Robert Oliver Meyer, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

2011016046 Issued in MO

Practice address

1930 N Business Route 5
Unit 1a
Camdenton, MO 65020-2659

Phone

(573) 346-5624

Fax

(573) 346-1957

NPI assigned

Dec 10, 2010

Last updated

Jun 28, 2023By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in MO, AK, TX3 enrollments

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 3

Specialty

Nurse Practitioner

Education

Other, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Eastern Aleutian Tribes, Inc.Group PAC ID 2860301884, 34 clinicians

Camai Community Health Center IncGroup PAC ID 3476690876, 12 clinicians

Lake Regional Health SystemGroup PAC ID 9133026776, shared by 16 NPIs, 132 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Norton Sound Regional Hospital Hospital, Nome, AK, CCN 021308
• Lake Regional Health System Hospital, Osage Beach, MO, CCN 260186

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/20726/brand/1/csg/1/fhir/r4
• Direct secure messaging: robert.meyer.1@15989.direct.athenahealth.com
• Direct secure messaging: robert.meyer.1@20726.direct.athenahealth.com
• Direct secure messaging: romeyer@direct.nshcorp.org

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.

• Camai Community Health Center, Inc.

  • Federally Qualified Health Center (FQHC)
  • Naknek, AK
  • NPI 1679718019
  Medicare reassignment Care Compare group NPD
• Eastern Aleutian Tribes, Inc

  • Community Health Clinic/Center
  • King Cove, AK
  • NPI 1649332446

  TX

  Medicare reassignment Care Compare group NPD
• Jefferson City Medical Group, P.C.

  • Multi-Specialty Clinic/Center
  • Jefferson City, MO
  • NPI 1336189398
  Medicare reassignment NPD
• Norton Sound Health Corporation

  • Critical Access Hospital
  • Nome, AK
  • NPI 1154358232
  Medicare reassignment NPD
• Norton Sound Health Corporation

  • Critical Access Hospital
  • Nome, AK
  • NPI 1225101041
  Medicare reassignment NPD
• Jefferson City Medical Group, P.C.

  dba JCMG Hematology/Oncology

  • Hematology & Oncology Physician
  • Jefferson City, MO
  • NPI 1215093257
  NPD
• Jefferson City Medical Group, P.C.

  dba Fulton Express Care

  • Family Medicine Physician
  • Fulton, MO
  • NPI 1649099714
  NPD
• Jefferson City Medical Group, P.C.

  dba JCMG Laboratory

  • Clinical Medical Laboratory
  • Jefferson City, MO
  • NPI 1811292105
  NPD
• Eastern Aleutian Tribes, Inc.

  • Community Health Clinic/Center
  • Nelson Lagoon, AK
  • NPI 1003970062
  NPD
• Norton Sound Health Corporation

  • Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy
  • Nome, AK
  • NPI 1427187046
  NPD
• Roundup Memorial Hospital Association

  dba Roundup Memorial Healthcare

  • Critical Access Hospital
  • Roundup, MT
  • NPI 1386751196
  NPD
• Roundup Memorial Hospital Association

  dba Roundup Memorial Healthcare - Clinic

  • Rural Health Clinic/Center
  • Roundup, MT
  • NPI 1902908262
  NPD

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

• Lake Regional Health System

  • Clinic/Center
  • Osage Beach, MO
  • NPI 1295151959

  Hospital

  Care Compare affiliation
• Lake Regional Health System

  • Rural Acute Care Hospital
  • Osage Beach, MO
  • NPI 1386619450
  Care Compare affiliation
• Norton Sound Health Corporation

  • Critical Access Hospital
  • Nome, AK
  • NPI 1225101041
  Care Compare affiliation

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

{
    "created_epoch": "1291939200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687910400000",
    "number": "1669775771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1500",
            "city": "OSAGE BEACH",
            "state": "MO",
            "postal_code": "650651500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1930 N BUSINESS ROUTE 5",
            "address_2": "UNIT 1A",
            "city": "CAMDENTON",
            "state": "MO",
            "postal_code": "650202659",
            "telephone_number": "573-346-5624",
            "fax_number": "573-346-1957"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEYER",
        "first_name": "ROBERT",
        "middle_name": "OLIVER",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-12-10",
        "last_updated": "2023-06-28",
        "certification_date": "2023-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CO",
            "license": "990053",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "2011016046",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ACTIVE REGISTERED NURSE",
            "identifier": "164026",
            "state": "CO"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://172.254.9.13:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.2019.1",
            "affiliationName": "Bluemark LLC",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "address_1": "40 Sunset Ridge Rd Ste 120",
            "city": "New Paltz",
            "state": "NY",
            "country_code": "US",
            "postal_code": "125611039",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Matthew Bowman LLC
• Deepthi Maya
• Medical Missions for Christ
• Adrienne Jill Mellroy
• Mercy Hospital Springfield (Mercy Emergency Medical Services-Camden County)
• Missouri Eye and Vision Associates, Inc. (Camdenton Family Eyecare Associates)
• N & R of Camdenton, Inc. (Camdenton Windsor Estates)
• Sharif Atef Naeim
• Fatima Naseer, MD
• James J.L. Neill, M.D.

• Family Nurse Practitioner in Camdenton, MO
• Providers in Camdenton, MO by specialty
• Family Nurse Practitioner in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2023; 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.

Verify at the official NPI Registry.