Individual provider Active NPI

Kerri Bosley

  • Family Nurse Practitioner
  • Springfield, MO
National Provider Identifier
1902422371
Registry record updated Sep 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
2021027657 Issued in MO
Practice address
1341 W Battlefield St
Springfield, MO 65807-4101
Phone
(417) 222-2578
NPI assigned
Jun 22, 2020
Last updated
Sep 5, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 5, 2024

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 2021027657 MO Primary

Addresses

Primary practice location

1341 W Battlefield St
Springfield, MO 65807-4101

Mailing address

1341 W Battlefield St
Springfield, MO 65807-4101
Phone (417) 222-2578

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
I20240801001033 MO Practitioner - Nurse Practitioner 4981867934 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Community Hospices of America LLCGroup PAC ID 4385552660, shared by 11 NPIs, 9 clinicians

Practice addresses (Care Compare)

1602 C N Main St
Mountain Grove, MO 65711-1010
Phone (417) 926-4146

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Community Hospices of America, LLC Family CurrentSince Jun 24, 2024 Accepting new patients
Community Hospices of America LLC Family CurrentSince Sep 19, 2024 Accepting new patients
Community Hospices of America, LLC Current Accepting new patients
Community Hospices of America LLC Family CurrentSince Jun 24, 2024 Accepting new patients
Community Hospices of America - Tennessee, LLC Past Accepting new patients
FMC LTC Aco LLC Past Accepting new patients

Locations

707 E Briggs Dr
#B
Macon, MO 63552
Phone (660) 385-4400

1602C N Main St
Mountain Grv, MO 65711
Phone (417) 926-4146

5780 Osage Beach Pkwy
Osage Beach, MO 65065
Phone (573) 348-1566

230 Business Highway 13
Ste 2
Osceola, MO 64776
Phone (417) 283-3244

1341 W Battlefield St
Ste 120
Springfield, MO 65807
Phone (417) 882-0453

10 Cadillac Dr
Ste 400
Brentwood, TN 37027
Phone (615) 637-9163

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.

Hospital & facility affiliations 2

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": "1592784000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725494400000",
    "number": "1902422371",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1341 W BATTLEFIELD ST",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658074101",
            "telephone_number": "417-222-2578"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1341 W BATTLEFIELD ST",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658074101",
            "telephone_number": "417-222-2578"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOSLEY",
        "first_name": "KERRI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-06-22",
        "last_updated": "2024-09-05",
        "certification_date": "2024-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "2021027657",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, MO

Sources for this page

Verify at the official NPI Registry.