Individual provider Active NPI

Ann E McDowell, APRN

  • Nurse Practitioner
  • Columbia, MO
National Provider Identifier
1477590057
Registry record updated Aug 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
RN096035 Issued in MO
Practice address
910 N College Ave Ste 4
Columbia, MO 65201-4797
Phone
(636) 642-1215
Fax
(573) 234-4799
NPI assigned
Jun 1, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X RN096035 MO Primary

Addresses

Primary practice location

910 N College Ave Ste 4
Columbia, MO 65201-4797

Mailing address

910 N College Ave Ste 4
Columbia, MO 65201-4797
Phone (636) 642-1215

Other identifiers 1

IdentifierTypeStateIssuer
425188000MedicaidMO

Other names 1

  • Ann E Hargis Former name

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
I20040226000960 MO Practitioner - Nurse Practitioner 0446146260

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
21 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
70.01

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN096035MOMDNurse Practitioner

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1149120000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691280000000",
    "number": "1477590057",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "910 N COLLEGE AVE STE 4",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652014797",
            "telephone_number": "636-642-1215",
            "fax_number": "573-234-4799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "910 N COLLEGE AVE STE 4",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652014797",
            "telephone_number": "636-642-1215",
            "fax_number": "573-234-4799"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCDOWELL",
        "first_name": "ANN",
        "middle_name": "E",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-01",
        "last_updated": "2023-08-06",
        "certification_date": "2023-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MO",
            "license": "RN096035",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "425188000",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANN",
            "last_name": "HARGIS",
            "middle_name": "E",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Columbia, MO

Sources for this page

Verify at the official NPI Registry.