Individual provider Active NPI

Stacy Lynette Tomlin, NP

  • Acute Care Nurse Practitioner
  • Springfield, MO
National Provider Identifier
1912423781
Registry record updated Jul 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
2017028746 Issued in MO
Practice address
3801 S National Ave
Springfield, MO 65807-5210
Phone
(417) 269-6583
Fax
(417) 269-6573
NPI assigned
Aug 14, 2017
Last updated
Jul 2, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X 2017028746 MO Primary

Addresses

Primary practice location

3801 S National Ave
Springfield, MO 65807-5210

Mailing address

3801 S National Ave
Springfield, MO 65807-5210
Phone (417) 730-6430

Other practice location 1

525 Branson Landing Blvd
Branson, MO 65616-2052
Phone (417) 875-2627

Other identifiers 1

IdentifierTypeStateIssuer
420045842MedicaidMO

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
I20170915002338 MO Practitioner - Nurse Practitioner 6103190038 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1341 W Battlefield St
Suite 110
Springfield, MO 65807-6138
Phone (417) 882-0453

3405 W Truman Blvd
210 Hospice Compassus Central Missouri
Jefferson City, MO 65109-5861
Phone (573) 298-4685

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
81.52 of 100Reported as group
Quality
61.64
Promoting interoperability
100
Improvement activities
40
Cost
76.77

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2017028746MOMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Community Hospices of America, LLC CurrentSince Dec 21, 2025 Accepting new patients
Lester E Cox Medical Centers CurrentSince Aug 22, 2017 Accepting new patients
Lester E Cox Medical Centers CurrentSince Jun 1, 2019 Accepting new patients
Lester E Cox Medical Centers CurrentSince Jun 1, 2019 Accepting new patients
Lester E Cox Medical Centers Current Accepting new patients
Lester E. Cox Medical Centers Current Accepting new patients
Lester E Cox Medical Centers CurrentSince Dec 30, 2023 Accepting new patients
Community Hospices of America LLC CurrentSince Dec 21, 2025 Accepting new patients
Lester E Cox Medical Centers CurrentSince Aug 22, 2017 Accepting new patients
Lester E. Cox Medical Centers Past Accepting new patients
Skaggs Community Hospital Association Past Accepting new patients
Lester E Cox Medical Centers Past Accepting new patients

Locations

525 Branson Landing Blvd
Ste 100
Branson, MO 65616
Phone (417) 348-8646

303 N Keene St
Ste 306
Columbia, MO 65201
Phone (573) 443-8360

3405 W Truman Blvd
Ste 210
Jefferson City, MO 65109
Phone (573) 261-6226

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

2200 E Cleveland St
Monett, MO 65708
Phone (417) 236-2600

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

5100 N Towne Centre Dr
Ozark, MO 65721
Phone (417) 269-2215

1001 E Primrose St
Springfield, MO 65807
Phone (417) 875-3434

1341 W Battlefield St
Ste 110
Springfield, MO 65807
Phone (417) 882-0453

1423 N Jefferson Ave
Springfield, MO 65802
Phone (417) 269-6583

2750 S Campbell Ave
Springfield, MO 65807
Phone (417) 269-2281

3801 S National Ave
Springfield, MO 65807
Phone (417) 269-4056

3801 S National Ave
Fl 5
Springfield, MO 65807

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

Organizations & group practices 13

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.

View all 13

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": "1502668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782950400000",
    "number": "1912423781",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3801 S NATIONAL AVE",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658075210",
            "telephone_number": "417-730-6430",
            "fax_number": "417-269-7567"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3801 S NATIONAL AVE",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658075210",
            "telephone_number": "417-269-6583",
            "fax_number": "417-269-6573"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "525 Branson Landing Blvd",
            "address_purpose": "LOCATION",
            "city": "Branson",
            "state": "MO",
            "postal_code": "656162052",
            "country_code": "US",
            "telephone_number": "417-875-2627",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TOMLIN",
        "first_name": "STACY",
        "middle_name": "LYNETTE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-14",
        "last_updated": "2026-07-02",
        "certification_date": "2026-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "MO",
            "license": "2017028746",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "420045842",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, MO

Sources for this page

Verify at the official NPI Registry.