Individual provider Active NPI

Nicholas Allen Locke, NP-C

  • Family Nurse Practitioner
  • Bolivar, MO
National Provider Identifier
1841889854
Registry record updated Jan 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
2021001430 Issued in MO
Practice address
1160 W Parkview St
Bolivar, MO 65613
Phone
(417) 328-7373
NPI assigned
Jan 13, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 2021001430 MO Primary

Addresses

Primary practice location

1160 W Parkview St
Bolivar, MO 65613

Mailing address

3817 S Springfield Ave Ste 140
Bolivar, MO 65613-9129
Phone (417) 730-3508

Other practice location 1

1500 N Oakland Ave
Bolivar, MO 65613-3011
Phone (417) 326-6000

Other practice location 2

201 S Ash St
Buffalo, MO 65622-8674
Phone (417) 345-6100

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210120000788 MO Practitioner - Nurse Practitioner 1153734843 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Citizens Memorial HealthcareGroup PAC ID 4183528169, 144 clinicians
Mercy Clinic Springfield CommunitiesGroup PAC ID 7416865845, shared by 26 NPIs, 1,121 clinicians

Practice addresses (Care Compare)

1155 W Parkview
2K CMH Rheumatology
Bolivar, MO 65613-8598
Phone (417) 328-7000

1155 W Parkview St
Suite 2J
Bolivar, MO 65613-8598
Phone (417) 328-7702

1235 E Cherokee St
Springfield, MO 65804-2203
Phone (417) 820-2600

1500 N Oakland Ave
CMH Diabetes
Bolivar, MO 65613-3099
Phone (417) 328-6040

3817 S Springfield Ave
Sgfmc Bolivar Multi Specialty
Bolivar, MO 65613-9129
Phone (417) 820-3911

Hospital & facility affiliations

  • Citizens Memorial Hospital Hospital, Bolivar, MO, CCN 260195
  • Mercy Hospital Springfield Hospital, Springfield, MO, CCN 260065

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2021001430MOMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Southern Missouri Ambulatory Services LLC CurrentSince Mar 6, 2022 Accepting new patients
Citizens Memorial Hospital District CurrentSince Jun 24, 2024 Accepting new patients
Citizens Memorial Healthcare CurrentSince Feb 6, 2024 Accepting new patients
Citizens Memorial Hospital District CurrentSince Jun 24, 2024 Accepting new patients
Citizens Memorial Healthcare CurrentSince Feb 6, 2024 Accepting new patients
Mercy Clinic Springfield Communities CurrentSince Nov 15, 2021 Accepting new patients
Lincoln County Hospital PastSince Mar 6, 2022 Accepting new patients

Locations

3817 S Springfield Ave
Bolivar, MO 65613
Phone (417) 422-4769

3817 S Springfield Ave
Ste 140
Bolivar, MO 65613
Phone (417) 422-4769

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

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

900 E Battlefield St
Ste 124
Springfield, MO 65807
Phone (417) 556-8967

2150 W Republic Rd
Ste 112
Springfield, MO 65807
Phone (417) 986-1291

Organizations & group practices 9

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 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": "1610496000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767744000000",
    "number": "1841889854",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3817 S SPRINGFIELD AVE STE 140",
            "city": "BOLIVAR",
            "state": "MO",
            "postal_code": "656139129",
            "telephone_number": "417-730-3508"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1160 W PARKVIEW ST",
            "city": "BOLIVAR",
            "state": "MO",
            "postal_code": "65613",
            "telephone_number": "417-328-7373"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1500 N Oakland Ave",
            "address_purpose": "LOCATION",
            "city": "Bolivar",
            "state": "MO",
            "postal_code": "656133011",
            "country_code": "US",
            "telephone_number": "417-326-6000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "201 S Ash St",
            "address_purpose": "LOCATION",
            "city": "Buffalo",
            "state": "MO",
            "postal_code": "656228674",
            "country_code": "US",
            "telephone_number": "417-345-6100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LOCKE",
        "first_name": "NICHOLAS",
        "middle_name": "ALLEN",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-01-13",
        "last_updated": "2026-01-07",
        "certification_date": "2026-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "2021001430",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bolivar, MO

Sources for this page

Verify at the official NPI Registry.