NPIMap

Individual provider Active NPI

Michael John Munn, APRN

  • Nurse Practitioner
  • Hollister, MO
National Provider Identifier
1720612641
Registry record updated Aug 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
20211036122 Issued in MO
Practice address
33 Gage Dr
Hollister, MO 65672-5862
Phone
(417) 334-8300
NPI assigned
Feb 29, 2020
Last updated
Aug 13, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 113103 NE
Nurse Practitioner 363L00000X 20211036122 MO Primary

Addresses

Primary practice location

33 Gage Dr
Hollister, MO 65672-5862

Mailing address

293 Norman Rd
Kirbyville, MO 65679-9332

Other practice location 1

2700 W Norfolk Ave
Norfolk, NE 68701-4438
Phone (402) 371-4880

Other practice location 2

1000 E Hwy 60
Monett, MO 65708-8258
Phone (000) 000-0000

Other identifiers 1

IdentifierTypeStateIssuer
420103556MedicaidMO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR, MO2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20210513002003 AR Practitioner - Nurse Practitioner 7113357096 Reassigns benefits to 5 organizations
I20211101003020 MO Practitioner - Nurse Practitioner 7113357096 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mercy Clinic Springfield CommunitiesGroup PAC ID 7416865845, shared by 26 NPIs, 1,121 clinicians
Mercy Hospital SpringfieldGroup PAC ID 7416867593, 54 clinicians
North Arkansas Regional Medical CenterGroup PAC ID 5193615896, shared by 10 NPIs, 86 clinicians

Practice addresses (Care Compare)

114 E Crandall Ave
Suite a
Harrison, AR 72601-3628
Phone (870) 365-0130

1235 E Cherokee St
Springfield, MO 65804-2203
Phone (417) 820-2600

1500 N Oakland Ave
Citizens Memorial Hospital
Bolivar, MO 65613-3011
Phone (417) 326-6000

620 N Mail St
Harrison, AR 72601-2911
Phone (870) 414-4000

620 N Main St
Suite 2B
Harrison, AR 72601-2911
Phone (870) 414-4000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
87.41 of 100Reported as group
Quality
76.32
Promoting interoperability
100
Improvement activities
40
Cost
81.7

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Hospital Springfield CurrentSince Feb 17, 2025 Accepting new patients
Mercy Hospital Springfield CurrentSince Feb 17, 2025 Accepting new patients
Mercy Clinic Springfield Communities CurrentSince Nov 18, 2025 Accepting new patients
Baxter County Regional Hospital, Inc CurrentSince Nov 1, 2024 Accepting new patients
Skaggs Community Hospital Association CurrentSince Oct 1, 2024 Accepting new patients
Skaggs Community Hospital Association CurrentSince Oct 1, 2024 Accepting new patients
Michael S. Clarke, M.D., P.a. Current Accepting new patients
North Arkansas Regional Medical Center CurrentSince Mar 1, 2026 Accepting new patients
Advocates for a Healthy Community, Inc CurrentSince Dec 1, 2021 Accepting new patients
Baxter County Regional Hospital, Inc CurrentSince Nov 1, 2024 Accepting new patients
Advocates for a Healthy Community Inc CurrentSince Dec 1, 2021 Accepting new patients
North Arkansas Regional Medical Center CurrentSince Oct 1, 2024 Accepting new patients
Mercy Clinic Springfield Communities CurrentSince Nov 18, 2025 Accepting new patients
Interventional Pain Management Associates PLLC CurrentSince Nov 6, 2023 Accepting new patients
Mercy Clinic Springfield Communities CurrentSince Nov 18, 2025 Accepting new patients

Locations

114 E Crandall Ave
#A
Harrison, AR 72601
Phone (870) 365-0130

620 N Main St
Harrison, AR 72601
Phone (870) 365-2000

620 N Main St
Ste 2A
Harrison, AR 72601
Phone (870) 414-4599

620 N Main St
Ste 2B
Harrison, AR 72601
Phone (870) 414-4000

724 N Spring St
Ste A
Harrison, AR 72601
Phone (870) 365-0850

17 Medical Plz
Mountain Home, AR 72653
Phone (870) 425-6212

624 Hospital Dr
Mountain Home, AR 72653
Phone (870) 424-1000

1500 N Oakland Ave
Bolivar, MO 65613
Phone (417) 326-6000

33 Gage Dr
Hollister, MO 65672
Phone (417) 334-8300

1605 Martin Springs Dr
Rolla, MO 65401
Phone (573) 458-6379

1235 E Cherokee St
Springfield, MO 65804
Phone (417) 820-2115

2115 S Fremont Ave
Ste 3050
Springfield, MO 65804
Phone (417) 820-3905

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

Interoperability endpoints

  • Direct secure messaging: michael.munn@bhcawp.eclinicaldirectplus.com

Organizations & group practices 17

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 17

Hospital & facility affiliations 15

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1582934400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786579200000",
    "number": "1720612641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "293 NORMAN RD",
            "city": "KIRBYVILLE",
            "state": "MO",
            "postal_code": "656799332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33 GAGE DR",
            "city": "HOLLISTER",
            "state": "MO",
            "postal_code": "656725862",
            "telephone_number": "417-334-8300"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2700 W Norfolk Ave",
            "address_purpose": "LOCATION",
            "city": "Norfolk",
            "state": "NE",
            "postal_code": "687014438",
            "country_code": "US",
            "telephone_number": "402-371-4880",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1000 E Hwy 60",
            "address_purpose": "LOCATION",
            "city": "Monett",
            "state": "MO",
            "postal_code": "657088258",
            "country_code": "US",
            "telephone_number": "000-000-0000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MUNN",
        "first_name": "MICHAEL",
        "middle_name": "JOHN",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-02-29",
        "last_updated": "2026-08-13",
        "certification_date": "2026-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NE",
            "license": "113103",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MO",
            "license": "20211036122",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "420103556",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hollister, MO

Sources for this page

Verify at the official NPI Registry.