Individual provider Active NPI

Kristin Stovern, DNP, CNM, FACNM

  • Midwife
  • Joplin, MO
National Provider Identifier
1629005327
Registry record updated Mar 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
MidwifeTaxonomy code 176B00000X
License
146706 Issued in MO
Practice address
100 Mercy Way Ste 560
Joplin, MO 64804-4524
Phone
(417) 624-2621
Fax
(417) 624-4652
NPI assigned
Jun 27, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Midwife 176B00000X 146706 MO Primary

Addresses

Primary practice location

100 Mercy Way Ste 560
Joplin, MO 64804-4524

Mailing address

100 Mercy Way Ste 560
Joplin, MO 64804-4524
Phone (417) 624-2621

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: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20071226000048 MO Practitioner - Certified Nurse Midwife (CNM) 6901996206 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Nurse Midwife (CNM)
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mercy Clinic Joplin LLCGroup PAC ID 0547300196, 288 clinicians

Practice addresses (Care Compare)

2620 Cunningham Ave
Joplin, MO 64804-1542
Phone (417) 624-2621

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Clinic Joplin LLC CurrentSince Apr 1, 2020 Accepting new patients

Locations

2620 Cunningham Ave
Joplin, MO 64804
Phone (417) 624-2621

100 Mercy Way
Joplin, MO 64804
Phone (417) 556-2300

100 Mercy Way
Ste 540
Joplin, MO 64804
Phone (417) 556-6876

100 Mercy Way
Ste 560
Joplin, MO 64804
Phone (417) 556-8555

1102 W 32nd St
Ste 300
Joplin, MO 64804
Phone (417) 347-5000

Organizations & group practices 1

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 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": "1151366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711324800000",
    "number": "1629005327",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 MERCY WAY STE 560",
            "city": "JOPLIN",
            "state": "MO",
            "postal_code": "648044524",
            "telephone_number": "417-624-2621",
            "fax_number": "417-624-4652"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 MERCY WAY STE 560",
            "city": "JOPLIN",
            "state": "MO",
            "postal_code": "648044524",
            "telephone_number": "417-624-2621",
            "fax_number": "417-624-4652"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STOVERN",
        "first_name": "KRISTIN",
        "name_prefix": "Dr.",
        "credential": "DNP, CNM, FACNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-27",
        "last_updated": "2024-03-25",
        "certification_date": "2024-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "176B00000X",
            "taxonomy_group": "",
            "desc": "Midwife",
            "state": "MO",
            "license": "146706",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Joplin, MO

Sources for this page

Verify at the official NPI Registry.