Active NPI
Deedee Gilmore, FNP
- Family Nurse Practitioner
- Sedalia, MO
National Provider Identifier
1740569706
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 2000145837
- Practice address
- 821 Westwood Dr
Sedalia, MO 65301-2102 - Phone
- (660) 826-4774
- Fax
- (660) 826-1300
- NPI assigned
- Aug 9, 2011
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 9
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.
-
- Rural Health Clinic/Center
- Cole Camp, MO
- NPI 1497705313
-
- Rural Health Clinic/Center
- Sedalia, MO
- NPI 1033487194
-
- Rural Health Clinic/Center
- Warsaw, MO
- NPI 1568412062
-
- Rural Health Clinic/Center
- Sedalia, MO
- NPI 1588281844
-
- Oxygen Equipment & Supplies (DME)
- Sedalia, MO
- NPI 1871568790
-
- Rural Health Clinic/Center
- Sedalia, MO
- NPI 1902854037
-
- Nurse Practitioner
- Saint Louis, MO
- NPI 1528008976
-
- Emergency Medicine Physician
- Saint Louis, MO
- NPI 1124454442
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Bothwell Regional Health Center
Practice addresses (Care Compare)
601 E 14TH St
Sedalia, MO 65301-5972
Hospital & facility affiliations
- Bothwell Regional Health Center
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20120223000979 | MO | Practitioner - Nurse Practitioner | 2365600194 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2000145837 | MO | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bothwell Regional Health Center | Current | Accepting new patients | |
| Bothwell Regional Health Center | Current | Accepting new patients | |
| Missouri Em-I Medical Services, P.C. | Past | Accepting new patients | |
| Mo Cardinals Emergency Physicians, LLC | Past | Accepting new patients |
Locations
601 E 14th St
Sedalia, MO 65301
Phone (660) 826-8833
601 E 14th St
#1
Sedalia, MO 65301
Interoperability endpoints
- gilmore.deedee.001.0250005@ktch.meditab.direct-ci.com
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 2000145837 | MO | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
821 Westwood Dr
Sedalia, MO 65301-2102
Mailing address
821 Westwood Dr
Sedalia, MO 65301-2102
Phone (660) 826-4774
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 9, 2011.
{
"created_epoch": "1312848000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1312848000000",
"number": "1740569706",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "821 WESTWOOD DR",
"city": "SEDALIA",
"state": "MO",
"postal_code": "653012102",
"telephone_number": "660-826-4774",
"fax_number": "660-826-1300"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "821 WESTWOOD DR",
"city": "SEDALIA",
"state": "MO",
"postal_code": "653012102",
"telephone_number": "660-826-4774",
"fax_number": "660-826-1300"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GILMORE",
"first_name": "DEEDEE",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-08-09",
"last_updated": "2011-08-09",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MO",
"license": "2000145837",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sedalia, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.