Active NPI
Katie A Terry, NP
- Nurse Practitioner
- Windsor, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 2013006417
- 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
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 | 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 District
Practice addresses (Care Compare)
1771 Commercial St
Warsaw, MO 65355-3096
Phone (660) 438-5193
Hospital & facility affiliations
- Novus Lifecare
- Golden Valley Memorial Hospital
- Western Missouri Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Golden Valley Memorial Hospital District | Current | Accepting new patients | |
| Golden Valley Memorial Hospital District | Current | Accepting new patients | |
| Golden Valley Memorial Hospital District | Current | 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
- 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.
-
- Rural Health Clinic/Center
- Warsaw, MO
- NPI 1366490971
-
- Rural Health Clinic/Center
- Osceola, MO
- NPI 1124437918
-
- Rural Health Clinic/Center
- Windsor, MO
- NPI 1316995939
-
- General Acute Care Hospital
- Clinton, MO
- NPI 1710075361
-
- Clinic/Center
- Clinton, MO
- NPI 1396379830
-
- Medicare Defined Swing Bed Hospital Unit
- Clinton, MO
- NPI 1538257183
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Clinton, MO
- NPI 1710075361
Hospital
-
- Home Health Agency
- Clinton, MO
- NPI 1053208892
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2021; 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.