Carissa Bailey
Individual provider Active NPI Family Nurse Practitioner · Springfield, MO
NPI 1801466784 · NPPES record last updated Jul 1, 2021
Key facts
- NPI
- 1801466784
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 202024178 (MO)
- Practice address
- 3801 S National Ave
Springfield, MO 65807-5210 - Phone
- (417) 269-4450
- NPI assigned
- Jul 1, 2021
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 23
Hospital & facility affiliations 5
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Lester E Cox Medical Centers
Practice addresses (Care Compare)
1423 N Jefferson Ave
Springfield, MO 65802-1917
3801 S National Ave 9TH FL
Glycemic MGMT Services
Springfield, MO 65807-5210
Phone (417) 269-5158
960 E Walnut Lawn
201 Adult Medicine and Endocrinology Speciali
Springfield, MO 65807-7865
Phone (417) 269-4450
Hospital & facility affiliations
- Cox Medical Centers
- Cox Medical Center Branson
- Cox Monett Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 85.78 of 100
- Quality
- 74.39
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 78.21
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MO
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210817000563 | MO | Practitioner - Nurse Practitioner | 3577968452 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 202024178 | MO | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lester E Cox Medical Centers | Current | Accepting new patients | |
| Lester E Cox Medical Centers | Current |
Accepting new patients | |
| Lester E Cox Medical Centers | Current |
Accepting new patients | |
| Lester E. Cox Medical Centers | Past | Accepting new patients | |
| Barton County Memorial Hospital | Past | Accepting new patients | |
| Skaggs Community Hospital Association | Past | Accepting new patients | |
| Skaggs Community Hospital Association | Past | Accepting new patients | |
| Lester E Cox Medical Centers | Past | Accepting new patients |
Locations
29 NW 1st Ln
Lamar, MO 64759
Phone (417) 681-5266
3801 S National Ave
Ste 1122
Springfield, MO 65807
960 E Walnut Lawn St
Ste 201
Springfield, MO 65807
Phone (417) 269-4450
3801 S National Ave
Fl 9
Springfield, MO 65807
Phone (417) 269-4264
1423 N Jefferson Ave
Springfield, MO 65802
Phone (417) 269-6583
3801 S National Ave
Springfield, MO 65807
Phone (417) 269-4056
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 202024178 | MO | Yes |
Addresses
Primary practice location
3801 S National Ave
Springfield, MO 65807-5210
Mailing address
1044 E Highpoint St
Springfield, MO 65810-2939
Phone (417) 207-9546
Other providers in Springfield, MO
- Daryl Steven Bahn
- Hanqing Bai
- Joshua James Baiel
- Autumn Bailey
- Billy Dean Bailey
- Diane P. Bailey
- Jamie M Bailey
- Janelle M Bailey
- Jason Bailey
- Kathryn Smith Bailey
All providers in Springfield, MO · Family Nurse Practitioner in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 1, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.