Amanda Jo Rogers, NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

2004018896 Issued in MO

Practice address

307 S Broadway
Salisbury, MO 65281-1037

Phone

(660) 388-6446

Fax

(660) 388-6870

NPI assigned

Jun 17, 2015

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Compass Health, Inc

  • Community/Behavioral Health Agency
  • Clinton, MO
  • NPI 1285619494
  Medicare reassignment NPD
• Compass Health, Inc

  • Federally Qualified Health Center (FQHC)
  • Rolla, MO
  • NPI 1558258632
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1434499200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560470400000",
    "number": "1629459367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 W WORLEY ST",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652032037",
            "telephone_number": "573-886-6741",
            "fax_number": "573-607-2885"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "307 S BROADWAY",
            "city": "SALISBURY",
            "state": "MO",
            "postal_code": "652811037",
            "telephone_number": "660-388-6446",
            "fax_number": "660-388-6870"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1600 N Missouri Ave",
            "address_purpose": "LOCATION",
            "city": "Marceline",
            "state": "MO",
            "postal_code": "646581012",
            "country_code": "US",
            "telephone_number": "660-376-8000",
            "fax_number": "660-376-3011",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROGERS",
        "first_name": "AMANDA",
        "middle_name": "JO",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-06-17",
        "last_updated": "2019-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "2004018896",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Samantha Massie
• Carla Lue Maylee, NURSE PRACTITIONER
• Missouri CVS Pharmacy, L.L.C.
• Moberly Hospital Company LLC
• Peninsula Renal Care
• Root Awakening LLC
• Salisbury Physical Therapy
• Salisbury Physical Therapy and Fitness
• Amanpreet Singh Sandhu, DMD
• School Dist R4 Salisbury

• Family Nurse Practitioner in Salisbury, MO
• Providers in Salisbury, MO by specialty
• Family Nurse Practitioner in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.