girardeau, MO 63703-6570
Phone
(800) 286-5892
NPI assigned
Mar 30, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2023

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 2022152444 MO Primary

Addresses

Primary practice location

2311 Bloomfield Rd Ste 103
Cape Girardeau, MO 63703-6570

Mailing address

PO Box 154
Olive Branch, IL 62969-0154

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
I20230519002144 MO Practitioner - Nurse Practitioner 1557727393 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Visiting Nurse Association of Southeast Missouri IncGroup PAC ID 6406983139, 4 clinicians

Practice addresses (Care Compare)

Kennett, MO 63857
Phone (573) 888-5892

Hospital & facility affiliations

  • Visiting Nurse Association of Southeast Missouri, Inc Home health agency, Kennett, MO, CCN 267050
  • Mercy Hospital Southeast Hospital, Cape Girardeau, MO, CCN 260110
  • Mercy Hospital Stoddard Hospital, Dexter, MO, CCN 260160
  • Saint Francis Medical Center Hospital, Cape Girardeau, MO, CCN 260183
  • Missouri Delta Medical Center Hospital, Sikeston, MO, CCN 260113

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2022152444MOMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Visiting Nurse Association of Southeast Missouri Inc Family CurrentSince May 17, 2023 Accepting new patients
Visiting Nurse Association of Southeast Missouri, Inc. Past Accepting new patients

Locations

2311 Bloomfield Rd
Ste 103
Cape Girardeau, MO 63703
Phone (800) 286-5892

919 W Business US Highway 60
Dexter, MO 63841
Phone (573) 888-5892

1124 Independence Ave
Kennett, MO 63857
Phone (573) 888-5892

Organizations & group practices 2

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.

Hospital & facility affiliations 6

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": "1680134400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680134400000",
    "number": "1477257525",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 154",
            "city": "OLIVE BRANCH",
            "state": "IL",
            "postal_code": "629690154"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2311 BLOOMFIELD RD STE 103",
            "city": "CAPE GIRARDEAU",
            "state": "MO",
            "postal_code": "637036570",
            "telephone_number": "800-286-5892"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEARMAN",
        "first_name": "SONYA",
        "middle_name": "MARIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-03-30",
        "last_updated": "2023-03-30",
        "certification_date": "2023-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "2022152444",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cape Girardeau, MO

Sources for this page

Verify at the official NPI Registry.