Active NPI
Emily Conklin, PA
- Physician Assistant
- Springfield, MO
National Provider Identifier
1912561135
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 2019011713
- Practice address
- 3800 S National Ave
Springfield, MO 65807-5209 - Phone
- (417) 875-3845
- NPI assigned
- Apr 23, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 2019011713 | MO | Primary |
Addresses
Primary practice location
3800 S National Ave
Springfield, MO 65807-5209
Mailing address
PO Box 9007
Springfield, MO 65808-9007
Phone (417) 875-3846
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912561135 | Medicaid | MO |
Other names 1
- Emily Hutcheson
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Mercy Clinic Springfield Communities
Practice addresses (Care Compare)
3050 E River Bluff Blvd
MC Orthopedics
Ozark, MO 65721-8807
Phone (417) 820-5610
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 82.25 of 100
- Quality
- 64.73
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 76.1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2019011713 | MO | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mercy Clinic Springfield Communities | Current | Accepting new patients | |
| Mercy Clinic Springfield Communities | Current | Accepting new patients | |
| Mercy Clinic Springfield Communities | Current | Accepting new patients | |
| Lester E Cox Medical Centers | Past | Accepting new patients |
Locations
3050 E River Bluff Blvd
Ozark, MO 65721
Phone (417) 820-5610
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 and National Provider Directory roles.
-
- Family Medicine Physician
- Springfield, MO
- NPI 1245277631
-
- Rural Health Clinic/Center
- Willow Springs, MO
- NPI 1972771657
-
- Family Medicine Physician
- Hollister, MO
- NPI 1053350454
-
- Hospitalist Physician
- Springfield, MO
- NPI 1952355646
Hospital & facility affiliations 12
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Springfield, MO
- NPI 1093740128
-
- General Acute Care Hospital
- Springfield, MO
- NPI 1578504056
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1555977600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1712275200000",
"number": "1912561135",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 9007",
"city": "SPRINGFIELD",
"state": "MO",
"postal_code": "658089007",
"telephone_number": "417-875-3846"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3800 S NATIONAL AVE",
"city": "SPRINGFIELD",
"state": "MO",
"postal_code": "658075209",
"telephone_number": "417-875-3845"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CONKLIN",
"first_name": "EMILY",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-04-23",
"last_updated": "2024-04-05",
"certification_date": "2024-04-05",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "MO",
"license": "2019011713",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1912561135",
"state": "MO"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "EMILY",
"last_name": "HUTCHESON",
"credential": "PA",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Springfield, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2024; 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.