Individual provider Active NPI

Monica M. McKee

  • Physician Assistant
  • Joplin, MO
National Provider Identifier
1720403009
Registry record updated Feb 24, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
2014005566 Issued in MO
Practice address
3126 S Jackson Ave
Ste 101
Joplin, MO 64804-2534
Phone
(417) 781-0408
Fax
(417) 627-8738
NPI assigned
Feb 24, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 2014005566 MO Primary

Addresses

Primary practice location

3126 S Jackson Ave
Ste 101
Joplin, MO 64804-2534

Mailing address

3126 S Jackson Ave
Ste 101
Joplin, MO 64804-2534
Phone (417) 781-0408

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
I20140403001500 MO Practitioner - Physician Assistant 7618109729 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Mercy Clinic Joplin LLCGroup PAC ID 0547300196, 288 clinicians

Practice addresses (Care Compare)

100 Mercy Way
Joplin, MO 64804-4524

1717 S Range Line Rd B
Joplin, MO 64804-3224

6151 N Main St Rd
Webb City, MO 64870-8189
Phone (417) 781-0408

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
2014005566MOMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Clinic Joplin LLC CurrentSince Mar 2, 2014 Accepting new patients
Mercy Hospital Carthage Past Accepting new patients

Locations

1615 Hazel Ave
Carthage, MO 64836
Phone (417) 358-0188

100 Mercy Way
Joplin, MO 64804
Phone (417) 556-2300

Interoperability endpoints

  • Direct secure messaging: mmckee200318@directc.mercy.net
  • Direct secure messaging: mmckee190861@directb.mercy.net

Organizations & group practices 3

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": "1393200000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1393200000000",
    "number": "1720403009",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3126 S JACKSON AVE",
            "address_2": "STE 101",
            "city": "JOPLIN",
            "state": "MO",
            "postal_code": "648042534",
            "telephone_number": "417-781-0408",
            "fax_number": "417-627-8738"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3126 S JACKSON AVE",
            "address_2": "STE 101",
            "city": "JOPLIN",
            "state": "MO",
            "postal_code": "648042534",
            "telephone_number": "417-781-0408",
            "fax_number": "417-627-8738"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCKEE",
        "first_name": "MONICA",
        "middle_name": "M.",
        "name_prefix": "Ms.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-02-24",
        "last_updated": "2014-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MO",
            "license": "2014005566",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Joplin, MO

Sources for this page

Verify at the official NPI Registry.