Individual provider Active NPI

Lincoln Randall Nowlin, DPM

  • Foot & Ankle Surgery Podiatrist
  • Warrensburg, MO
National Provider Identifier
1861444903
Registry record updated Nov 26, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
000757 Issued in MO
Practice address
521 E Young Ave
Warrensburg, MO 64093-1228
Phone
(660) 429-2626
Fax
(660) 429-3356
NPI assigned
May 17, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 26, 2007

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 000757 MO
Foot & Ankle Surgery Podiatrist 213ES0103X 000757 MO Primary

Addresses

Primary practice location

521 E Young Ave
Warrensburg, MO 64093-1228

Mailing address

521 E Young Ave
Warrensburg, MO 64093-1228
Phone (660) 429-2626

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060606000275 MO Practitioner - Podiatry 5294746376 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
College of Podiatric Med and Surgery, Des Moines University, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

521 E Young Ave
Warrensburg, MO 64093-1228
Phone (660) 429-2626

Hospital & facility affiliations

  • Western Missouri Medical Center Hospital, Warrensburg, MO, CCN 260097

Merit-based Incentive Payment System (MIPS)

Final score
88.21 of 100Reported as individual
Quality
76.42
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue42
Removal of skin lesions1-10
Removal of nail tissue1667
Removal or shaving of skin growth252

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
000757MOMDMental Health Counselor
757MOMDAudiologist

Practice roles

OrganizationSpecialtyStatusNew patients
Complete Foot and Ankle Center, LLC Podiatrist CurrentSince Dec 18, 2009 Accepting new patients

Locations

521 E Young Ave
Warrensburg, MO 64093
Phone (660) 429-2626

Interoperability endpoints

  • Direct secure messaging: nowlinlincoln@cfaacl-mo.direct.office.nextgen.com
  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 1

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 1

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": "1147824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1196035200000",
    "number": "1861444903",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "521 E YOUNG AVE",
            "city": "WARRENSBURG",
            "state": "MO",
            "postal_code": "640931228",
            "telephone_number": "660-429-2626",
            "fax_number": "660-429-3356"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "521 E YOUNG AVE",
            "city": "WARRENSBURG",
            "state": "MO",
            "postal_code": "640931228",
            "telephone_number": "660-429-2626",
            "fax_number": "660-429-3356"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOWLIN",
        "first_name": "LINCOLN",
        "middle_name": "RANDALL",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-17",
        "last_updated": "2007-11-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "MO",
            "license": "000757",
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "MO",
            "license": "000757",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Warrensburg, MO

Sources for this page

Verify at the official NPI Registry.