NPIMap

Individual provider Active NPI

Christine Elizabeth Werner, NP

  • Family Nurse Practitioner
  • Marionville, MO
National Provider Identifier
1821700733
Registry record updated Nov 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
2023004710 Issued in MO
Practice address
1 N College Ave
Marionville, MO 65705-9269
Phone
(417) 463-7301
NPI assigned
Dec 22, 2022
Last updated
Nov 8, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 2023004710 MO Primary
Registered Nurse 163W00000X 2014006044 MO

Addresses

Primary practice location

1 N College Ave
Marionville, MO 65705-9269

Mailing address

332 S Main Ave
Republic, MO 65738-1861
Phone (417) 732-5050

Other names 1

  • Christine Elizabeth Werner Former name

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
I20230209003009 MO Practitioner - Nurse Practitioner 8820460348 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Mercy Clinic Springfield CommunitiesGroup PAC ID 7416865845, shared by 26 NPIs, 1,121 clinicians

Practice addresses (Care Compare)

3231 S National Ave
Springfield, MO 65807-7304
Phone (417) 888-6735

550 S Hudson Ave
MC Family Medicine Aurora
Aurora, MO 65605-2362
Phone (417) 678-5176

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
2014006044MOMDRegistered Nurse
2023004710MOMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Clinic Springfield Communities CurrentSince Feb 19, 2023 Accepting new patients
Mercy Clinic Springfield Communities CurrentSince Feb 19, 2023 Accepting new patients
Mercy Clinic Springfield Communities Family CurrentSince Feb 19, 2023 Accepting new patients

Locations

550 S Hudson Ave
Aurora, MO 65605
Phone (417) 678-0632

1 N College Ave
Marionville, MO 65705
Phone (417) 258-7200

332 S Main Ave
Republic, MO 65738
Phone (417) 432-5058

1605 Martin Springs Dr
Rolla, MO 65401
Phone (573) 458-6379

1605 Martin Springs Dr
Ste 330
Rolla, MO 65401
Phone (573) 458-6379

2115 S Fremont Ave
Ste 3050
Springfield, MO 65804
Phone (417) 820-3905

3231 S National Ave
Ste 130
Springfield, MO 65807
Phone (417) 841-0280

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

Hospital & facility affiliations 10

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": "1671667200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731024000000",
    "number": "1821700733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "332 S MAIN AVE",
            "city": "REPUBLIC",
            "state": "MO",
            "postal_code": "657381861",
            "telephone_number": "417-732-5050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 N COLLEGE AVE",
            "city": "MARIONVILLE",
            "state": "MO",
            "postal_code": "657059269",
            "telephone_number": "417-463-7301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WERNER",
        "first_name": "CHRISTINE",
        "middle_name": "ELIZABETH",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-12-22",
        "last_updated": "2024-11-08",
        "certification_date": "2024-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "2023004710",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MO",
            "license": "2014006044",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHRISTINE",
            "last_name": "WERNER",
            "middle_name": "ELIZABETH",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Marionville, MO

Sources for this page

Verify at the official NPI Registry.