Individual provider Active NPI

Jeremy Hughes

  • Family Nurse Practitioner
  • Kennett, MO
National Provider Identifier
1699200477
Registry record updated Apr 28, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
2012018172 Issued in MO
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.

View all 14

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 88 clinicians

Practice addresses (Care Compare)

901 W Commercial St
Kennett, MO 63857-1100
Phone (573) 717-1072

Hospital & facility affiliations

  • St Bernards Medical Center Hospital, Jonesboro, AR, CCN 040020
  • Pemiscot County Memorial Hospital Hospital, Hayti, MO, CCN 260780

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
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

LicenseStateTypeSpecialty
2012018172MOMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
McPherson Medical & Diagnostic, LLC CurrentSince Oct 25, 2019 Accepting new patients
McPherson Medical & Diagnostic, LLC Current Accepting new patients
McPherson Medical & Diagnostic, LLC CurrentSince Oct 25, 2019 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)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 2012018172 MO Primary

Addresses

NPPES NPI Registry

Primary 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

Verify at the official NPI Registry.