Sandra Kay Dempsey, P.A. - C.
Individual provider Active NPI Medical Physician Assistant · Saint James, MO
NPI 1861490773 · NPPES record last updated Jan 8, 2009
Key facts
- NPI
- 1861490773
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Medical Physician Assistant 363AM0700X
- License
- 2002018245 (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
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 6
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- Other, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Mercy Clinic Springfield Communities
Practice addresses (Care Compare)
1605 Martin Springs Dr
Rolla, MO 65401-2980
608 Old Route 66
Saint Robert, MO 65584-3730
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MO
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20080515000765 | MO | Practitioner - Physician Assistant | 9032288097 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2002018245 | MO | MD | Medical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mercy Clinic Springfield Communities | Current |
Accepting new patients | |
| Mercy Clinic Springfield Communities | Current |
Accepting new patients | |
| Mercy Clinic Springfield Communities | Current |
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
Ste 330
Rolla, MO 65401
Phone (573) 458-6379
1605 Martin Springs Dr
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) 829-4215
Interoperability endpoints
- sdempsey22539@directc.mercy.net
- sdempsey2971@directb.mercy.net
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | 2002018245 | MO | Yes |
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
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P00635678 | Other | RAILROAD MEDICARE | |
| 431560263 | Other | TRICARE WEST |
Other providers in Saint James, MO
- Miranda Clark
- Larry H. Cloninger
- Leah Rae Conaway
- Arti Dautenhahn
- Brenda Lee Davis
- Merla Diesta Deo
- Mary Frances Downey-Jones
- Christine G Durbin
- Kathy Lynn Eller
- Shauna Evans
All providers in Saint James, MO · Medical Physician Assistant in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 8, 2009. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.