Individual provider Active NPI

Steven R Barnes, FNP

  • Family Nurse Practitioner
  • Rogersville, MO
National Provider Identifier
1639168230
Registry record updated Jul 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
123392 Issued in MO
Practice address
101 S Main St
Rogersville, MO 65742-9357
Phone
(417) 753-9404
Fax
(417) 753-9137
NPI assigned
Oct 17, 2005
Last updated
Jul 28, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2022

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 123392 MO Primary

Addresses

Primary practice location

101 S Main St
Rogersville, MO 65742-9357

Mailing address

101 S Main St
Rogersville, MO 65742-9357
Phone (417) 753-9404

Other identifiers 2

IdentifierTypeStateIssuer
427477203MedicaidMO
P00162453OtherRR MEDICARE

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
I20090721000477 MO Practitioner - Nurse Practitioner 9537211610 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sgoh Acquisition IncGroup PAC ID 5092616276, 95 clinicians

Practice addresses (Care Compare)

101 S Main St
Rogersville, MO 65742-9357
Phone (417) 753-9404

106 S Hickory St
Mount Vernon, MO 65712-1407
Phone (417) 466-4110

108 S Hickory St
Mount Vernon, MO 65712-1407
Phone (417) 466-4110

543 W Hubble Dr
Marshfield, MO 65706-1532
Phone (417) 859-4878

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Primrose Nephrology, Inc. Current Accepting new patients

Locations

1540 E Evergreen St
Springfield, MO 65803
Phone (417) 823-2900

Organizations & group practices 2

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": "1129507200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658966400000",
    "number": "1639168230",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 S MAIN ST",
            "city": "ROGERSVILLE",
            "state": "MO",
            "postal_code": "657429357",
            "telephone_number": "417-753-9404",
            "fax_number": "417-753-9137"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 S MAIN ST",
            "city": "ROGERSVILLE",
            "state": "MO",
            "postal_code": "657429357",
            "telephone_number": "417-753-9404",
            "fax_number": "417-753-9137"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARNES",
        "first_name": "STEVEN",
        "middle_name": "R",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-17",
        "last_updated": "2022-07-28",
        "certification_date": "2022-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "123392",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "427477203",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P00162453",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rogersville, MO

Sources for this page

Verify at the official NPI Registry.