Active NPI
Carla Beth Ostronic, P.A.
- Physician Assistant
- Osage Beach, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 2021015115
- Practice address
- 54 Hospital Dr
Osage Beach, MO 65065-3050 - Phone
- (573) 302-2772
- Fax
- (573) 302-2884
- NPI assigned
- Oct 15, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | 1109 | KS | |
| Physician Assistant | 363A00000X | 2021015115 | MO | Primary |
Addresses
Primary practice location
54 Hospital Dr
Osage Beach, MO 65065-3050
Mailing address
54 Hospital Dr
Osage Beach, MO 65065-3050
Phone (573) 348-8399
Other practice location 1
8708 W 135th St
Overland Park, KS 66221-2036
Phone (913) 851-9800
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
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- University of Nebraska College of Medicine, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
54 Hospital Dr
Osage Beach, MO 65065-3050
Hospital & facility affiliations
- Lake Regional Health System
- SSM Health St. Mary'S Hospital - Jefferson City
Merit-based Incentive Payment System (MIPS)
- Final score
- 94.19 of 100
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 75.51
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1109 | KS | MD | Speech-Language Pathologist |
| 455 | NE | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lake Regional Health System | Current | Accepting new patients | |
| Lake Regional Health System | Current | Accepting new patients |
Locations
54 Hospital Dr
Osage Beach, MO 65065
Phone (573) 280-2772
Organizations & group practices 3
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.
-
- Emergency Medical Services (Emergency Medicine) Physician
- Osage Beach, MO
- NPI 1053581454
-
- Durable Medical Equipment & Medical Supplies
- Lebanon, MO
- NPI 1578125324
-
- Internal Medicine Physician
- Osage Beach, MO
- NPI 1962828616
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Rural Acute Care Hospital
- Osage Beach, MO
- NPI 1386619450
-
- General Acute Care Hospital
- Jefferson City, MO
- NPI 1518065523
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160870400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1626739200000",
"number": "1780774091",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "54 HOSPITAL DR",
"city": "OSAGE BEACH",
"state": "MO",
"postal_code": "650653050",
"telephone_number": "573-348-8399",
"fax_number": "573-348-8309"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "54 HOSPITAL DR",
"city": "OSAGE BEACH",
"state": "MO",
"postal_code": "650653050",
"telephone_number": "573-302-2772",
"fax_number": "573-302-2884"
}
],
"practiceLocations": [
{
"address_1": "8708 W 135th St",
"address_purpose": "LOCATION",
"city": "Overland Park",
"state": "KS",
"postal_code": "662212036",
"country_code": "US",
"telephone_number": "913-851-9800",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "OSTRONIC",
"first_name": "CARLA",
"middle_name": "BETH",
"credential": "P.A.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-15",
"last_updated": "2021-07-20",
"certification_date": "2021-07-20",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "KS",
"license": "1109",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "MO",
"license": "2021015115",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Osage Beach, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2021; 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.