Mary Chandler, AANP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

2014044175 Issued in MO

Practice address

11 S Division St Ste a
Bonne Terre, MO 63628-1701

Phone

(573) 723-1100

Fax

(572) 723-1130

NPI assigned

Dec 16, 2014

Sex

Female

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, 2014

Medicare assignment

May accept Medicare assignment

Telehealth

Offers telehealth services

Group practices

Bonne Terre Healthcare Clinic, LLCGroup PAC ID 6103253919, 4 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Mercy Hospital Jefferson Hospital, Crystal City, MO, CCN 260023

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/20393/brand/1/csg/1/fhir/r4
• Direct secure messaging: mary.chandler.1@20393.direct.athenahealth.com

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.

• Bonne Terre Healthcare Clinic LLC

  • Family Nurse Practitioner
  • Bonne Terre, MO
  • NPI 1962043802
  Medicare reassignment Care Compare group NPD Authorized official
• Midwest Health Group Convenient Care, LLC

  dba Midwest Convenient Care

  • Non-Pharmacy Dispensing Site
  • Fredericktown, MO
  • NPI 1861948697
  NPD (past) Authorized official
• Ozarks Medical Center

  dba Ozarks Healthcare

  • General Acute Care Hospital
  • West Plains, MO
  • NPI 1831115641
  NPD (past)

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

• Mercy Hospital Jefferson

  • General Acute Care Hospital
  • Festus, MO
  • NPI 1508859661
  Care Compare affiliation

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

{
    "created_epoch": "1418688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708819200000",
    "number": "1780082206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 S DIVISION ST",
            "address_2": "STE A",
            "city": "BONNE TERRE",
            "state": "MO",
            "postal_code": "636281701",
            "telephone_number": "573-454-2466",
            "fax_number": "573-454-2544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 S DIVISION ST STE A",
            "city": "BONNE TERRE",
            "state": "MO",
            "postal_code": "636281701",
            "telephone_number": "573-723-1100",
            "fax_number": "572-723-1130"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHANDLER",
        "first_name": "MARY",
        "credential": "AANP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-12-16",
        "last_updated": "2024-02-25",
        "certification_date": "2024-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MO",
            "license": "2019009110",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "2014044175",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bonne Terre Medical Associates, P.C.
• Todd Borron, L.M.T.
• Jason Gregory Branham, DC, MA
• April Brannum, FNP-C
• Phillip A. Brewer, MD
• Michael Clippard, M.D., FAAP
• Glenda Charlene Counts, FNP
• Jessica L Cox, FNP-BC
• Ctr Transportation LLC (Care 2 Ride Transportation)
• Daleco Inc (USA Drug)

• Family Nurse Practitioner in Bonne Terre, MO
• Providers in Bonne Terre, MO by specialty
• Family Nurse Practitioner in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2024; 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.