Active NPI
Kimberly Jo Dent, FNP
- Nurse Practitioner
- Joplin, MO
National Provider Identifier
1477988277
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 2013032478
- Practice address
- 100 Mercy Way
Ste 450
Joplin, MO 64804-4524 - Phone
- (417) 627-8377
- Fax
- (417) 627-8378
- NPI assigned
- Sep 11, 2013
- Last updated
- Mar 17, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 2013032478 | MO | Primary |
Addresses
Primary practice location
100 Mercy Way
Ste 450
Joplin, MO 64804-4524
Mailing address
100 Mercy Way
Ste 450
Joplin, MO 64804-4524
Phone (417) 627-8377
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P01265331 | Other | MO | RAIL ROAD MEDICARE |
| 1477988277 | Medicaid | MO | |
| 200523270A | Medicaid | OK | |
| 201083650A | Medicaid | KS |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
100 Mercy Way
450 Mercy Clinic Joplin Pulmonology
Joplin, MO 64804-4524
Phone (417) 556-8377
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Interoperability endpoints
- kdent193048@directb.mercy.net
- kdent202505@directc.mercy.net
Organizations & group practices 1
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.
-
- Family Medicine Physician
- Joplin, MO
- NPI 1215264817
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Carthage, MO
- NPI 1003201955
-
dba Mercy McCune-Brooks Hospital
- General Acute Care Hospital
- Carthage, MO
- NPI 1396012753
-
- General Acute Care Hospital
- Joplin, MO
- NPI 1700112745
-
- Critical Access Hospital
- Columbus, KS
- NPI 1871829812
-
- General Acute Care Hospital
- Pittsburg, KS
- NPI 1639921430
-
- Special Hospital
- Galena, KS
- NPI 1992341473
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1378857600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1458172800000",
"number": "1477988277",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 MERCY WAY",
"address_2": "STE 450",
"city": "JOPLIN",
"state": "MO",
"postal_code": "648044524",
"telephone_number": "417-627-8377",
"fax_number": "417-627-8378"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 MERCY WAY",
"address_2": "STE 450",
"city": "JOPLIN",
"state": "MO",
"postal_code": "648044524",
"telephone_number": "417-627-8377",
"fax_number": "417-627-8378"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DENT",
"first_name": "KIMBERLY",
"middle_name": "JO",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-09-11",
"last_updated": "2016-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "MO",
"license": "2013032478",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAIL ROAD MEDICARE",
"identifier": "P01265331",
"state": "MO"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1477988277",
"state": "MO"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200523270A",
"state": "OK"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "201083650A",
"state": "KS"
}
],
"endpoints": [],
"other_names": []
}Other providers in Joplin, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2016; 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.