Individual provider Active NPI

Jacqueline Renee' Henbest, NP

  • Family Nurse Practitioner
  • Joplin, MO
National Provider Identifier
1609459932
Registry record updated Mar 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
2021010391 Issued in MO
Practice address
530 S Maiden LN
Joplin, MO 64801-3084
Phone
(417) 782-7209
Fax
(417) 355-9407
NPI assigned
May 4, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 26, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 2021010391 MO Primary

Addresses

Primary practice location

530 S Maiden LN
Joplin, MO 64801-3084

Mailing address

212 Sandy Forest LN
Clever, MO 65631-6840
Phone (417) 229-2188

Other practice location 1

1810 S Carnation Dr
Aurora, MO 65605-2162
Phone (417) 678-1260

Other identifiers 2

IdentifierTypeStateIssuer
26-0683057MedicaidMO
26-0683057OtherMOMEDICARE

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
I20220210001985 MO Practitioner - Nurse Practitioner 9537552708 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

530 S Maiden LN
Joplin, MO 64801-3084
Phone (417) 659-9100

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Ozark Tri-County Health Care Consortium Current Accepting new patients
Ozark Tri-County Health Care Consortium CurrentSince Feb 1, 2022 Accepting new patients
Ozark Tri-County Health Care Consortium Past Accepting new patients
Ozark Tri-County Health Care Consortium Past Accepting new patients

Locations

927 N Highway 71
Anderson, MO 64831
Phone (417) 845-2273

1810 S Carnation Dr
Aurora, MO 65605
Phone (417) 678-1260

4016 Main St
Cassville, MO 65625
Phone (417) 847-0057

530 S Maiden Ln
Unit Jm
Joplin, MO 64801

530 S Maiden Ln
Joplin, MO 64801
Phone (417) 223-4385

530 S Maiden Ln
Unit M
Joplin, MO 64801

210 W 10th St
Lamar, MO 64759
Phone (417) 681-0027

1504 N Business 49
#A
Neosho, MO 64850
Phone (417) 346-1201

Interoperability endpoints

  • Direct secure messaging: jacqueline.henbest@othcdafc.eclinicaldirectplus.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

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": "1620086400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742947200000",
    "number": "1609459932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "212 SANDY FOREST LN",
            "city": "CLEVER",
            "state": "MO",
            "postal_code": "656316840",
            "telephone_number": "417-229-2188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "530 S MAIDEN LN",
            "city": "JOPLIN",
            "state": "MO",
            "postal_code": "648013084",
            "telephone_number": "417-782-7209",
            "fax_number": "417-355-9407"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1810 S Carnation Dr",
            "address_purpose": "LOCATION",
            "city": "Aurora",
            "state": "MO",
            "postal_code": "656052162",
            "country_code": "US",
            "telephone_number": "417-678-1260",
            "fax_number": "417-678-1261",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HENBEST",
        "first_name": "JACQUELINE",
        "middle_name": "RENEE'",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-05-04",
        "last_updated": "2025-03-26",
        "certification_date": "2025-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "2021010391",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "26-0683057",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "26-0683057",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Joplin, MO

Sources for this page

Verify at the official NPI Registry.