Amy Marie Herbst

Individual provider Active NPI Psychiatric/Mental Health Nurse Practitioner · Monett, MO

NPI 1639739626 · NPPES record last updated Jul 23, 2026

Key facts

NPI
1639739626
Entity type
Individual (NPI type 1)
Primary specialty
Psychiatric/Mental Health Nurse Practitioner 363LP0808X
License
2019021583 (MO)
Practice address
411 3Rd St
Monett, MO 65708-2008
Phone
(417) 476-1000
Fax
(417) 943-5540
NPI assigned
Jun 20, 2019
Sex
Female
Sole proprietor
No

Organizations & group practices 6

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.

Medicare Care Compare profile

Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Ozark Tri-County Health Care Consortium (38 clinicians)

Practice addresses (Care Compare)

530 S Maiden LN
Joplin, MO 64801-3084
Phone (417) 782-6200

Medicare participation

Medicare fee-for-service enrollment
Enrolled in MO
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20190715003504 MO Practitioner - Nurse Practitioner 3870828783 Reassigns benefits to 3 organizations

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Bootheel Counseling Services Current
since Sep 22, 2020
Accepting new patients
Clark Community Mental Health Center Current
since Jun 18, 2019
Accepting new patients
Bootheel Counseling Services Current
since Sep 22, 2020
Accepting new patients
Clark Community Mentalhealth Center Past
since Jun 18, 2019
Accepting new patients
Bootheel Counseling Services Past
since Dec 3, 2023
Accepting new patients

Locations

411 3rd St
Monett, MO 65708
Phone (417) 235-6610

104 W Main St
Pierce City, MO 65723
Phone (417) 235-6610

760 Plantation Blvd
Sikeston, MO 63801
Phone 5734710880245

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 2019021583 MO Yes

Addresses

Primary practice location

411 3Rd St
Monett, MO 65708-2008

Mailing address

PO Box 100
Pierce City, MO 65723-2100
Phone (417) 476-1013

Other providers in Monett, MO

All providers in Monett, MO · Psychiatric/Mental Health Nurse Practitioner in Missouri

Sources for this page

Verify at the official NPI Registry.