Individual provider Active NPI

Jane E Eaves, WHNP

  • Women's Health Nurse Practitioner
  • Sikeston, MO
National Provider Identifier
1598854945
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Women's Health Nurse PractitionerTaxonomy code 363LW0102X
License
083503 Issued in MO
Practice address
1013 N Main St
Sikeston, MO 63801-5043
Phone
(573) 472-7535
Fax
(573) 472-7787
NPI assigned
Oct 12, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Women's Health Nurse Practitioner 363LW0102X 083503 MO Primary

Addresses

Primary practice location

1013 N Main St
Sikeston, MO 63801-5043

Mailing address

1013 N Main St
Sikeston, MO 63801-5043
Phone (573) 472-7535

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
I20080129000101 MO Practitioner - Nurse Practitioner 7810079902 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of Texas Southwestern Medical School at Dallas, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Missouri Delta Medical CenterGroup PAC ID 1355252891, 134 clinicians

Practice addresses (Care Compare)

1008 N Main St
Sikeston, MO 63801-5044
Phone (573) 471-1600

1015 N Main St
Sikeston, MO 63801-5043
Phone (573) 472-7777

1017 N Main St
Sikeston, MO 63801-5043
Phone (573) 472-6030

1019 N Main St
Sikeston, MO 63801-5043
Phone (573) 472-7702

1106 N Main St
Missouri Delta Urology
Sikeston, MO 63801-5046
Phone (573) 471-8656

1118 N Main St
Sikeston, MO 63801-5046
Phone (573) 471-4417

1126 N Main St
Sikeston, MO 63801-5046
Phone (573) 471-4312

125 Plaza Dr
Sikeston, MO 63801-5136
Phone (573) 472-7124

135 Plaza Dr
Sikeston, MO 63801-5148

201 Plaza Dr
Sikeston, MO 63801-5110

201 Plaza Dr
Suite C
Sikeston, MO 63801-5105
Phone (573) 481-1072

203 Plaza Dr
Sikeston, MO 63801-5105
Phone (573) 475-6488

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Missouri Delta Medical Center CurrentSince Jan 1, 2008 Accepting new patients
Missouri Delta Medical Center CurrentSince Jan 1, 2008 Accepting new patients
Missouri Delta Medical Center Women's Health Past Accepting new patients

Locations

1013 N Main St
Sikeston, MO 63801
Phone (573) 472-7535

119 Smith Ave
Sikeston, MO 63801
Phone (573) 471-0662

1008 N Main St
Sikeston, MO 63801
Phone (573) 471-1600

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 2

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": "1160611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1598854945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1013 N MAIN ST",
            "city": "SIKESTON",
            "state": "MO",
            "postal_code": "638015043",
            "telephone_number": "573-472-7535",
            "fax_number": "573-472-7787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1013 N MAIN ST",
            "city": "SIKESTON",
            "state": "MO",
            "postal_code": "638015043",
            "telephone_number": "573-472-7535",
            "fax_number": "573-472-7787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EAVES",
        "first_name": "JANE",
        "middle_name": "E",
        "credential": "WHNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "MO",
            "license": "083503",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sikeston, MO

Sources for this page

Verify at the official NPI Registry.