Individual provider Active NPI

Sandra Kay Dempsey, P.A. - C.

  • Medical Physician Assistant
  • Saint James, MO
National Provider Identifier
1861490773
Registry record updated Jan 8, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
2002018245 Issued in MO
Practice address
107 W Eldon St
Saint James, MO 65559-1903
Phone
(573) 265-1818
Fax
(573) 265-1810
NPI assigned
Jul 13, 2005
Last updated
Jan 8, 2009By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 2002018245 MO Primary

Addresses

Primary practice location

107 W Eldon St
Saint James, MO 65559-1903

Mailing address

107 W Eldon St
Saint James, MO 65559-1903
Phone (573) 265-1818

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
I20080515000765 MO Practitioner - Physician Assistant 9032288097 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mercy Clinic Springfield CommunitiesGroup PAC ID 7416865845, shared by 26 NPIs, 1,121 clinicians

Practice addresses (Care Compare)

1605 Martin Springs Dr
Rolla, MO 65401-2980

608 Old Route 66
Saint Robert, MO 65584-3730

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Clinic Springfield Communities CurrentSince Jan 23, 2018 Accepting new patients
Mercy Clinic Springfield Communities CurrentSince Jan 23, 2018 Accepting new patients
Mercy Clinic Springfield Communities CurrentSince Jan 23, 2018 Accepting new patients
Theodosia Medical Center Past Accepting new patients
Women's Health & Medical Surgical Services Past Accepting new patients
Ozarks Medical Center Past Accepting new patients

Locations

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

1605 Martin Springs Dr
Ste 330
Rolla, MO 65401
Phone (573) 458-6379

107 W Eldon St
Saint James, MO 65559
Phone (573) 265-1818

608 Old Route 66
Saint Robert, MO 65584
Phone (573) 336-5100

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

620 S Glenstone Ave
Springfield, MO 65802
Phone (417) 581-8170

Interoperability endpoints

  • Direct secure messaging: sdempsey22539@directc.mercy.net
  • Direct secure messaging: sdempsey2971@directb.mercy.net

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1121212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1231372800000",
    "number": "1861490773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 W ELDON ST",
            "city": "SAINT JAMES",
            "state": "MO",
            "postal_code": "655591903",
            "telephone_number": "573-265-1818",
            "fax_number": "573-265-1810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 W ELDON ST",
            "city": "SAINT JAMES",
            "state": "MO",
            "postal_code": "655591903",
            "telephone_number": "573-265-1818",
            "fax_number": "573-265-1810"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEMPSEY",
        "first_name": "SANDRA",
        "middle_name": "KAY",
        "name_prefix": "Ms.",
        "credential": "P.A. - C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-13",
        "last_updated": "2009-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "MO",
            "license": "2002018245",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint James, MO

Sources for this page

Verify at the official NPI Registry.