Active NPI
Jeremy Hughes
- Family Nurse Practitioner
- Kennett, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 2012018172
- Practice address
- 1231 1St St Ste 5
Kennett, MO 63857-2521 - Phone
- (573) 888-8606
- NPI assigned
- Apr 28, 2017
- Sex
- Male
- Sole proprietor
- No
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.
-
- Clinical Medical Laboratory
- Steele, MO
- NPI 1235917410
-
- Clinic/Center
- Hayti, MO
- NPI 1073154019
-
- Rural Health Clinic/Center
- Kennett, MO
- NPI 1184360273
-
- Rural Health Clinic/Center
- Hayti, MO
- NPI 1336885433
-
- Rural Health Clinic/Center
- Gideon, MO
- NPI 1457099046
-
- Rural Health Clinic/Center
- Steele, MO
- NPI 1881330975
-
- Rural Health Clinic/Center
- Columbus, KS
- NPI 1417820788
-
- Clinic/Center
- Columbus, KS
- NPI 1437832300
-
- Clinic/Center
- Maryville, IL
- NPI 1750064309
-
- Clinical Medical Laboratory
- Cypress, TX
- NPI 1568283109
-
- Family Medicine Physician
- Kennett, MO
- NPI 1124679774
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- McPherson Medical and Diagnostic LLC
Practice addresses (Care Compare)
901 W Commercial St
Kennett, MO 63857-1100
Phone (573) 717-1072
Hospital & facility affiliations
- St Bernards Medical Center
- Pemiscot County Memorial Hospital
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 |
|---|---|---|---|---|
| I20180108002607 | MO | Practitioner - Nurse Practitioner | 7618236118 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2012018172 | MO | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| McPherson Medical & Diagnostic, LLC | Current | Accepting new patients | |
| McPherson Medical & Diagnostic, LLC | Current | Accepting new patients | |
| McPherson Medical & Diagnostic, LLC | Current | Accepting new patients | |
| McPherson Medical & Diagnostic, LLC | Past | Accepting new patients |
Locations
223 S 3rd St
Hayti, MO 63851
Phone (573) 359-2019
901 W Commercial St
Kennett, MO 63857
Phone (573) 695-2181
304 Teaco Rd
Ste A
Kennett, MO 63857
Phone (573) 559-3591
216 W Main St
Steele, MO 63877
Phone (573) 695-2181
216 W Main St
Ste B
Steele, MO 63877
Phone (573) 695-2181
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 2012018172 | MO | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
1231 1St St Ste 5
Kennett, MO 63857-2521
Mailing address
403 Butler Dr
Kennett, MO 63857-2714
Phone (573) 344-9252
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Apr 28, 2017.
{
"created_epoch": "1493337600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1493337600000",
"number": "1699200477",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "403 BUTLER DR",
"city": "KENNETT",
"state": "MO",
"postal_code": "638572714",
"telephone_number": "573-344-9252"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1231 1ST ST STE 5",
"city": "KENNETT",
"state": "MO",
"postal_code": "638572521",
"telephone_number": "573-888-8606"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HUGHES",
"first_name": "JEREMY",
"name_prefix": "Mr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-04-28",
"last_updated": "2017-04-28",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MO",
"license": "2012018172",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Kennett, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2017; 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.