NPIMap

Individual provider Active NPI

Andrea Gullett

  • Family Nurse Practitioner
  • Brookline, MO
National Provider Identifier
1679943377
Registry record updated May 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
2015021532 Issued in MO
Practice address
3203 E Old Stone Rd
Brookline, MO 65619-9620
Phone
(417) 269-1910
Fax
(417) 269-1916
NPI assigned
Oct 7, 2015
Last updated
May 6, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 6, 2022

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 2015021532 MO Primary

Addresses

Primary practice location

3203 E Old Stone Rd
Brookline, MO 65619-9620

Mailing address

PO Box 802843
Kansas City, MO 64180-2843
Phone (417) 730-6430

Other names 1

  • Andrea Ast Former name

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
I20210915000553 MO Practitioner - Nurse Practitioner 7315256633 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lester E Cox Medical CentersGroup PAC ID 5799787784, 240 clinicians

Practice addresses (Care Compare)

510 Hwy 32
Suite C
Lebanon, MO 65536-5303
Phone (417) 269-2278

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
85.78 of 100Reported as group
Quality
74.39
Promoting interoperability
100
Improvement activities
40
Cost
78.21

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
2015021532MOMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Lester E Cox Medical Centers Current Accepting new patients
Lester E Cox Medical Centers CurrentSince Apr 27, 2022 Accepting new patients
Lester E Cox Medical Centers CurrentSince Apr 27, 2022 Accepting new patients
Cox-Monett Hospital, Inc. CurrentSince Jul 28, 2021 Accepting new patients
Cox-Monett Hospital Inc CurrentSince Jul 28, 2021 Accepting new patients
Lester E. Cox Medical Centers Past Accepting new patients
Cox-Monett Hospital Inc Past Accepting new patients
Lester E Cox Medical Centers PastSince Jul 21, 2024 Accepting new patients

Locations

106 Commerce Dr
Aurora, MO 65605
Phone (417) 269-2400

3203 E Old Stone Ave
Brookline, MO 65619
Phone (417) 269-1910

75 Smithson Dr
Ste A
Cassville, MO 65625
Phone (417) 847-3500

510 Highway 32
Ste C
Lebanon, MO 65536
Phone (417) 269-2278

3800 S National Ave
Ste 540
Springfield, MO 65807
Phone (417) 269-6262

3801 S National Ave
Ste 1122
Springfield, MO 65807

Interoperability endpoints

  • Direct secure messaging: andrea.ast@cernerdirect.coxhealth.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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 4

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": "1444176000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651795200000",
    "number": "1679943377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 802843",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641802843",
            "telephone_number": "417-730-6430",
            "fax_number": "417-269-7567"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3203 E OLD STONE RD",
            "city": "BROOKLINE",
            "state": "MO",
            "postal_code": "656199620",
            "telephone_number": "417-269-1910",
            "fax_number": "417-269-1916"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GULLETT",
        "first_name": "ANDREA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-10-07",
        "last_updated": "2022-05-06",
        "certification_date": "2022-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "2015021532",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANDREA",
            "last_name": "AST",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Brookline, MO

Sources for this page

Verify at the official NPI Registry.