Active NPI
Paul E. Burris, FNP-C
- Family Nurse Practitioner
- Mountain Grove, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 2013030764
- Practice address
- 500 E 19TH St
Mountain Grove, MO 65711-1114 - Phone
- (417) 926-6563
- NPI assigned
- Sep 13, 2013
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | A003962 | AR | |
| Family Nurse Practitioner | 363LF0000X | 2013030764 | MO | Primary |
Addresses
Primary practice location
500 E 19TH St
Mountain Grove, MO 65711-1114
Mailing address
500 E 19TH St
Mountain Grove, MO 65711-1114
Phone (417) 926-6563
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| FHIR URL | https://fhir.ssmhc.com/fhir/api/FHIR/DSTU2/ | Other | |
| Direct Messaging Address | pburris194464@direct-ehr-ssmhc.com | Direct |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20140721001904 | MO | Practitioner - Nurse Practitioner | 4486881943 | Reassigns benefits to 4 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- SSM Regional Health Services
Practice addresses (Care Compare)
140 Northstar Dr
Holts Summit, MO 65043-1123
Phone (573) 896-8301
2511 W Edgewood Dr D
SSM Health Urgent Care
Jefferson City, MO 65109-5869
Phone (573) 761-0304
875 S Hwy 5
Tipton, MO 65081-8441
Phone (660) 433-5541
Hospital & facility affiliations
- SSM Health St. Mary'S Hospital - Jefferson City
Merit-based Incentive Payment System (MIPS)
- Final score
- 88.07 of 100
- Quality
- 86.39
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 73.83
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A003962 | AR | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| SSM Regional Health Services | Current | Accepting new patients | |
| SSM Regional Health Services | Current | Accepting new patients | |
| SSM Regional Health Services | Current | Accepting new patients | |
| SSM Regional Health Services | Past | Accepting new patients |
Locations
7655 Solutions Ctr
Chicago, IL 60677
140 Northstar Dr
Holts Summit, MO 65043
Phone (573) 826-4151
2511 W Edgewood Dr
Ste D
Jefferson City, MO 65109
Phone (573) 761-0304
875 S Highway 5
Tipton, MO 65081
Phone (660) 433-5404
Interoperability endpoints
- paulburris@omcmo.allscriptsdirect.net
Organizations & group practices 14
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.
-
- Emergency Medical Services (Emergency Medicine) Physician
- Osage Beach, MO
- NPI 1053581454
MO
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Jefferson City, MO
- NPI 1053368159
-
- Multi-Specialty Clinic/Center
- Jefferson City, MO
- NPI 1033135496
-
- General Practice Physician
- Jefferson City, MO
- NPI 1043450711
-
- Multi-Specialty Clinic/Center
- Jefferson City, MO
- NPI 1336555275
-
- Clinic/Center
- Jefferson City, MO
- NPI 1396782587
-
- Family Medicine Physician
- Jefferson City, MO
- NPI 1396886065
-
- General Acute Care Hospital
- Jefferson City, MO
- NPI 1518065523
-
- Clinic/Center
- Jefferson City, MO
- NPI 1649217837
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": "1379030400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1782691200000",
"number": "1699100255",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "500 E 19TH ST",
"city": "MOUNTAIN GROVE",
"state": "MO",
"postal_code": "657111114",
"telephone_number": "417-926-6563"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 E 19TH ST",
"city": "MOUNTAIN GROVE",
"state": "MO",
"postal_code": "657111114",
"telephone_number": "417-926-6563"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BURRIS",
"first_name": "PAUL",
"middle_name": "E.",
"credential": "FNP-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-09-13",
"last_updated": "2026-06-29",
"certification_date": "2026-06-29",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "AR",
"license": "A003962",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MO",
"license": "2013030764",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "FHIR",
"endpointTypeDescription": "FHIR URL",
"endpoint": "https://fhir.ssmhc.com/fhir/api/FHIR/DSTU2/",
"affiliation": "N",
"use": "OTHER",
"useDescription": "Other",
"useOtherDescription": "FHIR API",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "CCD",
"address_1": "2511 W Edgewood Dr Ste D",
"city": "Jefferson City",
"state": "MO",
"country_code": "US",
"postal_code": "651095869",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "pburris194464@direct-ehr-ssmhc.com",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "pburris194464@direct-ehr-ssmhc.com",
"address_1": "2511 W Edgewood Dr Ste D",
"city": "Jefferson City",
"state": "MO",
"country_code": "US",
"postal_code": "651095869",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Mountain Grove, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.