Individual provider Active NPI

Carol Monroe, NP

  • Nurse Practitioner
  • Joplin, MO
National Provider Identifier
1700835345
Registry record updated Jul 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
107694 Issued in MO
Practice address
2615 E 20TH St
Joplin, MO 64804-1039
Phone
(417) 624-4701
Fax
(417) 624-9807
NPI assigned
May 10, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 107694 MO Primary

Addresses

Primary practice location

2615 E 20TH St
Joplin, MO 64804-1039

Mailing address

2615 E 20TH St
Joplin, MO 64804-1039
Phone (417) 624-4701

Other identifiers 5

IdentifierTypeStateIssuer
P00248185OtherRR MEDICARE
100052650AMedicaidOK
428635916MedicaidMO
126077OtherMOANTHEM
100314760CMedicaidKS

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
I20050912000471 MO Practitioner - Nurse Practitioner 1254364292 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Joplin Internal Medicine ClinicGroup PAC ID 8527194703, 3 clinicians

Practice addresses (Care Compare)

2615 E 20TH St
Joplin, MO 64804-1039
Phone (417) 624-4701

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
93.81 of 100Reported as group
Quality
99.4
Improvement activities
40
Cost
80.17

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Joplin Internal Medicine Clinic CurrentSince Sep 5, 2023 Accepting new patients
Digestive Health Center of the Four States, LLC PastSince Jul 16, 2023 Accepting new patients

Locations

2615 E 20th St
Joplin, MO 64804
Phone (417) 624-4701

Organizations & group practices 2

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.

Hospital & facility affiliations 3

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": "1147219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689033600000",
    "number": "1700835345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2615 E 20TH ST",
            "city": "JOPLIN",
            "state": "MO",
            "postal_code": "648041039",
            "telephone_number": "417-624-4701",
            "fax_number": "417-624-9807"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2615 E 20TH ST",
            "city": "JOPLIN",
            "state": "MO",
            "postal_code": "648041039",
            "telephone_number": "417-624-4701",
            "fax_number": "417-624-9807"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONROE",
        "first_name": "CAROL",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-10",
        "last_updated": "2023-07-11",
        "certification_date": "2023-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MO",
            "license": "107694",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P00248185",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100052650A",
            "state": "OK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "428635916",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "126077",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100314760C",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Joplin, MO

Sources for this page

Verify at the official NPI Registry.