Terry S Krantz, RN FNP
Individual provider Active NPI Family Nurse Practitioner · Camdenton, MO
NPI 1700846342 · NPPES record last updated Jun 1, 2022
Key facts
- NPI
- 1700846342
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 080762 (MO)
- Practice address
- 1652 N Business Route 5
Camdenton, MO 65020-6872 - Phone
- (877) 406-2662
- NPI assigned
- Mar 27, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 10
Hospital & facility affiliations 6
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Richland Medical Center, Inc.
Practice addresses (Care Compare)
1652 N Business Route 5
Camdenton, MO 65020-6872
Phone (877) 406-2662
304 W Washington Ave
Richland, MO 65556-7101
Phone (573) 836-7053
Hospital & facility affiliations
- Integrity Home Care + Hospice
- Lake Regional Health System
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 |
|---|---|---|---|---|
| I20041115000034 | MO | Practitioner - Nurse Practitioner | 0244294841 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 080762 | MO | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Richland Medical Center, Inc. | Current |
Accepting new patients | |
| Richland Medical Center, Inc. | Past | Accepting new patients |
Locations
3870 Columbia Ave
Osage Beach, MO 65065
Phone (573) 302-7490
Interoperability endpoints
- terry.krantz@comc.eclinicaldirectplus.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 080762 | MO | Yes |
Addresses
Primary practice location
1652 N Business Route 5
Camdenton, MO 65020-6872
Mailing address
PO Box 777
Richland, MO 65556-0777
Phone (877) 406-2662
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 208209049 | Medicaid | MO |
Other providers in Camdenton, MO
- Kirby J. Robinson, DDS of Missouri, LLC
- Taren Kirk
- Michael Kirkover
- Brett D Koons
- Anton Kosov
- Lake Area Citizens' Advisory Board, Inc.
- Lake Area Industries, Inc.
- Lake Dental Clinic LLC
- Lake of the Ozarks Developmental Center
- Lake of the Ozarks Laser Pain Center LLC
All providers in Camdenton, 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 Jun 1, 2022. 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.