Tommi Jean Alcorn, FNP
Individual provider Active NPI Nurse Practitioner · Houston, MO
NPI 1538717871 · NPPES record last updated Nov 20, 2023
Key facts
- NPI
- 1538717871
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nurse Practitioner 363L00000X
- License
- 2019035915 (MO)
- Practice address
- 1337 S Sam Houston Blvd
Houston, MO 65483-2046 - Phone
- (417) 967-5435
- Fax
- (417) 967-5503
- NPI assigned
- Aug 29, 2019
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 20
Hospital & facility affiliations 3
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Texas County Memorial Hospital
CH Specialty Services Mo LLC
Curana Health of Missouri-Kansas LLC
Practice addresses (Care Compare)
1333 S Sam Houston Blvd
Houston, MO 65483-2046
1333 S Sam Houston Blvd a
TCMH Outpatient Clinic
Houston, MO 65483-2046
Phone (417) 967-1252
1335 S Sam Houston Blvd
Houston, MO 65483-2046
1337 S Sam Houston Blvd
Houston, MO 65483-2046
Phone (417) 967-5435
403 W Main St
Cole Camp, MO 65325-1144
Phone (337) 991-9276
Hospital & facility affiliations
- Home Health of the Ozarks
- Texas County 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 |
|---|---|---|---|---|
| I20191007000780 | MO | Practitioner - Nurse Practitioner | 7719218759 | Reassigns benefits to 5 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2012042941 | MO | MD | Registered Nurse |
| 2019035915 | MO | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Barnes Health Care Management Group LLC | Current |
Accepting new patients | |
| Curana Health of Missouri-Kansas LLC | Current |
Accepting new patients | |
| Barnes Health LLC | Current |
Accepting new patients | |
| Texas County Memorial Hospital | Current |
Accepting new patients | |
| CH Specialty Services Mo LLC | Current |
Accepting new patients | |
| Texas County Memorial Hospital | Current |
Accepting new patients | |
| Ozarks Medical Center | Past | Accepting new patients | |
| Texas County Memorial Hospital | Past | Accepting new patients | |
| Texas County Memorial Hospital | Past | Accepting new patients |
Locations
403 W Main St
Cole Camp, MO 65325
Phone (660) 668-4515
2101 Corona Rd
Ste 102
Columbia, MO 65203
Phone (573) 234-1800
1734 Market St
Hannibal, MO 63401
Phone (573) 221-2930
1333 Scenic Dr
Herculaneum, MO 63048
Phone (636) 931-2995
1337 S Sam Houston Blvd
Houston, MO 65483
Phone (417) 967-5435
1422 S Sam Houston Blvd
#C
Houston, MO 65483
Phone (417) 967-4445
1422 S Sam Houston Blvd
Houston, MO 65483
Phone (417) 967-1252
621 Carondelet Dr
Kansas City, MO 64114
Phone (816) 941-1300
11515 Troost Ave
Kansas City, MO 64131
Phone (813) 943-4104
2323 E 63rd St
Kansas City, MO 64130
Phone (816) 444-8161
400 SW Longview Blvd
Ste 200
Lees Summit, MO 64081
Phone (816) 477-7200
2041 Silva Ln
Moberly, MO 65270
Phone (660) 263-1894
1310 N Hovis St
Mountain Grove, MO 65711
Phone (417) 926-5128
4401 N Hanley Rd
Saint Louis, MO 63134
Phone (314) 521-7471
2800 Highway TT
#Four
Sedalia, MO 65301
Phone (660) 826-8803
1101 W Clay Rd
Versailles, MO 65084
Phone (573) 378-5312
1441 Charic Dr
Wildwood, MO 63021
Phone (636) 394-2522
Interoperability endpoints
- tommi.alcorn@bhm.gehrimeddirect.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 2012042941 | MO | |
| Family Nurse Practitioner | 363LF0000X | 2019035915 | MO | |
| Nurse Practitioner | 363L00000X | 2019035915 | MO | Yes |
Addresses
Primary practice location
1337 S Sam Houston Blvd
Houston, MO 65483-2046
Mailing address
1337 S Sam Houston Blvd
Houston, MO 65483-2046
Phone (417) 967-5435
Other practice location 1
1422 S Sam Houston Blvd
Houston, MO 65483-2130
Phone (417) 967-4445
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 26D0889777 | Other | MO | CLIA |
| 420075368 | Medicaid | MO |
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | Tommi.Alcorn@BHM.gehrimeddirect.com |
Other providers in Houston, MO
- Advanced Care Physical Therapy LLC
- Chrystal Shantell Akers
- Michel Anderson
- Angela Holden OD LLC
- Anne C. Ream, Optometry, PC
- John Christopher Badolian
- Christopher O Baldwin
All providers in Houston, MO · 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 Nov 20, 2023. 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.