Individual provider Active NPI

Tristin Elizabeth Neumann, NP-C

  • Family Nurse Practitioner
  • Macon, MO
National Provider Identifier
1669933479
Registry record updated Apr 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
2019035708 Issued in MO
Practice address
1206 N Missouri St
Macon, MO 63552-2149
Phone
(660) 395-7575
Fax
(660) 665-7576
NPI assigned
Mar 26, 2019
Last updated
Apr 14, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 2019035102 MO
Registered Nurse 163W00000X 041385599 IL
Family Nurse Practitioner 363LF0000X 209018801 IL
Family Nurse Practitioner 363LF0000X 2019035708 MO Primary

Addresses

Primary practice location

1206 N Missouri St
Macon, MO 63552-2149

Mailing address

PO Box 1239
Hannibal, MO 63401-1239
Phone (573) 629-3368

Other practice location 1

1611 S Baltimore St
Kirksville, MO 63501-4518
Phone (660) 665-7575

Other practice location 2

1600 N Morley St
Moberly, MO 65270-3666
Phone (660) 372-9595

Other practice location 3

1103 Cottage Grove Ave
Kirksville, MO 63501-3977
Phone (660) 956-7011

Other practice location 4

6500 Hospital Dr
Hannibal, MO 63401-6890
Phone (573) 629-3481

Other practice location 5

3650 Stardust Dr
Hannibal, MO 63401-2411
Phone (573) 231-0660

Other names 1

  • Tristin Bruening Former name

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20191114002682 MO Practitioner - Nurse Practitioner 9335571249 Reassigns benefits to 1 organization

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

Practice addresses (Care Compare)

6500 Hospital Dr
Hannibal, MO 63401-6890
Phone (573) 248-1300

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
041385599ILMDRegistered Nurse
2019035102MOMDRegistered Nurse
209018801ILMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Hannibal Regional Healthcare System Inc CurrentSince Oct 28, 2019 Accepting new patients
Hannibal Regional Healthcare System, Inc Current Accepting new patients
Hannibal Regional Healthcare System, Inc CurrentSince Oct 28, 2019 Accepting new patients
Floyd County Memorial Hospital Commission Past Accepting new patients

Locations

3650 Stardust Dr
Hannibal, MO 63401
Phone (573) 231-0660

6500 Hospital Dr
Hannibal, MO 63401
Phone (573) 629-3400

1103 Cottage Grove Ave
Kirksville, MO 63501
Phone (660) 956-7011

1611 S Baltimore St
Kirksville, MO 63501
Phone (660) 372-9595

1611 S Baltimore St
#A
Kirksville, MO 63501

1600 N Morley St
Moberly, MO 65270
Phone (660) 263-1225

Interoperability endpoints

  • FHIR API: https://fhir.fhirpoint.open.allscripts.com/fhirroute/open/10040602
  • Direct secure messaging: tristin.neumann.p1@direct.cfmkv.nextgenshare.com

Organizations & group practices 4

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 1

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": "1553558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744588800000",
    "number": "1669933479",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1239",
            "city": "HANNIBAL",
            "state": "MO",
            "postal_code": "634011239",
            "telephone_number": "573-629-3368"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1206 N MISSOURI ST",
            "city": "MACON",
            "state": "MO",
            "postal_code": "635522149",
            "telephone_number": "660-395-7575",
            "fax_number": "660-665-7576"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1611 S Baltimore St",
            "address_purpose": "LOCATION",
            "city": "Kirksville",
            "state": "MO",
            "postal_code": "635014518",
            "country_code": "US",
            "telephone_number": "660-665-7575",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1600 N Morley St",
            "address_purpose": "LOCATION",
            "city": "Moberly",
            "state": "MO",
            "postal_code": "652703666",
            "country_code": "US",
            "telephone_number": "660-372-9595",
            "fax_number": "660-665-7576",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1103 Cottage Grove Ave",
            "address_purpose": "LOCATION",
            "city": "Kirksville",
            "state": "MO",
            "postal_code": "635013977",
            "country_code": "US",
            "telephone_number": "660-956-7011",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6500 Hospital Dr",
            "address_purpose": "LOCATION",
            "city": "Hannibal",
            "state": "MO",
            "postal_code": "634016890",
            "country_code": "US",
            "telephone_number": "573-629-3481",
            "fax_number": "573-629-3987",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3650 Stardust Dr",
            "address_purpose": "LOCATION",
            "city": "Hannibal",
            "state": "MO",
            "postal_code": "634012411",
            "country_code": "US",
            "telephone_number": "573-231-0660",
            "fax_number": "573-231-0687",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NEUMANN",
        "first_name": "TRISTIN",
        "middle_name": "ELIZABETH",
        "name_prefix": "Mrs.",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-03-26",
        "last_updated": "2025-04-14",
        "certification_date": "2025-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MO",
            "license": "2019035102",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "IL",
            "license": "041385599",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209018801",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "2019035708",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TRISTIN",
            "last_name": "BRUENING",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Macon, MO

Sources for this page

Verify at the official NPI Registry.