Active NPI
Destinee Rose Salyer, PA
- Physician Assistant
- Webb City, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 1170421
- Practice address
- 6151 N Main Street Rd
Webb City, MO 64870-8189 - Phone
- (417) 781-0408
- Fax
- (417) 556-5377
- NPI assigned
- Feb 19, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 1170421 | MO | Primary |
Addresses
Primary practice location
6151 N Main Street Rd
Webb City, MO 64870-8189
Mailing address
6151 N Main Street Rd
Webb City, MO 64870-8189
Phone (417) 781-0408
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 |
|---|---|---|---|---|
| I20200311001387 | MO | Practitioner - Physician Assistant | 7315375003 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Mercy Clinic Joplin LLC
Practice addresses (Care Compare)
100 Mercy Way
Joplin, MO 64804-4524
1717 S Range Line Rd B
Joplin, MO 64804-3224
6151 N Main St Rd
Webb City, MO 64870-8189
Phone (417) 781-0408
94 Main St
Cassville, MO 65625-1610
Phone (417) 782-7722
Hospital & facility affiliations
- Mercy Hospital Joplin
- Mercy Hospital Carthage
- Mercy Hospital Columbus
- Mercy Hospital Pittsburg, Inc
- Mercy Specialty Hospital Southeast Kansas
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1170421 | MO | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mercy Clinic Joplin LLC | Current | Accepting new patients | |
| Lincoln County Hospital | Past | Accepting new patients |
Locations
100 Mercy Way
Joplin, MO 64804
Phone (417) 556-2300
6151 N Main Street Rd
Webb City, MO 64870
Phone (417) 556-5350
Interoperability endpoints
- dsalyer1050554@directc.mercy.net
Organizations & group practices 6
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.
-
- Urgent Care Clinic/Center
- Springfield, MO
- NPI 1871094052
MO
-
- Family Medicine Physician
- Columbus, KS
- NPI 1043547474
-
- Sleep Medicine (Internal Medicine) Physician
- Berryville, AR
- NPI 1356739288
-
- Emergency Medicine Physician
- Carthage, MO
- NPI 1477822567
-
- Critical Access Hospital
- Lincoln, KS
- NPI 1942265327
Hospital & facility affiliations 6
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": "1582070400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1582070400000",
"number": "1780217620",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6151 N MAIN STREET RD",
"city": "WEBB CITY",
"state": "MO",
"postal_code": "648708189",
"telephone_number": "417-781-0408",
"fax_number": "417-556-5377"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6151 N MAIN STREET RD",
"city": "WEBB CITY",
"state": "MO",
"postal_code": "648708189",
"telephone_number": "417-781-0408",
"fax_number": "417-556-5377"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SALYER",
"first_name": "DESTINEE",
"middle_name": "ROSE",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-02-19",
"last_updated": "2020-02-19",
"certification_date": "2020-02-19",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "MO",
"license": "1170421",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Webb City, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2020; 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.