Individual provider Active NPI

Andrea Elizabeth Pelate, MD

  • Family Medicine Physician
  • Neosho, MO
National Provider Identifier
1831835768
Registry record updated Jul 31, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
2025019640 Issued in MO
Practice address
336 S Jefferson St
Neosho, MO 64850-1769
Phone
(417) 455-4200
Fax
(417) 455-4314
NPI assigned
May 12, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 31, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X 2022022827 MO
Family Medicine Physician 207Q00000X 2025019640 MO Primary

Addresses

Primary practice location

336 S Jefferson St
Neosho, MO 64850-1769

Mailing address

2127 S Rhode Island Dr Apt 9
Joplin, MO 64804-6101
Phone (417) 362-1140

Other practice location 1

1102 W 32nd St
Joplin, MO 64804-3503
Phone (417) 362-1140

Medicare participation

Medicare enrollment files
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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250722002481 MO Practitioner - Family Practice 7315453842 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Missouri, Kansas City, School of Medicine, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Freeman Neosho HospitalGroup PAC ID 4284624552, shared by 6 NPIs, 43 clinicians

Practice addresses (Care Compare)

336 S Jefferson St
Freeman Neosho Physician Group
Neosho, MO 64850-1769
Phone (417) 455-4200

Hospital & facility affiliations

  • Freeman Neosho Hospital Hospital, Neosho, MO, CCN 261331
  • Freeman Health System - Freeman West Hospital, Joplin, MO, CCN 260137

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
2022022827MOMDStudent in an Organized Health Care Education/Training Program

Practice roles

OrganizationSpecialtyStatusNew patients
Freeman Neosho Hospital CurrentSince Jan 1, 2026 Accepting new patients
Freeman Neosho Hospital Family Medicine CurrentSince Aug 5, 2025 Accepting new patients
Freeman Neosho Hospital CurrentSince Aug 5, 2025 Accepting new patients
Freeman-Oak Hill Health System Past Accepting new patients

Locations

1102 W 32nd St
Joplin, MO 64804
Phone (417) 347-1078

336 S Jefferson St
Neosho, MO 64850
Phone (417) 451-4200

113 W Hickory St
Neosho, MO 64850
Phone (417) 347-1078

Organizations & group practices 4

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.

Hospital & facility affiliations 3

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": "1652313600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753920000000",
    "number": "1831835768",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2127 S RHODE ISLAND DR APT 9",
            "city": "JOPLIN",
            "state": "MO",
            "postal_code": "648046101",
            "telephone_number": "417-362-1140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "336 S JEFFERSON ST",
            "city": "NEOSHO",
            "state": "MO",
            "postal_code": "648501769",
            "telephone_number": "417-455-4200",
            "fax_number": "417-455-4314"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1102 W 32nd St",
            "address_purpose": "LOCATION",
            "city": "Joplin",
            "state": "MO",
            "postal_code": "648043503",
            "country_code": "US",
            "telephone_number": "417-362-1140",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PELATE",
        "first_name": "ANDREA",
        "middle_name": "ELIZABETH",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-05-12",
        "last_updated": "2025-07-31",
        "certification_date": "2025-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "MO",
            "license": "2022022827",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MO",
            "license": "2025019640",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Neosho, MO

Sources for this page

Verify at the official NPI Registry.