Active NPI
Lidia Miclea
- Nurse Practitioner
- Branson, MO
National Provider Identifier
1629914452
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 2026017774
- Practice address
- 101 Skaggs Rd Ste 103
Branson, MO 65616-2062 - Phone
- (000) 000-0000
- NPI assigned
- Apr 24, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 2026017774 | MO | Primary |
Addresses
Primary practice location
101 Skaggs Rd Ste 103
Branson, MO 65616-2062
Mailing address
PO Box 7411626
Chicago, IL 60674-5626
Other practice location 1
3525 S National Ave Ste 101
Springfield, MO 65807-7315
Phone (000) 000-0000
Other names 1
- Lidia Ciobanas
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2025
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
PO Box
Chicago, IL 60674
PO Box
Suite 7411626
Chicago, IL 60674-5626
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2026017774 | MO | MD | Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1776988800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1786579200000",
"number": "1629914452",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 7411626",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606745626"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 SKAGGS RD STE 103",
"city": "BRANSON",
"state": "MO",
"postal_code": "656162062",
"telephone_number": "000-000-0000"
}
],
"practiceLocations": [
{
"address_1": "3525 S National Ave Ste 101",
"address_purpose": "LOCATION",
"city": "Springfield",
"state": "MO",
"postal_code": "658077315",
"country_code": "US",
"telephone_number": "000-000-0000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MICLEA",
"first_name": "LIDIA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-04-24",
"last_updated": "2026-08-13",
"certification_date": "2026-08-13",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "MO",
"license": "2026017774",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "LIDIA",
"last_name": "CIOBANAS",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Branson, MO
- Mercy Hospital Springfield (Mercy Hospital Springfield Physical Therapy Branson)
- Mercy Hospital Springfield (Mercy Medical Supply)
- Mercy Hospital Springfield (Mercy Therapy Services-Branson Highway 248)
- Ashley P. Merrick, MD
- Larry Wayne Meyer, M.D.
- Mike Stuart Enterprises Inc (Lakeland Pharmacy)
- Mike Stuart Enterprises, Inc. (Lakeland Pharmacy)
- Louis E Mire, MD
- Missouri CVS Pharmacy LLC (CVS Pharmacy#10003)
- Missouri CVS Pharmacy LLC (CVS Pharmacy #17184)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2026; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.