Carla Clinton, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

2018020389 Issued in MO

Practice address

1602A N Main St
Mountain Grove, MO 65711-1010

Phone

(417) 269-2350

Fax

(417) 926-5626

NPI assigned

Jun 14, 2018

Last updated

Feb 25, 2019By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

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, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Ozarks Medical CenterGroup PAC ID 3870491863, 166 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Westwood Home Health Home health agency, Willow Springs, MO, CCN 267505
• Ozarks Healthcare Hospital, West Plains, MO, CCN 260078
• Cox Medical Centers Hospital, Springfield, MO, CCN 260040
• Mercy St Francis Hospital Hospital, Mountain View, MO, CCN 261335
• Texas County Memorial Hospital Hospital, Houston, MO, CCN 260024

Medicare enrollment (NPD)

Enrolled

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Ozarks Medical Center

  dba Ozarks Healthcare

  • General Acute Care Hospital
  • West Plains, MO
  • NPI 1831115641
  Medicare reassignment Care Compare group NPD (past)
• Community Hospices of America, LLC

  dba Hospice Compassus - South Central Missouri

  • Hospice and Palliative Medicine (Family Medicine) Physician
  • Mountain Grove, MO
  • NPI 1023624558
  Medicare reassignment NPD
• Lester E. Cox Medical Centers

  dba Shell Knob Family Medicine

  • Family Medicine Physician
  • Shell Knob, MO
  • NPI 1538334396
  NPD
• Ozarks Medical Center

  • Psychiatric Hospital Unit
  • West Plains, MO
  • NPI 1235929027
  NPD
• Ozarks Medical Center

  dba Ozarks Healthcare West Plains

  • Rural Health Clinic/Center
  • West Plains, MO
  • NPI 1649306119
  NPD
• Ozarks Medical Center

  dba Ozarks Healthcare Family Care

  • Family Medicine Physician
  • West Plains, MO
  • NPI 1285801696
  NPD (past)

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

• Lester E Cox Medical Centers

  dba Cox Medical Centers

  • General Acute Care Hospital
  • Springfield, MO
  • NPI 1093740128
  Care Compare affiliation
• Lester E Cox Medical Centers

  dba CoxHealth

  • Land Ambulance
  • Springfield, MO
  • NPI 1114044823

  Hospital

  Care Compare affiliation
• Lester E. Cox Medical Centers

  dba Cox Air Care

  • Air Ambulance
  • Springfield, MO
  • NPI 1578680286

  Hospital

  Care Compare affiliation
• Mercy St. Francis Hospital

  • Critical Access Hospital
  • Mountain View, MO
  • NPI 1023053477
  Care Compare affiliation
• Ozarks Medical Center

  dba Ozarks Healthcare

  • General Acute Care Hospital
  • West Plains, MO
  • NPI 1831115641
  Care Compare affiliation
• Texas County Memorial Hospital

  • Medicare Defined Swing Bed Hospital Unit
  • Houston, MO
  • NPI 1023179298
  Care Compare affiliation
• Texas County Memorial Hospital

  • General Acute Care Hospital
  • Houston, MO
  • NPI 1790740363
  Care Compare affiliation
• Willow Health Care Inc

  dba Westwood Home Health

  • Home Health Agency
  • Willow Springs, MO
  • NPI 1366443913
  Care Compare affiliation

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

{
    "created_epoch": "1528934400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1551052800000",
    "number": "1790279693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4046",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658084046",
            "telephone_number": "417-269-5712",
            "fax_number": "417-269-7567"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1602A N MAIN ST",
            "city": "MOUNTAIN GROVE",
            "state": "MO",
            "postal_code": "657111010",
            "telephone_number": "417-269-2350",
            "fax_number": "417-926-5626"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1182 County Road 1590",
            "address_purpose": "LOCATION",
            "city": "Willow Springs",
            "state": "MO",
            "postal_code": "657933342",
            "country_code": "US",
            "telephone_number": "417-260-2600",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CLINTON",
        "first_name": "CARLA",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-14",
        "last_updated": "2019-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "2018020389",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anthony Joseph Bruzzichesi, ATC
• Paul E. Burris, FNP-C
• Heather Renee Busby, PMHNP
• Golda Cain
• Todd Robert Campbell, PHARMACIST
• Robin Coffey, MD
• Brock Coffman
• Cade Coffman
• Christine Michelle Coffman, RPH
• Kayla Nicole Collins

• Family Nurse Practitioner in Mountain Grove, MO
• Providers in Mountain Grove, 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, 2019; 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.