Individual provider Active NPI

William Joseph Nienaber, MD

  • Cardiovascular Disease Physician
  • Cape Girardeau, MO
National Provider Identifier
1720296940
Registry record updated Mar 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
2007033628 Issued in MO
Practice address
211 Saint Francis Dr Ste 15
Cape Girardeau, MO 63703-5049
Phone
(573) 331-3333
Fax
(573) 331-3334
NPI assigned
May 20, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 1, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 2007033628 MO Primary

Addresses

Primary practice location

211 Saint Francis Dr Ste 15
Cape Girardeau, MO 63703-5049

Mailing address

PO Box 801143
Kansas City, MO 64180-1143
Phone (573) 331-5583

Other identifiers 2

IdentifierTypeStateIssuer
1720296940MedicaidWY
9019AOtherWYLICENSE

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
I20080815000488 MO Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 2264507854 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Internal Medicine
Education
Creighton University School of Medicine, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Saint Francis Medical CenterGroup PAC ID 9931007929, shared by 18 NPIs, 441 clinicians
Internal Medicine Associates of Southeast Missouri LLCGroup PAC ID 5991615072, 43 clinicians

Practice addresses (Care Compare)

100 E Outer Rd
Scott City, MO 63780-1229
Phone (573) 264-2211

1008 N Main St
Sikeston, MO 63801-5044
Phone (573) 471-1600

1012 N Main St
Sikeston, MO 63801-5044
Phone (573) 471-0330

112 W Commercial St
Charleston, MO 63834-1601
Phone (573) 683-4010

1212 Saint Francis Dr
Dexter, MO 63841-2769
Phone (573) 614-3600

150 S Mount Auburn Rd
Cape Girardeau, MO 63703-5049

1702 N Kingshighway St
Cape Girardeau, MO 63701-2122
Phone (573) 339-2000

211 Saint Francis Dr
Cape Girardeau, MO 63703-5049

211 Saint Francis Dr
Cape Girardeau, MO 63703-8399

2130 E Jackson Blvd
Jackson, MO 63755-2907
Phone (573) 243-3115

225 Physicians Park
Poplar Bluff, MO 63901-3923
Phone (573) 727-5500

225 Physicians Park Dr
Poplar Bluff, MO 63901-3923

24 S Mount Auburn Rd
Cape Girardeau, MO 63703-5049

320 N Lincoln St
East Prairie, MO 63845-1160
Phone (573) 649-3026

420 Piedmont Ave
Piedmont, MO 63957-1024
Phone (573) 223-4233

515 Maple Valley Dr
Farmington, MO 63640-1919
Phone (573) 760-7920

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Clinic Heart and Vascular, LLC Cardiovascular Disease CurrentSince Jul 16, 2021 Accepting new patients
Saint Francis Medical Center CurrentSince Oct 1, 2016 Accepting new patients
Cape Laboratory & Pathology, LC Current Accepting new patients
Saint Francis Medical Center CurrentSince Oct 1, 2016 Accepting new patients
Saint Francis Medical Center Current Accepting new patients
Saint Francis Medical Center Past Accepting new patients
Mercy Clinic Cardiovascular and Thoracic Surgery, LLC PastSince Jul 16, 2021 Accepting new patients

Locations

211 Saint Francis Dr
Ste 15
Cape Girardeau, MO 63703
Phone (573) 331-3333

211 Saint Francis Dr
Cpe Girardeau, MO 63703
Phone (573) 331-3000

1429 N Mount Auburn Rd
Cpe Girardeau, MO 63701
Phone (573) 334-8870

1212 Saint Francis Dr
Dexter, MO 63841
Phone (573) 614-3600

420 Piedmont Ave
Piedmont, MO 63957
Phone (573) 223-2526

225 Physicians Park
Ste 400
Poplar Bluff, MO 63901
Phone (573) 785-7721

1012 N Main St
Sikeston, MO 63801
Phone (573) 471-0330

901 Patients First Dr
#2500
Washington, MO 63090

Interoperability endpoints

  • Direct secure messaging: wnienaber46880@surescripts.sfmc.net

Organizations & group practices 7

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 6

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": "1179619200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614556800000",
    "number": "1720296940",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 801143",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641801143",
            "telephone_number": "573-331-5583",
            "fax_number": "573-331-5079"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 SAINT FRANCIS DR STE 15",
            "city": "CAPE GIRARDEAU",
            "state": "MO",
            "postal_code": "637035049",
            "telephone_number": "573-331-3333",
            "fax_number": "573-331-3334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NIENABER",
        "first_name": "WILLIAM",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-20",
        "last_updated": "2021-03-01",
        "certification_date": "2021-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "MO",
            "license": "2007033628",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1720296940",
            "state": "WY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "9019A",
            "state": "WY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cape Girardeau, MO

Sources for this page

Verify at the official NPI Registry.