Individual provider Active NPI

Dara Osoego, FNP

  • Family Nurse Practitioner
  • Columbia, MO
National Provider Identifier
1518327790
Registry record updated Jan 16, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
2016020579 Issued in MO
Practice address
1600 E. Bdwy.
Columbia, MO 65201-5844
Phone
(573) 815-8000
Fax
(573) 557-2401
NPI assigned
Mar 1, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2020

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 2016020579 MO Primary

Addresses

Primary practice location

1600 E. Bdwy.
Columbia, MO 65201-5844

Mailing address

525 N. Keene St
Ste 301
Columbia, MO 65201-6967
Phone (573) 449-2141

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
I20160722000669 MO Practitioner - Nurse Practitioner 5991098394 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cole Physician Services LLCGroup PAC ID 0648420810, 23 clinicians

Practice addresses (Care Compare)

2505 Mission Dr
Jefferson City, MO 65109-9508
Phone (573) 681-3000

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2016020579MOMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Providence Urgent Care LLC CurrentSince Jul 29, 2009 Accepting new patients
Cole Physician Services LLC CurrentSince Jan 10, 2024 Accepting new patients
Innovative Medical Clinic CurrentSince Oct 1, 2023 Accepting new patients
Nextcare Missouri LLC CurrentSince Nov 8, 2021 Accepting new patients
Hospital Medicine Services of Tennessee PC Family CurrentSince Jan 1, 2020 Accepting new patients

Locations

202 E Nifong Blvd
Columbia, MO 65203
Phone (573) 874-6824

1432 Southwest Blvd
Jefferson Cty, MO 65109
Phone (573) 632-5560

3218 W Edgewood Dr
Ste 500
Jefferson Cty, MO 65109
Phone (573) 644-9901

100 Mercy Way
Joplin, MO 64804
Phone (417) 556-2300

Interoperability endpoints

  • Direct secure messaging: dosoego505423@direct-ehr-ssmhc.com

Organizations & group practices 5

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.

Hospital & facility affiliations 1

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": "1456790400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579132800000",
    "number": "1518327790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "525 N. KEENE ST",
            "address_2": "STE 301",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652016967",
            "telephone_number": "573-449-2141",
            "fax_number": "573-875-2328"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 E. BDWY.",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652015844",
            "telephone_number": "573-815-8000",
            "fax_number": "573-557-2401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OSOEGO",
        "first_name": "DARA",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-03-01",
        "last_updated": "2020-01-16",
        "certification_date": "2020-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "2016020579",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, MO

Sources for this page

Verify at the official NPI Registry.