Joyce A Barklow, FNP
Individual provider Active NPI Family Nurse Practitioner · Poplar Bluff, MO
NPI 1609157403 · NPPES record last updated Sep 7, 2011
Key facts
- NPI
- 1609157403
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 2011028680 (MO)
- Practice address
- 225 Physicians Park
Suite 203
Poplar Bluff, MO 63901-3956 - Phone
- (573) 686-4750
- Fax
- (573) 686-4753
- NPI assigned
- Sep 7, 2011
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 2
Hospital & facility affiliations 3
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- North Gilliam County Health District
Practice addresses (Care Compare)
110 Shane St
BLDG on
Arlington, OR 97812-2070
Phone (541) 454-2888
Hospital & facility affiliations
- Adventist Health Home Care
- Good Shepherd Medical Center
- Mid-Columbia Medical Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OR
- 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 |
|---|---|---|---|---|
| I20150212001328 | OR | Practitioner - Nurse Practitioner | 3577739663 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North Gilliam County Health District | Family | Current |
Accepting new patients |
| North Gilliam County Health District | Current |
Accepting new patients |
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/JCBEBD/Endpoint/JCBEBD
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 2011028680 | MO | Yes |
Addresses
Primary practice location
225 Physicians Park
Suite 203
Poplar Bluff, MO 63901-3956
Mailing address
879 County Road 465
Poplar Bluff, MO 63901-2890
Phone (573) 686-2600
Other providers in Poplar Bluff, MO
- Eva M Baltz
- Aaron Daniel Barbour
- John Daniel Barbour
- Jo Anna Barker
- Lauren Barker
- Lee Michael Barnes
- Magen Barnes
- Cassie C Barnett
- Savannah Sue-Ann Barnett
- Craig M Barwick
All providers in Poplar Bluff, MO · Family 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 7, 2011. 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.