Andrea Gullett
Individual provider Active NPI Family Nurse Practitioner · Brookline, MO
NPI 1679943377 · NPPES record last updated May 6, 2022
Key facts
- NPI
- 1679943377
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 2015021532 (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
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 22
Hospital & facility affiliations 4
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Lester E Cox Medical Centers
Practice addresses (Care Compare)
510 Hwy 32
Suite C
Lebanon, MO 65536-5303
Phone (417) 269-2278
Hospital & facility affiliations
- Cox Medical Centers
- Cox Monett Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 85.78 of 100
- Quality
- 74.39
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 78.21
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 |
|---|---|---|---|---|
| I20210915000553 | MO | Practitioner - Nurse Practitioner | 7315256633 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lester E Cox Medical Centers | Current | Accepting new patients | |
| Cox-Monett Hospital Inc | Current |
Accepting new patients | |
| Lester E Cox Medical Centers | Current |
Accepting new patients | |
| Lester E Cox Medical Centers | Current |
Accepting new patients | |
| Cox-Monett Hospital, Inc. | Current |
Accepting new patients | |
| Skaggs Community Hospital Association | Past | Accepting new patients | |
| Lester E. Cox Medical Centers | Past | 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
3801 S National Ave
Ste 1122
Springfield, MO 65807
3800 S National Ave
Ste 540
Springfield, MO 65807
Phone (417) 269-6262
Interoperability endpoints
- andrea.ast@cernerdirect.coxhealth.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 2015021532 | MO | Yes |
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
- Andrea Ast
Other providers in Brookline, MO
- Lea Ann Preston Baecht
- Debrah M. Bridges
- Michelle Marie Caputa
- Lyndsay Fuller
- Susan E. Graves
- Robyn Marie Hall
- Andrea Renee Halley
- Lester E Cox Medical Centers
- Lester E Cox Medical Centers
- Dalton Lusk
All providers in Brookline, 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 May 6, 2022. 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.