Individual provider Active NPI

Jamie Dost Harrison, M.D.

  • Family Medicine Physician
  • Cape Girardeau, MO
National Provider Identifier
1922260280
Registry record updated Apr 2, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
2011002805 Issued in MO
Practice address
817 S Mount Auburn Rd
Suite 100
Cape Girardeau, MO 63703-6383
Phone
(573) 519-4500
Fax
(573) 519-4530
NPI assigned
Jun 27, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 2, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 2008015975 MO
Family Medicine Physician 207Q00000X 2011002805 MO Primary

Addresses

Primary practice location

817 S Mount Auburn Rd
Suite 100
Cape Girardeau, MO 63703-6383

Mailing address

817 S Mount Auburn Rd
Suite 100
Cape Girardeau, MO 63703-6383
Phone (573) 519-4500

Other names 1

  • Jamie Sue Dost Other name

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110819000468 MO Practitioner - Family Practice 6800066366 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Missouri, Columbia School of Medicine, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Health Facilities Rehab Services IncGroup PAC ID 3476679226, 152 clinicians
Southeast Missouri Hospital Physicians LLCGroup PAC ID 9133024334, 206 clinicians

Practice addresses (Care Compare)

1102 Sikes Ave
Sikeston, MO 63801-5021

1701 Lacey St
Cape Girardeau, MO 63701-5230
Phone (573) 334-4822

2600 E Main St
Southeast Primary Care Jackson
Jackson, MO 63755-2473
Phone (573) 755-2310

Hospital & facility affiliations

  • Mercy Hospital Southeast Hospital, Cape Girardeau, MO, CCN 260110
  • Saint Francis Medical Center Hospital, Cape Girardeau, MO, CCN 260183
  • Mercy Hospital Perry Hospital, Perryville, MO, CCN 261311
  • Mercy Hospital Stoddard Hospital, Dexter, MO, CCN 260160

Merit-based Incentive Payment System (MIPS)

Final score
30 of 100Reported as individual
Quality
0
Promoting interoperability
0
Improvement activities
0
Cost
100

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions49
Removal or shaving of skin growth1-10
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
2008015975MOMDFamily Medicine Physician
2011002805MOMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Southeast Missouri Hospital Physicians, LLC Family Medicine CurrentSince Sep 1, 2011 Accepting new patients
Southeast Hospital PastSince Jan 1, 2024 Accepting new patients
Southeast Missouri Hospital Physicians LLC Past Accepting new patients

Locations

817 S Mount Auburn Rd
Ste 100
Cape Girardeau, MO 63703
Phone (573) 519-4500

817 S Mount Auburn Rd
Cape Girardeau, MO 63703
Phone (573) 519-4500

1701 Lacey St
Cpe Girardeau, MO 63701
Phone (573) 334-4822

2600 E Main St
Jackson, MO 63755
Phone (573) 331-6157

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.

Hospital & facility affiliations 5

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": "1214524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1364860800000",
    "number": "1922260280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "817 S MOUNT AUBURN RD",
            "address_2": "SUITE 100",
            "city": "CAPE GIRARDEAU",
            "state": "MO",
            "postal_code": "637036383",
            "telephone_number": "573-519-4500",
            "fax_number": "573-519-4530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "817 S MOUNT AUBURN RD",
            "address_2": "SUITE 100",
            "city": "CAPE GIRARDEAU",
            "state": "MO",
            "postal_code": "637036383",
            "telephone_number": "573-519-4500",
            "fax_number": "573-519-4530"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRISON",
        "first_name": "JAMIE",
        "middle_name": "DOST",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-06-27",
        "last_updated": "2013-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MO",
            "license": "2008015975",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MO",
            "license": "2011002805",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JAMIE",
            "last_name": "DOST",
            "middle_name": "SUE",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Cape Girardeau, MO

Sources for this page

Verify at the official NPI Registry.