Inta Davidyuk, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

2021021667 Issued in MO

Practice address

3817 S Springfield Ave Ste 140
Bolivar, MO 65613-9129

Phone

(417) 422-4769

NPI assigned

Sep 27, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Nurse Practitioner

Education

Other, 2021

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)

Hospital & facility affiliations

• Mercy Hospital Springfield Hospital, Springfield, MO, CCN 260065

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: idavidyuk1215631@directc.mercy.net

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.

• Mercy Clinic Springfield Communities

  • Family Medicine Physician
  • Springfield, MO
  • NPI 1245277631
  Medicare reassignment NPD
• Mercy Clinic Springfield Communities

  • Rural Health Clinic/Center
  • Willow Springs, MO
  • NPI 1972771657

  Family

  Medicare reassignment NPD
• Mercy Clinic Springfield Communities

  • Family Medicine Physician
  • Hollister, MO
  • NPI 1053350454
  NPD
• Mercy Hospital Springfield

  • General Acute Care Hospital
  • Springfield, MO
  • NPI 1043242159
  NPD (past)

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

• Mercy Hospital Springfield

  • Air Ambulance
  • Branson West, MO
  • NPI 1144430760

  Hospital

  Care Compare affiliation
• Mercy Hospital Springfield

  • Land Ambulance
  • Mount Vernon, MO
  • NPI 1427279173

  Hospital

  Care Compare affiliation
• Mercy Hospital Springfield

  • Land Ambulance
  • Camdenton, MO
  • NPI 1477765204

  Hospital

  Care Compare affiliation
• Mercy Hospital Springfield

  • Land Ambulance
  • Winona, MO
  • NPI 1538380654

  Hospital

  Care Compare affiliation
• Mercy Hospital Springfield

  • Land Ambulance
  • Stockton, MO
  • NPI 1558573386

  Hospital

  Care Compare affiliation
• Mercy Hospital Springfield

  • Land Ambulance
  • Springfield, MO
  • NPI 1558573410

  Hospital

  Care Compare affiliation
• Mercy Hospital Springfield

  • General Acute Care Hospital
  • Springfield, MO
  • NPI 1578504056
  Care Compare affiliation
• Mercy Hospital Springfield

  • Land Ambulance
  • Mountain View, MO
  • NPI 1639204308

  Hospital

  Care Compare affiliation
• Mercy Hospital Springfield

  • Land Ambulance
  • Green Forest, AR
  • NPI 1477756609

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1632700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1637193600000",
    "number": "1902577141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3817 S SPRINGFIELD AVE STE 140",
            "city": "BOLIVAR",
            "state": "MO",
            "postal_code": "656139129",
            "telephone_number": "417-422-4769"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3817 S SPRINGFIELD AVE STE 140",
            "city": "BOLIVAR",
            "state": "MO",
            "postal_code": "656139129",
            "telephone_number": "417-422-4769"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIDYUK",
        "first_name": "INTA",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-09-27",
        "last_updated": "2021-11-18",
        "certification_date": "2021-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "2021021667",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dan McHans Store Inc
• Daniel T Goodman DDS LLC
• Kristi Darnell, MS
• Kristen Davern, ATC, LAT
• Makaela Dawn David
• Melissa Davis, LCSW
• Nicole Davis, MSW, LCSW
• Russell Davis, DO
• Kim S Davison, DDS
• Courtney Margaret De Souza, MD

• Family Nurse Practitioner in Bolivar, MO
• Providers in Bolivar, MO by specialty
• Family Nurse Practitioner in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.