Individual provider Active NPI

Jamie Lynne Oliver, NP

  • Family Nurse Practitioner
  • Macon, MO
National Provider Identifier
1508417650
Registry record updated Sep 20, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
2019036528 Issued in MO
Practice address
1201 N Rutherford St
Macon, MO 63552-2020
Phone
(660) 385-8900
Fax
(660) 385-8708
NPI assigned
Sep 20, 2019
Last updated
Sep 20, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2019

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 2019036528 MO Primary

Addresses

Primary practice location

1201 N Rutherford St
Macon, MO 63552-2020

Mailing address

1201 N Rutherford St
Macon, MO 63552-2020
Phone (660) 385-8900

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
I20191015000422 MO Practitioner - Nurse Practitioner 2769713247 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Macon County Samaritan HospitalGroup PAC ID 1456261395, 36 clinicians

Practice addresses (Care Compare)

1201 N Rutherford St
Macon, MO 63552-2020
Phone (660) 385-8700

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2019036528MOMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Macon County Samaritan Hospital CurrentSince Sep 25, 2019 Accepting new patients
Macon County Samaritan Hospital CurrentSince Sep 25, 2019 Accepting new patients

Locations

1201 N Rutherford St
Macon, MO 63552
Phone (660) 385-8700

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 4

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": "1568937600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568937600000",
    "number": "1508417650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1201 N RUTHERFORD ST",
            "city": "MACON",
            "state": "MO",
            "postal_code": "635522020",
            "telephone_number": "660-385-8900",
            "fax_number": "660-385-8708"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 N RUTHERFORD ST",
            "city": "MACON",
            "state": "MO",
            "postal_code": "635522020",
            "telephone_number": "660-385-8900",
            "fax_number": "660-385-8708"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLIVER",
        "first_name": "JAMIE",
        "middle_name": "LYNNE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-20",
        "last_updated": "2019-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "2019036528",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Macon, MO

Sources for this page

Verify at the official NPI Registry.