Individual provider Active NPI

Debby Sue Carl, FNP-C

  • Family Nurse Practitioner
  • Fordland, MO
National Provider Identifier
1891147104
Registry record updated Jul 11, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
2016021267 Issued in MO
Practice address
1059 Barton Dr
Fordland, MO 65652-7350
Phone
(417) 776-7227
NPI assigned
Jul 11, 2016
Last updated
Jul 11, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 2016021267 MO Primary

Addresses

Primary practice location

1059 Barton Dr
Fordland, MO 65652-7350

Mailing address

112 Alan Dr
Rogersville, MO 65742-8792
Phone (417) 766-8928

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
I20160801001696 MO Practitioner - Nurse Practitioner 3870886617 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Fordland Clinic, Inc.Group PAC ID 5597794552, 10 clinicians
NP Health of Mo LLCGroup PAC ID 4183047053, 17 clinicians

Practice addresses (Care Compare)

1059 Barton Dr
Fordland, MO 65652-7350
Phone 41776722732022

1707 W Elfindale St
The Manor at Elfind
Springfield, MO 65807-1246
Phone (417) 831-2273

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Fordland Clinic, Inc. CurrentSince Jul 12, 2016 Accepting new patients
NP Health of Mo LLC CurrentSince Oct 2, 2025 Accepting new patients
Fordland Clinic, Inc. CurrentSince Jul 12, 2016 Accepting new patients
Ozarks Medical Center Past Accepting new patients

Locations

415 W Golf Rd
Ste 26
Arlington Hts, IL 60005

10 Lake Dr
Bonne Terre, MO 63628
Phone (573) 358-2800

1059 Barton Dr
Fordland, MO 65652
Phone (417) 767-2100

3001 E Elm St
Harrisonville, MO 64701
Phone (816) 380-6525

11863 State Highway 13
Ste 1
Kimberling City, MO 65686
Phone (417) 739-2520

1707 W Elfindale St
Springfield, MO 65807
Phone (417) 831-2273

Interoperability endpoints

  • Direct secure messaging: dcarl@11ef84f8.micromddirect.com

Organizations & group practices 4

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.

Hospital & facility affiliations 3

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": "1468195200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1468195200000",
    "number": "1891147104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 ALAN DR",
            "city": "ROGERSVILLE",
            "state": "MO",
            "postal_code": "657428792",
            "telephone_number": "417-766-8928"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1059 BARTON DR",
            "city": "FORDLAND",
            "state": "MO",
            "postal_code": "656527350",
            "telephone_number": "417-776-7227"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARL",
        "first_name": "DEBBY",
        "middle_name": "SUE",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-07-11",
        "last_updated": "2016-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "2016021267",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fordland, MO

Sources for this page

Verify at the official NPI Registry.