NPIMap

Individual provider Active NPI

Andrew R Wyant, MD

  • Family Medicine Physician
  • Marshall, MO
National Provider Identifier
1821087172
Registry record updated Mar 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
2018015413 Issued in MO
Practice address
2305 S Highway 65 BLDG a
Marshall, MO 65340-3702
Phone
(660) 886-7800
Fax
(660) 831-3306
NPI assigned
Oct 19, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 5, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 01045516 IN
Obstetrics & Gynecology Physician 207V00000X 01045516A IN
Hospitalist Physician 208M00000X 2018015413 MO
Family Medicine Physician 207Q00000X 2018015413 MO Primary

Addresses

Primary practice location

2305 S Highway 65 BLDG a
Marshall, MO 65340-3702

Mailing address

2305 S Highway 65 BLDG a
Marshall, MO 65340-3702
Phone (660) 886-7800

Other practice location 1

2305 S Highway 65
Marshall, MO 65340-3702
Phone (660) 886-7431

Other practice location 2

600 W Morrison St
Fayette, MO 65248-1471
Phone (660) 248-2900

Other identifiers 2

IdentifierTypeStateIssuer
200105220MedicaidIN
200064758MedicaidMO

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address AndrewWyant@fitzgibbon.cernerdirect.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190116001803 MO Practitioner - General PracticePractitioner - Obstetrics/Gynecology 3870407323 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
General PracticeAlso: Obstetrics/Gynecology
Education
Indiana University School of Medicine, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
John Fitzgibbon Memorial Hospital Inc 45 clinicians
Nevada City Hospital 87 clinicians

Practice addresses (Care Compare)

2305 S Hwy 65
Marshall, MO 65340-3702
Phone (660) 831-8414

800 S Ash St
Nevada, MO 64772-3223
Phone (417) 667-3355

800 S Ash St
Nevada, MO 64772-3224

Hospital & facility affiliations

  • St Croix Hospice Hospice, Bolivar, MO, CCN 261630
  • Nevada Regional Medical Center Hospital, Nevada, MO, CCN 260061
  • Fitzgibbon Hospital Hospital, Marshall, MO, CCN 260142
  • Cedar County Memorial Hospital Hospital, El Dorado Springs, MO, CCN 261323

Procedures performed for Medicare patients

ProcedureNumber of procedures
Upper gastrointestinal (GI) endoscopy for acid reflux1-10
Removal of nail tissue1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
01045516AINMDObstetrics & Gynecology Physician
2018015413MOMDHospitalist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
John Fitzgibbon Memorial Hospital, Inc. Current Accepting new patients
County of Cedar Missouri CurrentSince May 1, 2025 Accepting new patients
John Fitzgibbon Memorial Hospital, Inc. Current Accepting new patients
Nevada City Hospital CurrentSince Aug 30, 2024 Accepting new patients
Nevada City Hospital CurrentSince Aug 30, 2024 Accepting new patients
John Fitzgibbon Memorial Hospital, Inc Hospitalist CurrentSince Jul 18, 2023 Accepting new patients
John Fitzgibbon Memorial Hospital Inc. CurrentSince Jul 18, 2023 Accepting new patients
John Fitzgibbon Memorial Hospital Inc Current Accepting new patients
Nevada City Hospital Past Accepting new patients
Emergency Professionals of Indiana, P.C. Emergency Medicine Past Accepting new patients
Legendary Nursing & Rehabilitation Center, LLC Past Accepting new patients

Locations

1317 S State Highway 32
El Dorado Springs, MO 64744
Phone (417) 876-3333

600 W Morrison St
Fayette, MO 65248
Phone (660) 248-2900

2305 S Highway 65
Bldg A
Marshall, MO 65340
Phone (660) 886-7800

2305 S Highway 65
Marshall, MO 65340
Phone (660) 831-3730

900 S Adams St
Nevada, MO 64772
Phone (417) 667-3355

800 S Ash St
Nevada, MO 64772
Phone (417) 667-3355

Interoperability endpoints

  • Direct secure messaging: andrewwyant@fitzgibbon.cernerdirect.com

Organizations & group practices 24

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.

View all 24

Hospital & facility affiliations 18

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

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1129680000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709596800000",
    "number": "1821087172",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2305 S HIGHWAY 65 BLDG A",
            "city": "MARSHALL",
            "state": "MO",
            "postal_code": "653403702",
            "telephone_number": "660-886-7800",
            "fax_number": "660-831-3306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2305 S HIGHWAY 65 BLDG A",
            "city": "MARSHALL",
            "state": "MO",
            "postal_code": "653403702",
            "telephone_number": "660-886-7800",
            "fax_number": "660-831-3306"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2305 S Highway 65",
            "address_purpose": "LOCATION",
            "city": "Marshall",
            "state": "MO",
            "postal_code": "653403702",
            "country_code": "US",
            "telephone_number": "660-886-7431",
            "fax_number": "660-831-3314",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "600 W Morrison St",
            "address_purpose": "LOCATION",
            "city": "Fayette",
            "state": "MO",
            "postal_code": "652481471",
            "country_code": "US",
            "telephone_number": "660-248-2900",
            "fax_number": "660-831-3372",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WYANT",
        "first_name": "ANDREW",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-10-19",
        "last_updated": "2024-03-05",
        "certification_date": "2024-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "IN",
            "license": "01045516",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "IN",
            "license": "01045516A",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "MO",
            "license": "2018015413",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MO",
            "license": "2018015413",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200105220",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200064758",
            "state": "MO"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "AndrewWyant@fitzgibbon.cernerdirect.com",
            "affiliation": "N",
            "endpointDescription": "Andrew Wyant John Fitzgibbon Hospital Direct Email Address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "2305 S Highway 65 Bldg A",
            "city": "Marshall",
            "state": "MO",
            "country_code": "US",
            "postal_code": "653403702",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Marshall, MO

Sources for this page

Verify at the official NPI Registry.