Michelle A Hassard, APRN FNP
Individual provider Active NPI Nurse Practitioner · Sullivan, MO
NPI 1558023903 · NPPES record last updated Sep 22, 2025
Key facts
- NPI
- 1558023903
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nurse Practitioner 363L00000X
- License
- 2021017741 (MO)
- Practice address
- 965 Mattox Dr
Sullivan, MO 63080-2365 - Phone
- (573) 860-6000
- NPI assigned
- Oct 12, 2021
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 9
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Missouri Baptist Hospital of Sullivan
Practice addresses (Care Compare)
721 Sappington Bridge Rd
Sullivan, MO 63080-2354
751 Sappington Bridge Rd
Sullivan, MO 63080-2354
Phone (573) 468-4186
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 |
|---|---|---|---|---|
| I20211028001420 | MO | Practitioner - Nurse Practitioner | 7618365347 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2021017741 | MO | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Missouri Baptist Hospital of Sullivan | Current |
Accepting new patients | |
| Missouri Baptist Hospital of Sullivan | Current |
Accepting new patients | |
| Missouri Baptist Hospital of Sullivan | Current | Accepting new patients |
Locations
240 College St
Bourbon, MO 65441
Phone (573) 732-5004
102 Ozark Dr
#B
Cuba, MO 65453
Phone (573) 860-6600
510 W Main St
Steelville, MO 65565
Phone (573) 468-4186
965 Mattox Dr
Sullivan, MO 63080
Phone (573) 468-7054
Interoperability endpoints
- https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2/
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 2021017741 | MO | Yes |
| Family Nurse Practitioner | 363LF0000X | 2021017741 | MO |
Addresses
Primary practice location
965 Mattox Dr
Sullivan, MO 63080-2365
Mailing address
965 Mattox Dr
Sullivan, MO 63080-2365
Phone (573) 860-6000
Other practice location 1
1000 N Jefferson St
Saint James, MO 65559-1078
Phone (573) 265-8840
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| FHIR URL | https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2/ | Health Information Exchange (HIE) |
Other providers in Sullivan, MO
- Terrie Haggey
- Doris Marie Hallam
- John Hamblin
- Rebecca M Hankins-Farber
- Craig Harris
- Raysham Hayat
- Brittney Renee Haymer
- Courtney Rae Heine
- Nicole Herbel
- Kirsten Heyer
All providers in Sullivan, 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 Sep 22, 2025. 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.