Nicholas Perryman, PMHNP

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

2021019843 Issued in MO

Practice address

3600 S National Ave
Springfield, MO 65807-7311

Phone

(417) 322-6622

Fax

(417) 350-1935

NPI assigned

Jun 2, 2021

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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

Specialty

Nurse Practitioner

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

The Arc of the OzarksGroup PAC ID 7810159332, 14 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• The Arc of the Ozarks

  • Clinical Psychologist
  • Springfield, MO
  • NPI 1285906107
  Medicare reassignment Care Compare group NPD
• Eustasis Foundation, Inc

  • Voluntary or Charitable Agency
  • Springfield, MO
  • NPI 1386257780
  NPD
• The Arc of the Ozarks

  • Multi-Specialty Clinic/Center
  • Springfield, MO
  • NPI 1962822353
  NPD

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

{
    "created_epoch": "1622592000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660867200000",
    "number": "1760058424",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1721 W ELFINDALE ST",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658071295",
            "telephone_number": "417-708-9089",
            "fax_number": "417-708-9089"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3600 S NATIONAL AVE",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658077311",
            "telephone_number": "417-322-6622",
            "fax_number": "417-350-1935"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3100 S National Ave Ste 103",
            "address_purpose": "LOCATION",
            "city": "Springfield",
            "state": "MO",
            "postal_code": "658077347",
            "country_code": "US",
            "telephone_number": "417-322-6622",
            "fax_number": "417-350-1935",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5548 N Farmer Branch Rd",
            "address_purpose": "LOCATION",
            "city": "Ozark",
            "state": "MO",
            "postal_code": "657215315",
            "country_code": "US",
            "telephone_number": "417-322-6622",
            "fax_number": "417-350-1935",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PERRYMAN",
        "first_name": "NICHOLAS",
        "credential": "PMHNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-06-02",
        "last_updated": "2022-08-19",
        "certification_date": "2022-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MO",
            "license": "2021019843",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MO",
            "license": "2021019843",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brooke Allison Pernicek, PLPC
• Perpetual Health LLC Dba Skyn Weight Loss and Wellness
• Emily Perry
• Sara Perry
• Kristi Perryman, PH.D., LPC
• Perspectives Preparatory Academy
• Kenneth Pesek
• Dean Pestana, LMT
• Amber Peters, NP
• Jason Ray Peters, MS, LPC, NCC

• Psychiatric/Mental Health Nurse Practitioner in Springfield, MO
• Providers in Springfield, MO by specialty
• Psychiatric/Mental Health Nurse Practitioner in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2022; 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.

Verify at the official NPI Registry.