NPIMap

Individual provider Active NPI

Dorothy Milburn, FNP

  • Family Nurse Practitioner
  • Braymer, MO
National Provider Identifier
1477520690
Registry record updated Sep 8, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
153726 Issued in MO
Practice address
109 Main Street
Braymer, MO 64624-0036
Phone
(660) 645-2218
Fax
(660) 645-2820
NPI assigned
Mar 7, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2011

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 153726 MO Primary

Addresses

Primary practice location

109 Main Street
Braymer, MO 64624-0036

Mailing address

109 Main Street
Braymer, MO 64624-0036
Phone (660) 645-2218

Other identifiers 1

IdentifierTypeStateIssuer
425991304MedicaidMO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100319000176 MO Practitioner - Nurse Practitioner 6204961956 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cameron Regional Medical Center Inc 66 clinicians

Practice addresses (Care Compare)

1600 E Evergreen St
Cameron, MO 64429-2400

1608 E Evergreen St
Cameron, MO 64429-2400

221 E 7TH St
NW Mo OBGYN
Cameron, MO 64429-2400
Phone (816) 632-6100

Hospital & facility affiliations

  • Cameron Regional Medical Center Hospital, Cameron, MO, CCN 260057
  • Hedrick Medical Center Hospital, Chillicothe, MO, CCN 261321
  • Liberty Hospital Hospital, Liberty, MO, CCN 260177

Merit-based Incentive Payment System (MIPS)

Final score
58.28 of 100Reported as group
Quality
38.51
Improvement activities
40
Cost
70.39

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Cameron Regional Medical Center, Inc. CurrentSince Jun 23, 2018 Accepting new patients
Cameron Regional Medical Center Inc CurrentSince Jun 23, 2018 Accepting new patients
Cameron Regional Medical Center Inc Past Accepting new patients

Locations

1600 E Evergreen St
Ste C
Cameron, MO 64429
Phone (816) 632-2139

1600 E Evergreen St
Cameron, MO 64429
Phone (816) 632-2101

1608 E Evergreen St
Ste A
Cameron, MO 64429
Phone (816) 632-5424

103 N Davis St
Hamilton, MO 64644
Phone (816) 583-7839

Organizations & group practices 17

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 17

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": "1141689600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1315440000000",
    "number": "1477520690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "109 MAIN STREET",
            "city": "BRAYMER",
            "state": "MO",
            "postal_code": "646240036",
            "telephone_number": "660-645-2218",
            "fax_number": "660-645-2820"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 MAIN STREET",
            "city": "BRAYMER",
            "state": "MO",
            "postal_code": "646240036",
            "telephone_number": "660-645-2218",
            "fax_number": "660-645-2820"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILBURN",
        "first_name": "DOROTHY",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-07",
        "last_updated": "2011-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "153726",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "425991304",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Braymer, MO

Sources for this page

Verify at the official NPI Registry.