Active NPI
Joshua Dale Milam, APRN
- Nurse Practitioner
- Poplar Bluff, MO
National Provider Identifier
1538735378
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 2021043561
- Practice address
- 3100 Oak Grove Rd
Poplar Bluff, MO 63901-1573 - Phone
- (573) 776-2000
- NPI assigned
- Jun 2, 2021
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 216077 | AR | |
| Nurse Practitioner | 363L00000X | 2021043561 | MO | Primary |
Addresses
Primary practice location
3100 Oak Grove Rd
Poplar Bluff, MO 63901-1573
Mailing address
824 E 8TH St
Rector, AR 72461-2400
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | Joshdale@hotmail.com | Direct |
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
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Poplar Bluff Emergency Physicians, LLC
Practice addresses (Care Compare)
3100 Oak Grove Rd
Poplar Bluff, MO 63901-1573
Phone (573) 776-2000
Hospital & facility affiliations
- Poplar Bluff Regional Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 50.12 of 100
- Quality
- 2.83
- Improvement activities
- 40
- Cost
- 82.51
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 216077 | AR | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Missouri HB Medical Services, LLC | Nurse Practitioner | Current | Accepting new patients |
Locations
3100 Oak Grove Rd
Rombauer, MO 63901
Phone (573) 776-2000
Organizations & group practices 1
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.
-
- Emergency Medicine Physician
- Poplar Bluff, MO
- NPI 1922868462
Nurse Practitioner
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Poplar Bluff, MO
- NPI 1700831724
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1622592000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1644451200000",
"number": "1538735378",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "824 E 8TH ST",
"city": "RECTOR",
"state": "AR",
"postal_code": "724612400"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3100 OAK GROVE RD",
"city": "POPLAR BLUFF",
"state": "MO",
"postal_code": "639011573",
"telephone_number": "573-776-2000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILAM",
"first_name": "JOSHUA",
"middle_name": "DALE",
"name_prefix": "Mr.",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-06-02",
"last_updated": "2022-02-10",
"certification_date": "2022-02-10",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "AR",
"license": "216077",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "MO",
"license": "2021043561",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "Joshdale@hotmail.com",
"affiliation": "N",
"endpointDescription": "Email",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "Email",
"address_1": "3100 Oak Grove Rd",
"city": "Poplar Bluff",
"state": "MO",
"country_code": "US",
"postal_code": "639011573",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Poplar Bluff, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2022; 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.