NPIMap

Individual provider Active NPI

Cary Dean Adkisson, F.N.P.

  • Family Nurse Practitioner
  • Columbia, MO
National Provider Identifier
1659843530
Registry record updated Jan 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
2018044469 Issued in MO
Practice address
105 N Keene St Ste 201
Columbia, MO 65201-8131
Phone
(573) 499-4990
Fax
(573) 442-2120
NPI assigned
Dec 17, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2025

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 2018044469 MO Primary

Addresses

Primary practice location

105 N Keene St Ste 201
Columbia, MO 65201-8131

Mailing address

1705 E Broadway Ste 100
Columbia, MO 65201-7167
Phone (573) 874-8700

Other practice location 1

1000 W Nifong Blvd Ste 210
Columbia, MO 65203-5615
Phone (573) 882-5673

Other practice location 2

2305 S Highway 65
Marshall, MO 65340-3702
Phone (660) 886-7431

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address Cary.Adkisson@mca.ikm.direct-ci.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190312001421 MO Practitioner - Nurse Practitioner 3072852961 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Missouri Cancer Associates LLC 22 clinicians
Southeastern Emergency Physicians of Memphis LLC 92 clinicians

Practice addresses (Care Compare)

105 N Keene St
201 Urology Associates of Central Missouri
Columbia, MO 65201-8401
Phone (573) 499-4990

1600 E Broadway
Boone Hospital Center
Columbia, MO 65201-5844
Phone (573) 875-4545

Hospital & facility affiliations

  • Boone Hospital Center Hospital, Columbia, MO, CCN 260068
  • Fitzgibbon Hospital Hospital, Marshall, MO, CCN 260142

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2018044469MOMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Missouri Cancer Associates LLC CurrentSince Dec 15, 2024 Accepting new patients
Compass Health, Inc CurrentSince May 13, 2024 Accepting new patients
Southeastern Emergency Physicians of Memphis LLC CurrentSince Feb 1, 2026 Accepting new patients
Providence Urgent Care LLC CurrentSince Jul 29, 2009 Accepting new patients
Compass Health, Inc CurrentSince May 13, 2024 Accepting new patients
Missouri Cancer Associates LLC CurrentSince Dec 15, 2024 Accepting new patients
Curators of the University of Missouri PastSince Oct 1, 2020 Accepting new patients

Locations

2372 Paysphere Cir
Chicago, IL 60674

1800 Community
Clinton, MO 64735
Phone (660) 885-8131

1800 Community
#B
Clinton, MO 64735

105 N Keene St
Ste 201
Columbia, MO 65201
Phone (573) 499-4990

1600 E Broadway
Columbia, MO 65201
Phone (573) 632-5000

1705 E Broadway
Ste 100
Columbia, MO 65201
Phone (573) 874-7800

202 E Nifong Blvd
Columbia, MO 65203
Phone (573) 874-6824

1101 N Providence Rd
Columbia, MO 65203
Phone (573) 777-8997

1 Hospital Dr
Columbia, MO 65212
Phone (573) 882-2568

2305 S Highway 65
Bldg A
Marshall, MO 65340
Phone (660) 886-7800

2305 S Highway 65
Marshall, MO 65340
Phone (660) 831-3730

54 Hospital Dr
Osage Beach, MO 65065
Phone (573) 280-2772

Interoperability endpoints

  • Direct secure messaging: cary.adkisson@mca.ikm.direct-ci.com
  • Direct secure messaging: cary.adkisson@115443077021700.direct.elationemr.com

Organizations & group practices 8

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 14

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 14

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1545004800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738195200000",
    "number": "1659843530",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1705 E BROADWAY STE 100",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652017167",
            "telephone_number": "573-874-8700",
            "fax_number": "573-607-3878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 N KEENE ST STE 201",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652018131",
            "telephone_number": "573-499-4990",
            "fax_number": "573-442-2120"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1000 W Nifong Blvd Ste 210",
            "address_purpose": "LOCATION",
            "city": "Columbia",
            "state": "MO",
            "postal_code": "652035615",
            "country_code": "US",
            "telephone_number": "573-882-5673",
            "fax_number": "573-884-4625",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2305 S Highway 65",
            "address_purpose": "LOCATION",
            "city": "Marshall",
            "state": "MO",
            "postal_code": "653403702",
            "country_code": "US",
            "telephone_number": "660-886-7431",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ADKISSON",
        "first_name": "CARY",
        "middle_name": "DEAN",
        "credential": "F.N.P.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-12-17",
        "last_updated": "2025-01-30",
        "certification_date": "2025-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "2018044469",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Cary.Adkisson@mca.ikm.direct-ci.com",
            "affiliation": "N",
            "address_1": "105 N Keene St Ste 201",
            "city": "Columbia",
            "state": "MO",
            "country_code": "US",
            "postal_code": "652018131",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Columbia, MO

Sources for this page

Verify at the official NPI Registry.