Tristin Elizabeth Neumann, NP-C
Individual provider Active NPI Family Nurse Practitioner · Macon, MO
NPI 1669933479 · NPPES record last updated Apr 14, 2025
Key facts
- NPI
- 1669933479
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 2019035708 (MO)
- Practice address
- 1206 N Missouri St
Macon, MO 63552-2149 - Phone
- (660) 395-7575
- Fax
- (660) 665-7576
- NPI assigned
- Mar 26, 2019
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 18
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Hannibal Regional Healthcare System Inc
Practice addresses (Care Compare)
6500 Hospital Dr
Hannibal, MO 63401-6890
Phone (573) 248-1300
Hospital & facility affiliations
- Hannibal Regional Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MO
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20191114002682 | MO | Practitioner - Nurse Practitioner | 9335571249 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 041385599 | IL | MD | Registered Nurse |
| 2019035102 | MO | MD | Registered Nurse |
| 209018801 | IL | MD | Family Nurse Practitioner |
| 2019035708 | MO | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hannibal Regional Healthcare System, Inc | Current |
Accepting new patients | |
| Hannibal Regional Healthcare System Inc | Current |
Accepting new patients | |
| Hannibal Regional Healthcare System, Inc | Current | 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
1611 S Baltimore St
Kirksville, MO 63501
Phone (660) 372-9595
1103 Cottage Grove Ave
Kirksville, MO 63501
Phone (660) 956-7011
1611 S Baltimore St
#A
Kirksville, MO 63501
1600 N Morley St
Moberly, MO 65270
Phone (660) 263-1225
Interoperability endpoints
- tristin.neumann.p1@direct.cfmkv.nextgenshare.com
- https://fhir.fhirpoint.open.allscripts.com/fhirroute/open/10040602
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 2019035102 | MO | |
| Registered Nurse | 163W00000X | 041385599 | IL | |
| Family Nurse Practitioner | 363LF0000X | 209018801 | IL | |
| Family Nurse Practitioner | 363LF0000X | 2019035708 | MO | Yes |
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
- Tristin Bruening
Other providers in Macon, MO
- Miller Rexall Drug, Inc
- Miller Rexall Drug, Inc.
- Missouri CVS Pharmacy, L.L.C.
- Nola F. Moore
- Jay Nastav
- New Journey Counseling LLC
- NHC Healthcare-Macon LLC
- Northeast Missouri Health Council, Inc
- Northeast Missouri Health Council, Inc
- Oakrings Christian Counseling LLC
All providers in Macon, MO · Family Nurse Practitioner in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 14, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.