Lynae Rachelle Friend, PMHNP

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

2021016655 Issued in MO

Practice address

1100 South Springfield Ave
Suite B
Bolivar, MO 65613

Phone

(417) 326-7272

Fax

(417) 326-2193

NPI assigned

Jun 18, 2021

Last updated

Jun 18, 2021By 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

Other names 1

• Lynae Rachelle Geier Former name

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, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Clark Community Mental Health CenterGroup PAC ID 8527069277, 25 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

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.

• Clark Community Mental Health Center

  • Community/Behavioral Health Agency
  • Monett, MO
  • NPI 1801807771
  Medicare reassignment Care Compare group NPD
• Citizens Memorial Healthcare

  • Surgery Physician
  • Bolivar, MO
  • NPI 1568566131
  Medicare reassignment NPD
• Citizens Memorial Healthcare

  dba CMH Willard Medical Center

  • Rural Health Clinic/Center
  • Willard, MO
  • NPI 1568127397
  NPD
• Northwoods Psychiatric Services Inc

  dba Pomme de Terre Wellness Clinic

  • Psychiatry Physician
  • Bolivar, MO
  • NPI 1417902305

  Psychiatric/Mental Health

  NPD
• Ozarks Resource Group

  dba Ozarks Community Health Center

  • Federally Qualified Health Center (FQHC)
  • Hermitage, MO
  • NPI 1639421050
  NPD
• Clark Community Mentalhealth Center

  • Children's Substance Abuse Rehabilitation Facility
  • Monett, MO
  • NPI 1912337692
  NPD (past)
• Ozarks Resource Group

  dba Ozarks Community Health Center

  • Federally Qualified Health Center (FQHC)
  • Urbana, MO
  • NPI 1659942027
  NPD (past)

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

{
    "created_epoch": "1623974400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623974400000",
    "number": "1831768555",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18614 JACKSON STREET",
            "address_2": "PO BOX 125",
            "city": "HERMITAGE",
            "state": "MO",
            "postal_code": "65668",
            "telephone_number": "833-789-5933",
            "fax_number": "417-745-0056"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 SOUTH SPRINGFIELD AVE",
            "address_2": "SUITE B",
            "city": "BOLIVAR",
            "state": "MO",
            "postal_code": "65613",
            "telephone_number": "417-326-7272",
            "fax_number": "417-326-2193"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRIEND",
        "first_name": "LYNAE",
        "middle_name": "RACHELLE",
        "credential": "PMHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-18",
        "last_updated": "2021-06-18",
        "certification_date": "2021-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MO",
            "license": "2021016655",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LYNAE",
            "last_name": "GEIER",
            "middle_name": "RACHELLE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Katharine Hendrix Foster, MS
• Kole Daniel Foster, DPT
• Meagan Francka, SLPA
• Free Your Mind Therapy LLC
• Jeffrey Randall Frerking
• Alexis Garner, DMD
• Alexander K Gerry, PLPC
• Melissa Gibbs, PA-C
• Erin Giglio
• Erik Josef Glassl, CRNA

• Psychiatric/Mental Health Nurse Practitioner in Bolivar, MO
• Providers in Bolivar, MO by specialty
• Psychiatric/Mental Health Nurse Practitioner in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 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.

Verify at the official NPI Registry.