Individual provider Active NPI

Tommi Jean Alcorn, FNP

  • Nurse Practitioner
  • Houston, MO
National Provider Identifier
1538717871
Registry record updated Nov 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
2019035915 Issued in 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
Last updated
Nov 20, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 2019035915 MO Primary
Family Nurse Practitioner 363LF0000X 2019035915 MO
Registered Nurse 163W00000X 2012042941 MO

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 2

IdentifierTypeStateIssuer
26D0889777OtherMOCLIA
420075368MedicaidMO

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address Tommi.Alcorn@BHM.gehrimeddirect.com

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
I20191007000780 MO Practitioner - Nurse Practitioner 7719218759 Reassigns benefits to 5 organizations

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
Texas County Memorial HospitalGroup PAC ID 9436041696, 30 clinicians
CH Specialty Services Mo LLCGroup PAC ID 0345614459, 108 clinicians
Curana Health of Missouri-Kansas LLCGroup PAC ID 4789716531, 143 clinicians

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

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2012042941MOMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
CH Specialty Services Mo LLC CurrentSince Oct 24, 2024 Accepting new patients
Barnes Health LLC CurrentSince Jul 17, 2023 Accepting new patients
Curana Health of Missouri-Kansas LLC CurrentSince Oct 25, 2024 Accepting new patients
Texas County Memorial Hospital CurrentSince Sep 17, 2019 Accepting new patients
Barnes Health Care Management Group LLC CurrentSince Dec 1, 2022 Accepting new patients
Texas County Memorial Hospital CurrentSince Sep 17, 2019 Accepting new patients
Texas County Memorial Hospital Past Accepting new patients
Texas County Memorial Hospital Past Accepting new patients
Ozarks Medical Center 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
Houston, MO 65483
Phone (417) 967-1252

1422 S Sam Houston Blvd
#C
Houston, MO 65483
Phone (417) 967-4445

11515 Troost Ave
Kansas City, MO 64131
Phone (813) 943-4104

2323 E 63rd St
Kansas City, MO 64130
Phone (816) 444-8161

621 Carondelet Dr
Kansas City, MO 64114
Phone (816) 941-1300

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

  • Direct secure messaging: tommi.alcorn@bhm.gehrimeddirect.com

Organizations & group practices 9

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 3

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": "1567036800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700438400000",
    "number": "1538717871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1337 S SAM HOUSTON BLVD",
            "city": "HOUSTON",
            "state": "MO",
            "postal_code": "654832046",
            "telephone_number": "417-967-5435",
            "fax_number": "417-967-5503"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1337 S SAM HOUSTON BLVD",
            "city": "HOUSTON",
            "state": "MO",
            "postal_code": "654832046",
            "telephone_number": "417-967-5435",
            "fax_number": "417-967-5503"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1422 S Sam Houston Blvd",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "MO",
            "postal_code": "654832130",
            "country_code": "US",
            "telephone_number": "417-967-4445",
            "fax_number": "417-967-4453",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ALCORN",
        "first_name": "TOMMI",
        "middle_name": "JEAN",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-29",
        "last_updated": "2023-11-20",
        "certification_date": "2023-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MO",
            "license": "2019035915",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "2019035915",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MO",
            "license": "2012042941",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA",
            "identifier": "26D0889777",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "420075368",
            "state": "MO"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Tommi.Alcorn@BHM.gehrimeddirect.com",
            "affiliation": "N",
            "address_1": "2101 Corona Rd Ste 102",
            "city": "Columbia",
            "state": "MO",
            "country_code": "US",
            "postal_code": "652032582",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Houston, MO

Sources for this page

Verify at the official NPI Registry.