Individual provider Active NPI

Kelly Wright, MD

  • Pediatrics Physician
  • Springfield, MO
National Provider Identifier
1710089685
Registry record updated Feb 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
2008017257 Issued in MO
Practice address
1443 N. Robberson
#200
Springfield, MO 65802-1982
Phone
(417) 269-8061
Fax
(417) 269-8087
NPI assigned
Sep 2, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 2008017257 MO Primary

Addresses

Primary practice location

1443 N. Robberson
#200
Springfield, MO 65802-1982

Mailing address

PO Box 4046
Springfield, MO 65808-4046
Phone (417) 269-5712

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100817000608 MO Practitioner - Pediatric MedicinePractitioner - Family Practice 8224162995 Reassigns benefits to 3 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Advocates for a Healthy Community Inc CurrentSince Sep 15, 2015 Accepting new patients
Lester E. Cox Medical Centers Current Accepting new patients
Advocates for a Healthy Community, Inc CurrentSince Sep 15, 2015 Accepting new patients
Lester E Cox Medical Centers CurrentSince Jun 21, 2010 Accepting new patients
Lester E Cox Medical Centers Pediatrics CurrentSince Jun 21, 2010 Accepting new patients
Lester E Cox Medical Centers CurrentSince Sep 24, 2014 Accepting new patients
Lester E Cox Medical Centers CurrentSince Sep 24, 2014 Accepting new patients
Ozarks Medical Center Past Accepting new patients
Lester E. Cox Medical Centers Past Accepting new patients
Lester E Cox Medical Centers Past Accepting new patients

Locations

2702 E Sunshine St
Springfield, MO 65804
Phone (417) 269-1922

3801 S National Ave
Springfield, MO 65807
Phone (417) 269-4056

440 E Tampa St
Springfield, MO 65806
Phone (417) 831-0191

1443 N Robberson Ave
Ste 200
Springfield, MO 65802
Phone (417) 269-8061

Interoperability endpoints

  • Direct secure messaging: kelly.wright@cernerdirect.coxhealth.com
  • Direct secure messaging: kelly.wright.p1@direct.jordanvalley.nextgenshare.com

Organizations & group practices 10

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1157155200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582156800000",
    "number": "1710089685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4046",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658084046",
            "telephone_number": "417-269-5712",
            "fax_number": "417-269-7567"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1443 N. ROBBERSON",
            "address_2": "#200",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658021982",
            "telephone_number": "417-269-8061",
            "fax_number": "417-269-8087"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WRIGHT",
        "first_name": "KELLY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-02",
        "last_updated": "2020-02-20",
        "certification_date": "2020-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MO",
            "license": "2008017257",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, MO

Sources for this page

Verify at the official NPI Registry.