Active NPI
Jamie Mooneyham, FNP-C
- Family Nurse Practitioner
- Springfield, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 2025020703
- Practice address
- 3801 S National Ave
Springfield, MO 65807-5210 - Phone
- (417) 269-4450
- NPI assigned
- Jun 5, 2025
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 19
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.
-
- Geriatric Medicine (Internal Medicine) Physician
- Springfield, MO
- NPI 1356068605
-
- Obstetrics & Gynecology Physician
- Springfield, MO
- NPI 1043386774
-
- Family Medicine Physician
- Ava, MO
- NPI 1053481689
-
- Family Medicine Physician
- Willard, MO
- NPI 1073687299
-
- Psychiatry Physician
- Springfield, MO
- NPI 1073905915
-
- Internal Medicine Physician
- Springfield, MO
- NPI 1316010135
-
- Family Medicine Physician
- Ozark, MO
- NPI 1316011539
-
- Family Medicine Physician
- Nixa, MO
- NPI 1346314556
-
- Family Medicine Physician
- Springfield, MO
- NPI 1427123140
-
- Obstetrics & Gynecology Physician
- Springfield, MO
- NPI 1437543055
-
- Family Medicine Physician
- Springfield, MO
- NPI 1447324660
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Branson, MO
- NPI 1760443980
Hospital
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2025
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Lester E Cox Medical Centers
Practice addresses (Care Compare)
3801 S National Ave 9TH FL
Glycemic MGMT Services
Springfield, MO 65807-5210
Phone (417) 269-5158
960 E Walnut Lawn
201 Adult Medicine and Endocrinology Speciali
Springfield, MO 65807-7865
Phone (417) 269-4450
Hospital & facility affiliations
- Cox Medical Centers
- Cox Medical Center Branson
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250812002828 | MO | Practitioner - Nurse Practitioner | 1254839871 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2025020703 | MO | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lester E Cox Medical Centers | Current | Accepting new patients | |
| Lester E Cox Medical Centers | Current | Accepting new patients | |
| Lester E Cox Medical Centers | Current | Accepting new patients | |
| Lester E. Cox Medical Centers | Past | Accepting new patients |
Locations
3801 S National Ave
Springfield, MO 65807
Phone (417) 269-4056
3801 S National Ave
Fl 9
Springfield, MO 65807
Phone (417) 269-4264
960 E Walnut Lawn St
Ste 201
Springfield, MO 65807
Phone (417) 269-4450
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 2025020703 | MO | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
3801 S National Ave
Springfield, MO 65807-5210
Mailing address
10616 W Farm Road 132
Bois D Arc, MO 65612-7122
Phone (417) 988-8502
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 18, 2025.
{
"created_epoch": "1749081600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1755475200000",
"number": "1508750274",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10616 W FARM ROAD 132",
"city": "BOIS D ARC",
"state": "MO",
"postal_code": "656127122",
"telephone_number": "417-988-8502"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3801 S NATIONAL AVE",
"city": "SPRINGFIELD",
"state": "MO",
"postal_code": "658075210",
"telephone_number": "417-269-4450"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOONEYHAM",
"first_name": "JAMIE",
"credential": "FNP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-06-05",
"last_updated": "2025-08-18",
"certification_date": "2025-08-18",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MO",
"license": "2025020703",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Springfield, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2025; 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.