Individual provider Active NPI

Maureen Rise, APRN

  • Family Nurse Practitioner
  • Rolla, MO
National Provider Identifier
1548929797
Registry record updated Sep 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
2021047291 Issued in MO
Practice address
1605 Martin Springs Dr Ste 230
Rolla, MO 65401-2980
Phone
(573) 458-6326
NPI assigned
Dec 15, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2022

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 2021047291 MO Primary

Addresses

Primary practice location

1605 Martin Springs Dr Ste 230
Rolla, MO 65401-2980

Mailing address

1605 Martin Springs Dr Ste 230
Rolla, MO 65401-2980
Phone (573) 458-6326

Other practice location 1

179 Lobo Ln
Middle Brook, MO 63656-7685
Phone (573) 546-4382

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
I20220914001549 MO Practitioner - Nurse Practitioner 4688059447 Reassigns benefits to 2 organizations

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
Mercy Clinic Springfield CommunitiesGroup PAC ID 7416865845, shared by 26 NPIs, 1,121 clinicians

Practice addresses (Care Compare)

1605 Martin Springs Dr
Suite 230
Rolla, MO 65401-2980
Phone (573) 458-6350

3231 S National Ave
Springfield, MO 65807-7304
Phone (417) 888-6735

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Clinic Springfield Communities CurrentSince Jul 25, 2022 Accepting new patients
Mercy Clinic Springfield Communities Family CurrentSince Jul 25, 2022 Accepting new patients
Mercy Clinic Springfield Communities CurrentSince Jul 25, 2022 Accepting new patients

Locations

1605 Martin Springs Dr
Ste 330
Rolla, MO 65401
Phone (573) 458-6379

1605 Martin Springs Dr
Ste 230
Rolla, MO 65401
Phone (573) 458-6326

1605 Martin Springs Dr
Ste 210
Rolla, MO 65401
Phone (573) 458-6326

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

3231 S National Ave
Ste 130
Springfield, MO 65807
Phone (417) 888-5665

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

Interoperability endpoints

  • Direct secure messaging: mrise1300290@directc.mercy.net

Organizations & group practices 3

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 5

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": "1639526400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663632000000",
    "number": "1548929797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1605 MARTIN SPRINGS DR STE 230",
            "city": "ROLLA",
            "state": "MO",
            "postal_code": "654012980",
            "telephone_number": "573-458-6326"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1605 MARTIN SPRINGS DR STE 230",
            "city": "ROLLA",
            "state": "MO",
            "postal_code": "654012980",
            "telephone_number": "573-458-6326"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "179 Lobo Ln",
            "address_purpose": "LOCATION",
            "city": "Middle Brook",
            "state": "MO",
            "postal_code": "636567685",
            "country_code": "US",
            "telephone_number": "573-546-4382",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RISE",
        "first_name": "MAUREEN",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-12-15",
        "last_updated": "2022-09-20",
        "certification_date": "2022-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "2021047291",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rolla, MO

Sources for this page

Verify at the official NPI Registry.