Individual provider Active NPI

Libia Chandler, P.A.

  • Surgical Physician Assistant
  • Springfield, MO
National Provider Identifier
1841398153
Registry record updated Nov 16, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
2006000539 Issued in MO
Practice address
3800 S National Ave FL 4
Springfield, MO 65807-5209
Phone
(417) 875-3275
Fax
(417) 875-3295
NPI assigned
Sep 20, 2006
Last updated
Nov 16, 2009By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician Assistant 363AS0400X 2006000539 MO Primary

Addresses

Primary practice location

3800 S National Ave FL 4
Springfield, MO 65807-5209

Mailing address

1001 E Primrose St
Springfield, MO 65807-5155
Phone (417) 875-3022

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO, AR2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20060301000601 MO Practitioner - Physician Assistant 8224044185 Reassigns benefits to 5 organizations
I20240726003550 AR Practitioner - Physician Assistant 8224044185

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
2006000539MOMDSurgical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Hospital Lebanon CurrentSince Feb 9, 2019 Accepting new patients
Ozarks Medical Center CurrentSince Jun 16, 2019 Accepting new patients
Mercy Clinic Springfield Communities CurrentSince Feb 9, 2019 Accepting new patients
Skaggs Community Hospital Association CurrentSince Nov 4, 2017 Accepting new patients
Skaggs Community Hospital Association CurrentSince Nov 4, 2017 Accepting new patients
Michael S. Clarke, M.D., P.a. Current Accepting new patients
North Arkansas Regional Medical Center Current Accepting new patients
Citizens Memorial Healthcare CurrentSince Apr 1, 2019 Accepting new patients
Citizens Memorial Healthcare CurrentSince Apr 1, 2019 Accepting new patients
Mercy Hospital Lebanon CurrentSince Feb 9, 2019 Accepting new patients
Ozarks Medical Center CurrentSince Jun 16, 2019 Accepting new patients
Mercy Clinic Springfield Communities CurrentSince Feb 9, 2019 Accepting new patients
Skaggs Community Hospital Association Past Accepting new patients
Ferrell Duncan Clinic, Inc Past Accepting new patients

Locations

620 N Main St
Harrison, AR 72601
Phone (870) 365-2000

1500 N Oakland Ave
Bolivar, MO 65613
Phone (417) 326-6000

100 Hospital Dr
Lebanon, MO 65536
Phone (417) 533-6010

1001 E Primrose St
Springfield, MO 65807
Phone (417) 875-3434

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

3800 S National Ave
Fl 4
Springfield, MO 65807
Phone (417) 875-3203

1100 N Kentucky Ave
West Plains, MO 65775
Phone (417) 257-5959

Interoperability endpoints

  • Direct secure messaging: libia.chandler@cernerdirect.coxhealth.com

Organizations & group practices 15

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.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1258329600000",
    "number": "1841398153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 E PRIMROSE ST",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658075155",
            "telephone_number": "417-875-3022",
            "fax_number": "417-875-3019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3800 S NATIONAL AVE FL 4",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658075209",
            "telephone_number": "417-875-3275",
            "fax_number": "417-875-3295"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHANDLER",
        "first_name": "LIBIA",
        "name_prefix": "Mrs.",
        "credential": "P.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-20",
        "last_updated": "2009-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "MO",
            "license": "2006000539",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, MO

Sources for this page

Verify at the official NPI Registry.