Jamie Lynne Oliver, NP
Individual provider Active NPI Family Nurse Practitioner · Macon, MO
NPI 1508417650 · NPPES record last updated Sep 20, 2019
Key facts
- NPI
- 1508417650
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 2019036528 (MO)
- Practice address
- 1201 N Rutherford St
Macon, MO 63552-2020 - Phone
- (660) 385-8900
- Fax
- (660) 385-8708
- NPI assigned
- Sep 20, 2019
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 4
Hospital & facility affiliations 4
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Macon County Samaritan Hospital
Practice addresses (Care Compare)
1201 N Rutherford St
Macon, MO 63552-2020
Phone (660) 385-8700
Hospital & facility affiliations
- Elara Caring
- Boone Hospital Center
- Macon County Samaritan Memorial Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MO
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20191015000422 | MO | Practitioner - Nurse Practitioner | 2769713247 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Macon County Samaritan Hospital | Current |
Accepting new patients | |
| Macon County Samaritan Hospital | Current |
Accepting new patients | |
| Macon County Samaritan Hospital | Past | Accepting new patients |
Locations
1201 N Rutherford St
Macon, MO 63552
Phone (660) 385-8700
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 2019036528 | MO | Yes |
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
NPI Registry JSON
{
"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
- NHC Healthcare-Macon LLC
- Northeast Missouri Health Council, Inc
- Northeast Missouri Health Council, Inc
- Oakrings Christian Counseling LLC
- Oass Medical, LLC
- Orthopedic Anesthesia Services, LLC
- Orthopedic Surgical Services, LLC
- Randi Jo Petre
- Ed Powers
- Preferred Family Healthcare
All providers in Macon, MO · Family Nurse Practitioner in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 20, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.