Active NPI
Dawn Michelle Buchanan, RN, MSN, NP-C
- Family Nurse Practitioner
- Rolla, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 2012035664
- Practice address
- 1050 W 10TH St
Suite 350
Rolla, MO 65401-2905 - Phone
- (573) 458-3350
- NPI assigned
- Apr 26, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | SD-RN R034321 | SD | |
| Family Nurse Practitioner | 363LF0000X | SD-CNP CP000610 | SD | |
| Family Nurse Practitioner | 363LF0000X | 2012035664 | MO | Primary |
| Registered Nurse | 163W00000X | 2004008434 | MO |
Addresses
Primary practice location
1050 W 10TH St
Suite 350
Rolla, MO 65401-2905
Mailing address
1050 W 10TH St
Suite 350
Rolla, MO 65401-2905
Phone (573) 458-3350
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841515806 | Other | MO | NPI BUSINESS |
| 272196402 | Other | MO | TAX ID |
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 |
|---|---|---|---|---|
| I20130515000331 | MO | Practitioner - Nurse Practitioner | 8426240672 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- University of South Alabama College of Medicine, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Mercy Clinic Springfield Communities
Practice addresses (Care Compare)
1605 Martin Springs Dr
Rolla, MO 65401-2980
1605 Martin Springs Dr
Suite 210
Rolla, MO 65401-3028
Phone (573) 458-6326
Hospital & facility affiliations
- Mercy Hospital Lebanon
- Phelps County Regional Medical Center
- Mercy Hospital Washington
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science - Nursing, Nurse Practitioner, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SD-RN R034321 | SD | MD | Registered Nurse |
| 2012035664 | MO | MD | Family Nurse Practitioner |
| SD-CNP CP000610 | SD | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mercy Clinic Springfield Communities | Family | Current | Accepting new patients |
| Mercy Clinic Springfield Communities | Current | Accepting new patients | |
| Mercy Clinic Springfield Communities | Family | Current | Accepting new patients |
Locations
1605 Martin Springs Dr
Rolla, MO 65401
Phone (573) 458-6379
1605 Martin Springs Dr
Ste 230
Rolla, MO 65401
Phone (573) 458-6326
1605 Martin Springs Dr
Ste 330
Rolla, MO 65401
Phone (573) 458-6379
2115 S Fremont Ave
Ste 3050
Springfield, MO 65804
Phone (417) 820-3905
620 S Glenstone Ave
Springfield, MO 65802
Phone (417) 829-4215
Interoperability endpoints
- dbuchanan470568@directc.mercy.net
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 and National Provider Directory roles.
-
- Rural Health Clinic/Center
- Willow Springs, MO
- NPI 1972771657
Family, MO
-
- Rural Health Clinic/Center
- Mountain View, MO
- NPI 1003946732
Family
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Rehabilitation Hospital Unit
- Rolla, MO
- NPI 1346287455
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177545600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1463097600000",
"number": "1669692158",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1050 W 10TH ST",
"address_2": "SUITE 350",
"city": "ROLLA",
"state": "MO",
"postal_code": "654012905",
"telephone_number": "573-458-3350"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1050 W 10TH ST",
"address_2": "SUITE 350",
"city": "ROLLA",
"state": "MO",
"postal_code": "654012905",
"telephone_number": "573-458-3350"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BUCHANAN",
"first_name": "DAWN",
"middle_name": "MICHELLE",
"name_prefix": "Mrs.",
"credential": "RN, MSN, NP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-04-26",
"last_updated": "2016-05-13",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "SD",
"license": "SD-RN R034321",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "SD",
"license": "SD-CNP CP000610",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MO",
"license": "2012035664",
"primary": true
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "MO",
"license": "2004008434",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI BUSINESS",
"identifier": "1841515806",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TAX ID",
"identifier": "272196402",
"state": "MO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Rolla, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2016; 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.