Individual provider Active NPI

Joshua David Lottmann, PA-C

  • Physician Assistant
  • Springfield, MO
National Provider Identifier
1689373763
Registry record updated Mar 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
2023007266 Issued in MO
Practice address
3660 S Cox Ave Apt 603
Springfield, MO 65807-6915
Phone
(573) 205-4001
NPI assigned
Feb 28, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 2023007266 MO Primary

Addresses

Primary practice location

3660 S Cox Ave Apt 603
Springfield, MO 65807-6915

Mailing address

3660 S Cox Ave Apt 603
Springfield, MO 65807-6915
Phone (573) 205-4001

Other identifiers 1

IdentifierTypeStateIssuer
2023007266OtherMOMISSOURI DIVISION OF PROFESSIONAL REGISTRATION

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
I20230302002721 MO Practitioner - Physician Assistant 4385017854 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mercy Clinic East CommunitiesGroup PAC ID 7214827922, shared by 6 NPIs, 573 clinicians

Practice addresses (Care Compare)

440 Hometown Plaza Dr
Owensville, MO 65066-1596
Phone (573) 437-6100

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Clinic East Communities CurrentSince Jan 5, 2026 Accepting new patients
Mercy Clinic East Communities CurrentSince Jan 5, 2026 Accepting new patients

Locations

440 Hometown Plaza Dr
Owensville, MO 65066
Phone (573) 437-6100

621 S New Ballas Rd
Ste 4017B
Saint Louis, MO 63141
Phone (314) 872-9192

901 E 5th St
Washington, MO 63090
Phone (636) 239-8000

851 E 5th St
Ste 328
Washington, MO 63090
Phone (636) 239-1101

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

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": "1677542400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742428800000",
    "number": "1689373763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3660 S COX AVE APT 603",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658076915",
            "telephone_number": "573-205-4001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3660 S COX AVE APT 603",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658076915",
            "telephone_number": "573-205-4001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOTTMANN",
        "first_name": "JOSHUA",
        "middle_name": "DAVID",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-02-28",
        "last_updated": "2025-03-20",
        "certification_date": "2025-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MO",
            "license": "2023007266",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MISSOURI DIVISION OF PROFESSIONAL REGISTRATION",
            "identifier": "2023007266",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, MO

Sources for this page

Verify at the official NPI Registry.