Individual provider Active NPI

Andi J Selby, DO

  • Family Medicine Physician
  • Joplin, MO
National Provider Identifier
1740444728
Registry record updated Sep 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
2016007045 Issued in MO
Practice address
202 E 50TH St
Joplin, MO 64804-4920
Phone
(417) 556-3400
Fax
(417) 556-3401
NPI assigned
Jul 18, 2008
Last updated
Sep 24, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 2016007045 MO Primary

Addresses

Primary practice location

202 E 50TH St
Joplin, MO 64804-4920

Mailing address

202 E 50TH St
Joplin, MO 64804-4920
Phone (417) 556-3400

Other practice location 1

890 State Highway 248
Branson, MO 65616-4435
Phone (417) 335-7353

Other practice location 2

3800 S National Ave Ste 700
Springfield, MO 65807-5279
Phone (417) 269-6000

Other identifiers 3

IdentifierTypeStateIssuer
200632650AMedicaidOK
1740444728MedicaidMO
201136300AMedicaidKS

Other names 1

  • Andi J Lynch Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO, AR2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20160324001655 MO Practitioner - Family Practice 2860539640 Reassigns benefits to 3 organizations
I20230807003058 AR Practitioner - Family Practice 2860539640 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
At Still University of Health Sciences, College of Osteo Med, Kirksville, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Skaggs Community Hospital AssociationGroup PAC ID 5092624320, shared by 17 NPIs, 222 clinicians
Lester E Cox Medical CentersGroup PAC ID 1254248917, 336 clinicians

Practice addresses (Care Compare)

1601 Branson Hills Pkwy
Branson, MO 65616-9821
Phone (417) 348-8990

1601 Branson Hills Pkwy
Branson, MO 65616-9908
Phone (417) 348-8400

3800 S National Ave
Suite 700
Springfield, MO 65807-5279
Phone (417) 269-8817

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
2016007045MOMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lester E Cox Medical Centers CurrentSince Mar 1, 2025 Accepting new patients
Lester E Cox Medical Centers Family Medicine CurrentSince Mar 1, 2025 Accepting new patients
Lester E. Cox Medical Centers Family Medicine Current Accepting new patients
Skaggs Community Hospital Association Family Medicine Past Accepting new patients
Alliance Radiology, PA Past Accepting new patients
Skaggs Community Hospital Association Family Medicine PastSince May 19, 2024 Accepting new patients
Harrison Dialysis LLC PastSince Jun 22, 2023 Accepting new patients
Skaggs Community Hospital Association Past Accepting new patients

Locations

890 State Highway 248
Branson, MO 65616
Phone (417) 335-2299

3800 S National Ave
Ste 700
Springfield, MO 65807
Phone (417) 269-8817

3805 S Kansas Expy
Ste A
Springfield, MO 65807
Phone (417) 269-6896

Interoperability endpoints

  • Direct secure messaging: aselby744909@directb.mercy.net

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

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": "1216339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790208000000",
    "number": "1740444728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "202 E 50TH ST",
            "city": "JOPLIN",
            "state": "MO",
            "postal_code": "648044920",
            "telephone_number": "417-556-3400",
            "fax_number": "417-556-3401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "202 E 50TH ST",
            "city": "JOPLIN",
            "state": "MO",
            "postal_code": "648044920",
            "telephone_number": "417-556-3400",
            "fax_number": "417-556-3401"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "890 State Highway 248",
            "address_purpose": "LOCATION",
            "city": "Branson",
            "state": "MO",
            "postal_code": "656164435",
            "country_code": "US",
            "telephone_number": "417-335-7353",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3800 S National Ave Ste 700",
            "address_purpose": "LOCATION",
            "city": "Springfield",
            "state": "MO",
            "postal_code": "658075279",
            "country_code": "US",
            "telephone_number": "417-269-6000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SELBY",
        "first_name": "ANDI",
        "middle_name": "J",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-18",
        "last_updated": "2026-09-24",
        "certification_date": "2026-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MO",
            "license": "2016007045",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200632650A",
            "state": "OK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1740444728",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201136300A",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANDI",
            "last_name": "LYNCH",
            "middle_name": "J",
            "credential": "DO",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Joplin, MO

Sources for this page

Verify at the official NPI Registry.