Malissa Phillips, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

RN116618 Issued in MO

Practice address

1125 N Butterfield Rd
Bolivar, MO 65613-1056

Phone

(417) 326-7676

Fax

(417) 326-3939

NPI assigned

Aug 16, 2006

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

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

University of Missouri, Columbia School of Medicine, 1996

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Citizens Memorial HealthcareGroup PAC ID 4183528169, 144 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Citizens Memorial Hospital Hospital, Bolivar, MO, CCN 260195
• Parkview Health Care Facility Nursing home, Bolivar, MO, CCN 265519

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 and National Provider Directory roles.

• Citizens Memorial Healthcare

  • Surgery Physician
  • Bolivar, MO
  • NPI 1568566131

  MO

  Medicare reassignment Care Compare group NPD
• Citizens Memorial Healthcare

  • Rural Health Clinic/Center
  • Willard, MO
  • NPI 1568127397
  Care Compare group NPD
• Citizens Memorial Healthcare

  • Rural Health Clinic/Center
  • Bolivar, MO
  • NPI 1063588960
  Care Compare group
• Citizens Memorial Healthcare

  • Rural Health Clinic/Center
  • Bolivar, MO
  • NPI 1407141153
  Care Compare group
• Citizens Memorial Healthcare

  • Rural Health Clinic/Center
  • Ash Grove, MO
  • NPI 1417161449
  Care Compare group
• Citizens Memorial Healthcare

  • Rural Health Clinic/Center
  • Stockton, MO
  • NPI 1447464227
  Care Compare group
• Citizens Memorial Healthcare

  • Rural Health Clinic/Center
  • Humansville, MO
  • NPI 1508070269
  Care Compare group
• Citizens Memorial Healthcare

  • Rural Health Clinic/Center
  • Osceola, MO
  • NPI 1578961454
  Care Compare group
• Citizens Memorial Healthcare

  • Rural Health Clinic/Center
  • Buffalo, MO
  • NPI 1609080571
  Care Compare group
• Citizens Memorial Healthcare

  • Rural Health Clinic/Center
  • Greenfield, MO
  • NPI 1699989350
  Care Compare group
• Citizens Memorial Healthcare

  • Rural Health Clinic/Center
  • Pleasant Hope, MO
  • NPI 1740494541
  Care Compare group
• Citizens Memorial Healthcare

  • Rural Health Clinic/Center
  • Bolivar, MO
  • NPI 1831303502
  Care Compare group

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Citizens Memorial Health Care Foundation

  • Skilled Nursing Facility
  • Bolivar, MO
  • NPI 1629057765

  Nursing home

  Care Compare affiliation
• Citizens Memorial Hospital District

  • General Acute Care Hospital
  • Bolivar, MO
  • NPI 1003981549

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1155686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1449705600000",
    "number": "1851404776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 N OAKLAND AVE",
            "city": "BOLIVAR",
            "state": "MO",
            "postal_code": "656133011",
            "telephone_number": "417-326-6000",
            "fax_number": "417-328-6338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1125 N BUTTERFIELD RD",
            "city": "BOLIVAR",
            "state": "MO",
            "postal_code": "656131056",
            "telephone_number": "417-326-7676",
            "fax_number": "417-326-3939"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHILLIPS",
        "first_name": "MALISSA",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-16",
        "last_updated": "2015-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "RN116618",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Naiya Patel
• Casey Marie Peak, MS, LPC
• Nathaniel Alan Pearl, DO
• Xavier Jacob Lee Pearson, MS, RD, LD, CNSC
• Jonna Marie Pendergrass, RN
• Charles Allan Pitts
• Jacob Podleski
• Polk County Health Center
• Polk County Radiology LLC
• Polk County Senate Bill 40

• All providers in Bolivar, MO
• Family Nurse Practitioner in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2015; 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.