NPIMap

Individual provider Active NPI

Maranda Lee Vincent, RN

  • Family Nurse Practitioner
  • Springfield, MO
National Provider Identifier
1760658744
Registry record updated Mar 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
2001004401 Issued in MO
Practice address
1235 E Cherokee St Ste 2C
Springfield, MO 65804-2203
Phone
(417) 820-3911
NPI assigned
Apr 30, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 2, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 2001004401 MO Primary

Addresses

Primary practice location

1235 E Cherokee St Ste 2C
Springfield, MO 65804-2203

Mailing address

1235 E Cherokee St Ste 2C
Springfield, MO 65804-2203
Phone (417) 820-3911

Other practice location 1

900 E Battlefield St Ste 124
Springfield, MO 65807-5208
Phone (417) 986-1289

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080809000067 MO Practitioner - Nurse Practitioner 4587738588 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2008
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

Practice addresses (Care Compare)

448 State Hwy 248
Suite 150
Branson, MO 65616-3725
Phone (417) 336-6713

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2001004401MOMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Clinic Springfield Communities CurrentSince Mar 3, 2014 Accepting new patients
Mercy Clinic Springfield Communities CurrentSince Apr 14, 2020 Accepting new patients
Mercy Southern Missouri Ambulatory Services LLC CurrentSince Mar 5, 2023 Accepting new patients
Mercy Clinic Springfield Communities Family CurrentSince Mar 3, 2014 Accepting new patients
Lincoln County Hospital Past Accepting new patients

Locations

500 Porter Ave
Aurora, MO 65605
Phone (417) 678-2122

448 State Highway 248
Ste 150
Branson, MO 65616
Phone (417) 336-6713

94 Main St
Cassville, MO 65625
Phone (417) 782-7722

2004 W Marler Ln
Ozark, MO 65721
Phone (417) 581-3006

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

1605 Martin Springs Dr
Ste 330
Rolla, MO 65401
Phone (573) 458-6379

900 E Battlefield St
Ste 124
Springfield, MO 65807
Phone (417) 556-8967

2150 W Republic Rd
Ste 112
Springfield, MO 65807
Phone (417) 986-1291

1235 E Cherokee St
Ste 2C
Springfield, MO 65804
Phone (417) 820-3919

3801 S National Ave
Ste 1122
Springfield, MO 65807

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

1235 E Cherokee St
Ste 2D
Springfield, MO 65804

1242 E Independence St
Ste 200
Springfield, MO 65804
Phone (417) 883-5500

Interoperability endpoints

  • Direct secure messaging: mvincent10523@directb.mercy.net

Organizations & group practices 5

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 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": "1209513600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677715200000",
    "number": "1760658744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1235 E CHEROKEE ST STE 2C",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658042203",
            "telephone_number": "417-820-3911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1235 E CHEROKEE ST STE 2C",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658042203",
            "telephone_number": "417-820-3911"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "900 E Battlefield St Ste 124",
            "address_purpose": "LOCATION",
            "city": "Springfield",
            "state": "MO",
            "postal_code": "658075208",
            "country_code": "US",
            "telephone_number": "417-986-1289",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VINCENT",
        "first_name": "MARANDA",
        "middle_name": "LEE",
        "name_prefix": "Ms.",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-04-30",
        "last_updated": "2023-03-02",
        "certification_date": "2023-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "2001004401",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, MO

Sources for this page

Verify at the official NPI Registry.