Individual provider Active NPI

Brenda Scheiderer, FNP

  • Nurse Practitioner
  • Springfield, MO
National Provider Identifier
1689771719
Registry record updated May 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
132787 Issued in MO
Practice address
1235 E Cherokee St
Suite B
Springfield, MO 65804-2203
Phone
(417) 885-6060
Fax
(417) 888-8730
NPI assigned
Sep 20, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 20, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 132787 MO Primary

Addresses

Primary practice location

1235 E Cherokee St
Suite B
Springfield, MO 65804-2203

Mailing address

PO Box 505673
Saint Louis, MO 63150-5673

Other practice location 1

3800 S National Ave Ste 160
Springfield, MO 65807-5228
Phone (000) 000-0000

Other practice location 2

525 Branson Landing Blvd
Branson, MO 65616-2052
Phone (000) 000-0000

Other practice location 3

1150 State Highway 248 Ste 102
Branson, MO 65616-4186
Phone (000) 000-0000

Other identifiers 2

IdentifierTypeStateIssuer
427652722MedicaidMO
159231758MedicaidAR

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
I20050405000002 MO Practitioner - Nurse Practitioner 3678523230 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lester E Cox Medical CentersGroup PAC ID 1254248917, 336 clinicians

Practice addresses (Care Compare)

3800 S National Ave
Suite 400
Springfield, MO 65807-5272
Phone (417) 875-3000

3801 S National
Suite 900
Springfield, MO 65807-5210
Phone (417) 875-3000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
132787MOMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Lester E Cox Medical Centers Current Accepting new patients
Lester E Cox Medical Centers CurrentSince May 23, 2023 Accepting new patients
Lester E Cox Medical Centers CurrentSince Jun 26, 2023 Accepting new patients
Lester E Cox Medical Centers CurrentSince May 23, 2023 Accepting new patients
Mercy Clinic Springfield Communities CurrentSince Jan 28, 2021 Accepting new patients
Mercy Clinic Springfield Communities CurrentSince Nov 27, 2009 Accepting new patients
Mercy Clinic Springfield Communities CurrentSince Nov 27, 2009 Accepting new patients
Lester E Cox Medical Centers CurrentSince Jun 26, 2023 Accepting new patients
Lester E Cox Medical Centers Past Accepting new patients
Lester E. Cox Medical Centers Past Accepting new patients

Locations

1150 State Highway 248
Ste 102
Branson, MO 65616
Phone (417) 348-8990

448 State Highway 248
Ste 150
Branson, MO 65616
Phone (417) 336-6713

1605 Martin Springs Dr
Rolla, MO 65401
Phone (573) 458-6379

1605 Martin Springs Dr
Ste 330
Rolla, MO 65401
Phone (573) 458-6379

620 S Glenstone Ave
Springfield, MO 65802
Phone (417) 829-4215

1000 E Primrose St
Ste 360
Springfield, MO 65807
Phone (417) 269-4037

1235 E Cherokee St
Springfield, MO 65804
Phone (417) 820-2115

2115 S Fremont Ave
Ste 3050
Springfield, MO 65804
Phone (417) 820-3905

3800 S National Ave
Ste 400
Springfield, MO 65807
Phone (417) 269-9482

1230 E Kingsley St
Ste C
Springfield, MO 65804
Phone (417) 512-8788

1235 E Cherokee St
Ste B
Springfield, MO 65804
Phone (417) 885-6060

3800 S National Ave
Ste 160
Springfield, MO 65807
Phone (417) 875-2624

1001 E Primrose St
Springfield, MO 65807
Phone (417) 875-3434

3231 S National Ave
Springfield, MO 65807
Phone (417) 829-4444

3805 S Kansas Expy
Ste B
Springfield, MO 65807
Phone (417) 269-0269

3555 S National Ave
Ste 502
Springfield, MO 65807
Phone (417) 269-7444

3850 S National Ave
Ste 700
Springfield, MO 65807
Phone (417) 269-0700

Interoperability endpoints

  • Direct secure messaging: bscheiderer37451@directb.mercy.net

Organizations & group practices 10

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 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": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716163200000",
    "number": "1689771719",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 505673",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631505673"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1235 E CHEROKEE ST",
            "address_2": "SUITE B",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658042203",
            "telephone_number": "417-885-6060",
            "fax_number": "417-888-8730"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3800 S National Ave Ste 160",
            "address_purpose": "LOCATION",
            "city": "Springfield",
            "state": "MO",
            "postal_code": "658075228",
            "country_code": "US",
            "telephone_number": "000-000-0000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "525 Branson Landing Blvd",
            "address_purpose": "LOCATION",
            "city": "Branson",
            "state": "MO",
            "postal_code": "656162052",
            "country_code": "US",
            "telephone_number": "000-000-0000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1150 State Highway 248 Ste 102",
            "address_purpose": "LOCATION",
            "city": "Branson",
            "state": "MO",
            "postal_code": "656164186",
            "country_code": "US",
            "telephone_number": "000-000-0000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SCHEIDERER",
        "first_name": "BRENDA",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-20",
        "last_updated": "2024-05-20",
        "certification_date": "2024-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MO",
            "license": "132787",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "427652722",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "159231758",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, MO

Sources for this page

Verify at the official NPI Registry.