NPIMap

Individual provider Active NPI

Mandy L Rust, NP

  • Family Nurse Practitioner
  • Springfield, MO
National Provider Identifier
1881186781
Registry record updated May 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
2018021602 Issued in MO
Practice address
2115 S Fremont Ave Ste 4300
Springfield, MO 65804
Phone
(417) 820-3911
NPI assigned
Jun 6, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 22, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 2012002654 MO
Family Nurse Practitioner 363LF0000X 2018021602 MO Primary

Addresses

Primary practice location

2115 S Fremont Ave Ste 4300
Springfield, MO 65804

Mailing address

PO Box 505673
Saint Louis, MO 63150-5673

Other practice location 1

3800 S National Ave Ste 400
Springfield, MO 65807-5272
Phone (000) 000-0000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180627001913 MO Practitioner - Nurse Practitioner 0840546271 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lester E Cox Medical CentersGroup PAC ID 1254248917, 336 clinicians

Practice addresses (Care Compare)

1001 E Primrose St
Springfield, MO 65807-5155

3800 S National Ave
Suite 400
Springfield, MO 65807-5272
Phone (417) 875-3000

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
2012002654MOMDRegistered Nurse
2018021602MOMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Lester E Cox Medical Centers CurrentSince Apr 21, 2025 Accepting new patients
Mercy Clinic Springfield Communities CurrentSince Sep 30, 2020 Accepting new patients
Mercy Clinic Springfield Communities CurrentSince Jul 15, 2018 Accepting new patients
Lester E Cox Medical Centers CurrentSince Apr 21, 2025 Accepting new patients
Mercy Clinic Springfield Communities Family CurrentSince Jul 15, 2018 Accepting new patients
Ozarks Medical Center Past Accepting new patients

Locations

3817 S Springfield Ave
Bolivar, MO 65613
Phone (417) 422-4769

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

2115 S Fremont Ave
Ste 4300
Springfield, MO 65804
Phone (417) 829-3911

620 S Glenstone Ave
Springfield, MO 65802
Phone (417) 829-4215

3800 S National Ave
Ste 400
Springfield, MO 65807
Phone (417) 269-9482

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

1235 E Cherokee St
Springfield, MO 65804
Phone (417) 820-2115

1000 E Primrose St
Ste 360
Springfield, MO 65807
Phone (417) 269-4037

Interoperability endpoints

  • Direct secure messaging: mrust116090@directc.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 and National Provider Directory roles.

Hospital & facility affiliations 14

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

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1528243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747872000000",
    "number": "1881186781",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 505673",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631505673"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2115 S FREMONT AVE STE 4300",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "65804",
            "telephone_number": "417-820-3911"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3800 S National Ave Ste 400",
            "address_purpose": "LOCATION",
            "city": "Springfield",
            "state": "MO",
            "postal_code": "658075272",
            "country_code": "US",
            "telephone_number": "000-000-0000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RUST",
        "first_name": "MANDY",
        "middle_name": "L",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-06",
        "last_updated": "2025-05-22",
        "certification_date": "2025-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MO",
            "license": "2012002654",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "2018021602",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, MO

Sources for this page

Verify at the official NPI Registry.