Active NPI
Nicholas Allen Locke, NP-C
- Family Nurse Practitioner
- Bolivar, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 2021001430
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
- Mercy Clinic Springfield Communities
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
- Mercy Hospital Springfield
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2021001430 | MO | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mercy Southern Missouri Ambulatory Services LLC | Current | Accepting new patients | |
| Citizens Memorial Hospital District | Current | Accepting new patients | |
| Citizens Memorial Healthcare | Current | Accepting new patients | |
| Citizens Memorial Hospital District | Current | Accepting new patients | |
| Citizens Memorial Healthcare | Current | Accepting new patients | |
| Mercy Clinic Springfield Communities | Current | Accepting new patients | |
| Lincoln County Hospital | Past | 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.
-
- Surgery Physician
- Bolivar, MO
- NPI 1568566131
-
- Emergency Medicine Physician
- Bolivar, MO
- NPI 1558548818
-
- Urgent Care Clinic/Center
- Springfield, MO
- NPI 1871094052
-
- Family Medicine Physician
- Springfield, MO
- NPI 1245277631
-
- Rural Health Clinic/Center
- Willow Springs, MO
- NPI 1972771657
-
- Rural Health Clinic/Center
- Willard, MO
- NPI 1568127397
-
- Community/Retail Pharmacy
- Buffalo, MO
- NPI 1427480995
-
- Family Medicine Physician
- Hollister, MO
- NPI 1053350454
-
- Critical Access Hospital
- Lincoln, KS
- NPI 1942265327
Hospital & facility affiliations 10
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Bolivar, MO
- NPI 1003981549
-
- General Acute Care Hospital
- Springfield, MO
- NPI 1578504056
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2026; 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.