Individual provider Active NPI

Joshua David Delozier, DNAP

  • Certified Registered Nurse Anesthetist
  • Moberly, MO
National Provider Identifier
1598320558
Registry record updated Sep 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
2019019014 Issued in MO
Practice address
1515 Union Ave
Moberly, MO 65270-9407
Phone
(660) 263-8400
NPI assigned
May 6, 2019
Last updated
Sep 26, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 2019019014 MO Primary

Addresses

Primary practice location

1515 Union Ave
Moberly, MO 65270-9407

Mailing address

411 Grapevine CT
Columbia, MO 65203-3859
Phone (573) 529-0668

Other practice location 1

1400 E Downing St
Tahlequah, OK 74464-3324
Phone (918) 456-0641

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address joshua.delozier.1@2622.direct.athenahealth.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO, OK2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20190724000096 MO Practitioner - Certified Registered Nurse Anesthetist (Crna) 8426384876 Reassigns benefits to 4 organizations
I20230404002858 OK Practitioner - Certified Registered Nurse Anesthetist (Crna) 8426384876 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Missouri Medical College, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Northeastern Health SystemGroup PAC ID 1456255025, 105 clinicians
Moberly Medical Clinics IncGroup PAC ID 8426031592, 11 clinicians

Practice addresses (Care Compare)

1400 E Downing St
Tahlequah, OK 74464-3324
Phone (918) 456-0641

1515 Union Ave
Moberly, MO 65270-9407
Phone (660) 263-2400

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Moberly Medical Clinics Inc CurrentSince Oct 1, 2022 Accepting new patients
Sullivan County Memorial Hospital CurrentSince May 19, 2025 Accepting new patients
Sullivan County Memorial Hospital CurrentSince Dec 1, 2025 Accepting new patients
Jefferson City Medical Group, P.C. Current Accepting new patients
Northeastern Health System CurrentSince Sep 1, 2023 Accepting new patients
Moberly Medical Clinics Inc CurrentSince Oct 1, 2022 Accepting new patients
Jefferson City Medical Group, P.C. CurrentSince Feb 1, 2022 Accepting new patients
Northeastern Health System Current Accepting new patients
Emergenchealth PLLC Nurse Anesthetist, Certified Registered CurrentSince Jul 10, 2023 Accepting new patients
Sullivan County Memorial Hospital CurrentSince May 19, 2025 Accepting new patients
Jefferson City Medical Group, P.C. CurrentSince Feb 1, 2022 Accepting new patients
Jefferson City Medical Group, P.C. Current Accepting new patients
Northeastern Health System CurrentSince Sep 1, 2023 Accepting new patients
Anesthesia Medical Professionals, PLLC CurrentSince Jan 1, 2023 Accepting new patients

Locations

1600 E Broadway
Columbia, MO 65201
Phone (573) 632-5000

1125 Madison St
Jefferson Cty, MO 65101
Phone (573) 632-5000

1241 W Stadium Blvd
Jefferson Cty, MO 65109
Phone (573) 556-5771

630 W 3rd St
Milan, MO 63556
Phone (660) 265-1077

1515 Union Ave
Moberly, MO 65270
Phone (660) 263-2400

4801 Integris Pkwy
Edmond, OK 73034
Phone (405) 657-3000

10512 N 110th East Ave
Owasso, OK 74055
Phone (918) 272-1172

1400 E Downing St
Tahlequah, OK 74464
Phone (918) 456-0641

1120 S Utica Ave
Tulsa, OK 74104
Phone (918) 579-6090

Interoperability endpoints

  • FHIR API: https://fhir-usa.unify.chbase.com/org/sulliva-d2785c8f

Organizations & group practices 14

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.

View all 14

Hospital & facility affiliations 6

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": "1557100800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695686400000",
    "number": "1598320558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "411 GRAPEVINE CT",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652033859",
            "telephone_number": "573-529-0668"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1515 UNION AVE",
            "city": "MOBERLY",
            "state": "MO",
            "postal_code": "652709407",
            "telephone_number": "660-263-8400"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1400 E Downing St",
            "address_purpose": "LOCATION",
            "city": "Tahlequah",
            "state": "OK",
            "postal_code": "744643324",
            "country_code": "US",
            "telephone_number": "918-456-0641",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DELOZIER",
        "first_name": "JOSHUA",
        "middle_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "DNAP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-05-06",
        "last_updated": "2023-09-26",
        "certification_date": "2023-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "MO",
            "license": "2019019014",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "joshua.delozier.1@2622.direct.athenahealth.com",
            "affiliation": "N",
            "endpointDescription": "AMR direct address",
            "address_1": "1515 Union Ave",
            "city": "Moberly",
            "state": "MO",
            "country_code": "US",
            "postal_code": "652709407",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Moberly, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.