NPIMap

Individual provider Active NPI

Craig Karnes, PA

  • Physician Assistant
  • Springfield, MO
National Provider Identifier
1548709355
Registry record updated Sep 4, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
2017003631 Issued in MO
Practice address
3800 S National Ave Ste 600
Springfield, MO 65807-5249
Phone
(417) 875-3846
NPI assigned
Feb 14, 2017
Last updated
Sep 4, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 2017003631 MO Primary

Addresses

Primary practice location

3800 S National Ave Ste 600
Springfield, MO 65807-5249

Mailing address

PO Box 9007
Springfield, MO 65808-9007
Phone (417) 875-3000

Other practice location 1

500 Porter Ave
Aurora, MO 65605-2365
Phone (417) 678-7888

Other identifiers 2

IdentifierTypeStateIssuer
220040369MedicaidMO
PENDINGMedicaidMO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170216001430 MO Practitioner - Physician Assistant 4486937406 Reassigns benefits to 8 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lester E Cox Medical CentersGroup PAC ID 8628092897, 243 clinicians
Mercy Clinic Springfield CommunitiesGroup PAC ID 7416865845, shared by 26 NPIs, 1,121 clinicians

Practice addresses (Care Compare)

1001 E Primrose
Springfield, MO 65807-5155

1001 E Primrose St
Springfield, MO 65807-5155

1235 E Cherokee St
Springfield, MO 65804-2203

2115 S Fremont Ave
3050 MC Infectious Disease Whiteside
Springfield, MO 65804-2236
Phone (417) 820-3905

3801 S National
Ferrell Duncan Clinic
Springfield, MO 65807-5210
Phone (417) 269-6000

3801 S National Ave
900 Neurology
Springfield, MO 65807-5210
Phone (417) 269-6000

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
2017003631MOMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Lester E Cox Medical Centers CurrentSince Mar 1, 2026 Accepting new patients
Mercy Clinic Springfield Communities CurrentSince Oct 27, 2024 Accepting new patients
Mercy Hospital Cassville CurrentSince Feb 27, 2017 Accepting new patients
Mercy Hospital Aurora CurrentSince Feb 27, 2017 Accepting new patients
Lester E Cox Medical Centers CurrentSince Sep 1, 2020 Accepting new patients
Mercy Clinic Springfield Communities CurrentSince Jun 4, 2018 Accepting new patients
Lester E Cox Medical Centers CurrentSince Mar 1, 2026 Accepting new patients
Mercy Clinic Springfield Communities CurrentSince Jun 4, 2018 Accepting new patients
Lester E Cox Medical Centers Past Accepting new patients

Locations

500 Porter Ave
Aurora, MO 65605
Phone (417) 678-2122

94 Main St
Cassville, MO 65625
Phone (417) 782-7722

100 Hospital Dr
Lebanon, MO 65536
Phone (417) 533-6010

1000 W 10th St
Rolla, MO 65401
Phone (573) 364-9000

1605 Martin Springs Dr
Rolla, MO 65401
Phone (573) 458-6379

1001 E Primrose St
Springfield, MO 65807
Phone (417) 875-3434

1819 S National Ave
Springfield, MO 65804
Phone (417) 269-2700

2115 S Fremont Ave
Ste 3050
Springfield, MO 65804
Phone (417) 820-3905

3800 S National Ave
Ste 600
Springfield, MO 65807
Phone (417) 269-1499

3801 S National Ave
Springfield, MO 65807
Phone (417) 269-4056

3801 S National Ave
Ste 1122
Springfield, MO 65807

Organizations & group practices 10

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 12

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": "1487030400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599177600000",
    "number": "1548709355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9007",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658089007",
            "telephone_number": "417-875-3000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3800 S NATIONAL AVE STE 600",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658075249",
            "telephone_number": "417-875-3846"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "500 Porter Ave",
            "address_purpose": "LOCATION",
            "city": "Aurora",
            "state": "MO",
            "postal_code": "656052365",
            "country_code": "US",
            "telephone_number": "417-678-7888",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KARNES",
        "first_name": "CRAIG",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-02-14",
        "last_updated": "2020-09-04",
        "certification_date": "2020-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MO",
            "license": "2017003631",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "220040369",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PENDING",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, MO

Sources for this page

Verify at the official NPI Registry.