NPIMap

Individual provider Active NPI

Yvonne Marie Agius, M.D.

  • Family Medicine Physician
  • Republic, MO
National Provider Identifier
1699724708
Registry record updated Oct 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
2002027100 Issued in MO
Practice address
117 W State Highway 174
Republic, MO 65738-1036
Phone
(417) 647-5131
Fax
(417) 647-5168
NPI assigned
May 8, 2006
Last updated
Oct 2, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 2, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 2002027100 MO Primary

Addresses

Primary practice location

117 W State Highway 174
Republic, MO 65738-1036

Mailing address

117 W State Highway 174
Republic, MO 65738-1036
Phone (417) 647-5131

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060614000143 MO Practitioner - Family Practice 5890707798 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Michigan State University College of Human Medicine, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

117 W State Hwy 174
Republic, MO 65738-1036
Phone (417) 647-5131

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Republic Family Medicine, LLC Family Medicine CurrentSince Sep 29, 2014 Accepting new patients
North Springfield Family Medical Walk in Clinics Inc PastSince Dec 31, 2012 Accepting new patients
Advocates for a Healthy Community, Inc. Past Accepting new patients
Advocates for a Healthy Community, Inc Past Accepting new patients
Advocates for a Healthy Community Inc Past Accepting new patients
Ozarks Medical Center Family Medicine Past Accepting new patients

Locations

117 W State Highway 174
Republic, MO 65738
Phone (417) 647-5131

Organizations & group practices 6

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

Hospital & facility affiliations 10

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": "1147046400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696204800000",
    "number": "1699724708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "117 W STATE HIGHWAY 174",
            "city": "REPUBLIC",
            "state": "MO",
            "postal_code": "657381036",
            "telephone_number": "417-647-5131",
            "fax_number": "417-647-5168"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "117 W STATE HIGHWAY 174",
            "city": "REPUBLIC",
            "state": "MO",
            "postal_code": "657381036",
            "telephone_number": "417-647-5131",
            "fax_number": "417-647-5168"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AGIUS",
        "first_name": "YVONNE",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-05-08",
        "last_updated": "2023-10-02",
        "certification_date": "2023-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MO",
            "license": "2002027100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Republic, MO

Sources for this page

Verify at the official NPI Registry.