Individual provider Active NPI

Katie A Terry, NP

  • Nurse Practitioner
  • Windsor, MO
National Provider Identifier
1659612554
Registry record updated Nov 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
2013006417 Issued in MO
Practice address
100 S Tebo St
Windsor, MO 65360-1161
Phone
(660) 647-2134
Fax
(660) 890-8491
NPI assigned
Mar 4, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 16, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 2013006417 MO Primary

Addresses

Primary practice location

100 S Tebo St
Windsor, MO 65360-1161

Mailing address

1088 NE Highway C
Calhoun, MO 65323-2020
Phone (660) 525-3169

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address katieterry@mhccaremail.com

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
I20130615000153 MO Practitioner - Nurse Practitioner 4385883701 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Golden Valley Memorial Hospital DistrictGroup PAC ID 4688561814, 138 clinicians

Practice addresses (Care Compare)

1771 Commercial St
Warsaw, MO 65355-3096
Phone (660) 438-5193

Hospital & facility affiliations

  • Novus Lifecare Home health agency, Clinton, MO, CCN 267182
  • Golden Valley Memorial Hospital Hospital, Clinton, MO, CCN 260175
  • Western Missouri Medical Center Hospital, Warrensburg, MO, CCN 260097

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Golden Valley Memorial Hospital District Current Accepting new patients
Golden Valley Memorial Hospital District CurrentSince Apr 1, 2013 Accepting new patients
Golden Valley Memorial Hospital District CurrentSince Apr 1, 2013 Accepting new patients
Golden Valley Memorial Hospital District Past Accepting new patients

Locations

1602 N 2nd St
Clinton, MO 64735
Phone (660) 885-8171

1600 N 2nd St
Clinton, MO 64735
Phone (660) 885-8171

100 S Tebo St
Windsor, MO 65360
Phone (660) 647-2134

Interoperability endpoints

  • Direct secure messaging: katieterry@mhccaremail.com

Organizations & group practices 7

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 3

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": "1362355200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1637020800000",
    "number": "1659612554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1088 NE HIGHWAY C",
            "city": "CALHOUN",
            "state": "MO",
            "postal_code": "653232020",
            "telephone_number": "660-525-3169"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 S TEBO ST",
            "city": "WINDSOR",
            "state": "MO",
            "postal_code": "653601161",
            "telephone_number": "660-647-2134",
            "fax_number": "660-890-8491"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TERRY",
        "first_name": "KATIE",
        "middle_name": "A",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-03-04",
        "last_updated": "2021-11-16",
        "certification_date": "2021-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MO",
            "license": "2013006417",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "katieterry@mhccaremail.com",
            "affiliation": "N",
            "address_1": "100 S Tebo St",
            "city": "Windsor",
            "state": "MO",
            "country_code": "US",
            "postal_code": "653601161",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Windsor, MO

Sources for this page

Verify at the official NPI Registry.