Individual provider Active NPI

Amanda Pleimann, D.O.

  • Family Medicine Physician
  • Cape Girardeau, MO
National Provider Identifier
1659722155
Registry record updated Oct 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
2017034142 Issued in MO
Practice address
817 S Mount Auburn Rd
Cape Girardeau, MO 63703-6383
Phone
(573) 519-4500
NPI assigned
Jun 26, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 2017034142 MO Primary

Addresses

Primary practice location

817 S Mount Auburn Rd
Cape Girardeau, MO 63703-6383

Mailing address

817 South Mount Auburn
Cape Girardeau, MO 63703
Phone (573) 519-4500

Other identifiers 1

IdentifierTypeStateIssuer
2017034142OtherMOMISSOURI STATE LICENSE

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190724000695 MO Practitioner - Family Practice 0244522621 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

817 S Mount Auburn Rd
Cape Girardeau, MO 63703-6383
Phone (573) 331-2600

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
Cross Trails Medical Center CurrentSince Jan 3, 2022 Accepting new patients
Cross Trails Medical Center CurrentSince Jan 3, 2022 Accepting new patients
Southeast Missouri Hospital Physicians, LLC Family Medicine CurrentSince Aug 1, 2019 Accepting new patients

Locations

307 W Gabriel St
Advance, MO 63730
Phone (573) 332-0808

817 S Mount Auburn Rd
Ste 200
Cape Girardeau, MO 63703
Phone (573) 519-4500

817 S Mount Auburn Rd
Cape Girardeau, MO 63703
Phone (573) 519-4500

408 S Broadview St
Cpe Girardeau, MO 63703
Phone (573) 332-0808

1701 Lacey St
Cpe Girardeau, MO 63701
Phone (573) 334-4822

Organizations & group practices 3

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 5

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": "1466899200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728432000000",
    "number": "1659722155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "817 SOUTH MOUNT AUBURN",
            "city": "CAPE GIRARDEAU",
            "state": "MO",
            "postal_code": "63703",
            "telephone_number": "573-519-4500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "817 S MOUNT AUBURN RD",
            "city": "CAPE GIRARDEAU",
            "state": "MO",
            "postal_code": "637036383",
            "telephone_number": "573-519-4500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PLEIMANN",
        "first_name": "AMANDA",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-26",
        "last_updated": "2024-10-09",
        "certification_date": "2024-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MO",
            "license": "2017034142",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MISSOURI STATE LICENSE",
            "identifier": "2017034142",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cape Girardeau, MO

Sources for this page

Verify at the official NPI Registry.