Individual provider Active NPI

Terry G Reese, MSN APRN FNP-BC

  • Nurse Practitioner
  • Branson, MO
National Provider Identifier
1497724264
Registry record updated Sep 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
132076 Issued in MO
Practice address
5571 N Gretna Rd
Branson VA Out Patient Clinic
Branson, MO 65616-7287
Phone
(417) 243-2300
Fax
(417) 243-2390
NPI assigned
Mar 15, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 132076 MO
Nurse Practitioner 363L00000X 132076 MO Primary
Primary Care Nurse Practitioner 363LP2300X 132076 MO

Addresses

Primary practice location

5571 N Gretna Rd
Branson VA Out Patient Clinic
Branson, MO 65616-7287

Mailing address

1440 State Highway 248
Suite Q456
Branson, MO 65616-9655
Phone (417) 243-2300

Other identifiers 1

IdentifierTypeStateIssuer
424746717MedicaidMO

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
I20160224002793 MO Order and Referring Only - Nurse Practitioner 0941375174

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
132076MOMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Ozarks Medical Center Past Accepting new patients
Kneibert Clinic LLC Past Accepting new patients
Wayne Medical Center, L.L.C. Past Accepting new patients
Saint Francis Medical Center Past Accepting new patients

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1142380800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695168000000",
    "number": "1497724264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1440 STATE HIGHWAY 248",
            "address_2": "SUITE Q456",
            "city": "BRANSON",
            "state": "MO",
            "postal_code": "656169655",
            "telephone_number": "417-243-2300",
            "fax_number": "417-243-2390"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5571 N GRETNA RD",
            "address_2": "BRANSON VA OUT PATIENT CLINIC",
            "city": "BRANSON",
            "state": "MO",
            "postal_code": "656167287",
            "telephone_number": "417-243-2300",
            "fax_number": "417-243-2390"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REESE",
        "first_name": "TERRY",
        "middle_name": "G",
        "credential": "MSN APRN FNP-BC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-15",
        "last_updated": "2023-09-20",
        "certification_date": "2023-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "132076",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MO",
            "license": "132076",
            "primary": true
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "MO",
            "license": "132076",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "424746717",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Branson, MO

Sources for this page

Verify at the official NPI Registry.