Active NPI
Tonya Ranee Herbst, FNP-C
- Nurse Practitioner
- Farmington, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 2017026638
- Practice address
- 1103 W Liberty St
Farmington, MO 63640-1921 - Phone
- (573) 756-6751
- NPI assigned
- Aug 25, 2017
- Sex
- Female
- 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 | 2017026638 | MO | |
| Nurse Practitioner | 363L00000X | 2017026638 | MO | Primary |
Addresses
Primary practice location
1103 W Liberty St
Farmington, MO 63640-1921
Mailing address
1103 W Liberty St
Farmington, MO 63640-1921
Phone (573) 756-6751
Other practice location 1
55 Nesbit Dr
Bonne Terre, MO 63628-1353
Phone (573) 358-1700
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| FHIR URL | https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2/ | Health Information Exchange (HIE) |
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, 2017
- Medicare assignment
- May accept Medicare assignment
- Group practices
Practice addresses (Care Compare)
1390 US Hwy 61
Suite N1500
Festus, MO 63028-4137
Phone (636) 717-6720
606 Maple Valley Dr
Farmington, MO 63640-1976
Phone (573) 756-7779
Hospital & facility affiliations
- Mercy Hospital Jefferson
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2017026638 | MO | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Van Ness Orthopedics & Sports Medicine Inc | Current | Accepting new patients | |
| Mercy Clinic Surgical Specialists, LLC | Current | Accepting new patients | |
| Jesse Beard Orthopedics LLC | Current | Accepting new patients | |
| Mercy Clinic East Communities | Past | Accepting new patients |
Locations
1390 US Highway 61
Ste N1500
Crystal Cty, MO 63028
Phone (636) 933-5055
1101 W Liberty St
Farmington, MO 63640
Phone (573) 705-1272
606 Maple Valley Dr
Farmington, MO 63640
Phone (573) 756-7779
621 S New Ballas Rd
Ste 3005B
Saint Louis, MO 63141
Phone (314) 251-7070
Organizations & group practices 4
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.
-
- Vascular Surgery Physician
- Washington, MO
- NPI 1043530538
-
- Orthopaedic Surgery Physician
- Farmington, MO
- NPI 1477579860
-
- Sports Medicine (Orthopaedic Surgery) Physician
- Farmington, MO
- NPI 1760073506
-
- Internal Medicine Physician
- Saint Louis, MO
- NPI 1851335228
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Festus, MO
- NPI 1508859661
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1503619200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1637625600000",
"number": "1578080099",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1103 W LIBERTY ST",
"city": "FARMINGTON",
"state": "MO",
"postal_code": "636401921",
"telephone_number": "573-756-6751"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1103 W LIBERTY ST",
"city": "FARMINGTON",
"state": "MO",
"postal_code": "636401921",
"telephone_number": "573-756-6751"
}
],
"practiceLocations": [
{
"address_1": "55 Nesbit Dr",
"address_purpose": "LOCATION",
"city": "Bonne Terre",
"state": "MO",
"postal_code": "636281353",
"country_code": "US",
"telephone_number": "573-358-1700",
"fax_number": "573-358-1702",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HERBST",
"first_name": "TONYA",
"middle_name": "RANEE",
"credential": "FNP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-08-25",
"last_updated": "2021-11-23",
"certification_date": "2021-11-23",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MO",
"license": "2017026638",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "MO",
"license": "2017026638",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "FHIR",
"endpointTypeDescription": "FHIR URL",
"endpoint": "https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2/",
"affiliation": "N",
"endpointDescription": "BJC",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "1103 W Liberty St",
"city": "Farmington",
"state": "MO",
"country_code": "US",
"postal_code": "636401921",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Farmington, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2021; 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.