Renee C Rouse, PA-C
Individual provider Active NPI Physician Assistant · Pattonsburg, MO
NPI 1598740904 · NPPES record last updated Dec 2, 2010
Key facts
- NPI
- 1598740904
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- License
- 102653 (MO)
- Practice address
- 100 Central Ave
Pattonsburg, MO 64670 - Phone
- (660) 367-4304
- Fax
- (660) 367-4350
- NPI assigned
- Dec 8, 2005
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 18
Hospital & facility affiliations 5
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- Other, 1983
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Cameron Regional Medical Center Inc
Practice addresses (Care Compare)
1600 E Evergreen St
Cameron, MO 64429-2400
1608 E Evergreen St
Cameron, MO 64429-2400
221 E 7TH St
NW Mo OBGYN
Cameron, MO 64429-2400
Phone (816) 632-6100
903 N 25TH St
Bethany HLTH Srvcs
Bethany, MO 64424-1501
Phone (660) 425-7333
Hospital & facility affiliations
- Cameron Regional Medical Center
- Liberty Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 58.28 of 100
- Quality
- 38.51
- Improvement activities
- 40
- Cost
- 70.39
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 |
|---|---|---|---|---|
| I20100420000323 | MO | Practitioner - Physician Assistant | 6204963473 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cameron Regional Medical Center, Inc. | Current |
Accepting new patients | |
| Cameron Regional Medical Center | Current |
Accepting new patients | |
| Cameron Regional Medical Center Inc | Past | Accepting new patients |
Locations
1600 E Evergreen St
Ste C
Cameron, MO 64429
Phone (816) 632-2139
1600 E Evergreen St
Cameron, MO 64429
Phone (816) 632-2101
Interoperability endpoints
- https://fhir-usa.unify.chbase.com/org/cameron-3ccdc40c
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 102653 | MO | Yes |
Addresses
Primary practice location
100 Central Ave
Pattonsburg, MO 64670
Mailing address
1600 E Evergreen St
PO Box 557
Cameron, MO 64429-2400
Phone (816) 632-2101
Other providers in Pattonsburg, MO
- Cameron Regional Medical Center, Inc
- Harrison County Community Hospital District
- Harrison County Community Hospital District
All providers in Pattonsburg, MO · Physician Assistant in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 2, 2010. 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.