Felicia Ekwutosi Anunoby, FNP
Individual provider Active NPI Family Nurse Practitioner · Fayette, MO
NPI 1699957597 · NPPES record last updated Jan 26, 2011
Key facts
- NPI
- 1699957597
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 150604 (MO)
- Practice address
- 600 W Morrison St
Suite 5
Fayette, MO 65248-1075 - Phone
- (660) 248-2900
- Fax
- (660) 248-1544
- NPI assigned
- Dec 3, 2007
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 13
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- University of Missouri, Columbia School of Medicine, 2007
- 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
875 S Hwy 5
Tipton, MO 65081-8441
Phone (660) 433-5541
Hospital & facility affiliations
- SSM Health St. Mary'S Hospital - Jefferson City
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MO
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20090123000344 | MO | Practitioner - Nurse Practitioner | 0446314215 | Reassigns benefits to 5 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 150604 | MO | 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 | 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
100 Highway 28 E
Belle, MO 65013
Phone (573) 859-3775
140 Northstar Dr
Holts Summit, MO 65043
Phone (573) 826-4151
2511 W Edgewood Dr
Ste G
Jefferson City, MO 65109
Phone (573) 761-0458
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
- fanunoby557824@direct-ehr-ssmhc.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 150604 | MO | Yes |
Addresses
Primary practice location
600 W Morrison St
Suite 5
Fayette, MO 65248-1075
Mailing address
600 W Morrison St
Suite 5
Fayette, MO 65248-1075
Phone (660) 248-2900
Other providers in Fayette, MO
- Advantage Medical Equipment and Supplies Inc
- Advantage Medical Equipment and Supplies Inc
- Lisa G Asbury
- Aspire Senior Living Fayette, LLC
- Tiffany Lynn Ballough
- Trevor Michael Barbour
- BDM Associates LLC
All providers in Fayette, MO · Family Nurse Practitioner in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 26, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.