Individual provider Active NPI

Irene Newman Parsonson, FNP

  • Family Nurse Practitioner
  • Brookfield, MO
National Provider Identifier
1932275286
Registry record updated Dec 5, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
138036 Issued in MO
Practice address
130 E Lockling St
Brookfield, MO 64628-2337
Phone
(660) 258-1050
Fax
(660) 258-1052
NPI assigned
Nov 28, 2006
Last updated
Dec 5, 2008By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2008

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 138036 MO Primary

Addresses

Primary practice location

130 E Lockling St
Brookfield, MO 64628-2337

Mailing address

103 Brookside CT
Brookfield, MO 64628-2479
Phone (660) 258-7194

Other identifiers 1

IdentifierTypeStateIssuer
138036OtherMOSTATE LICENSE NUMBER

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
I20070307000020 MO Practitioner - Nurse Practitioner 2567565872 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
General John J Pershing Memorial Hospital AssociationGroup PAC ID 2860306750, shared by 5 NPIs, 20 clinicians

Practice addresses (Care Compare)

130 E Lockling St
Brookfield, MO 64628-2337
Phone (660) 258-1278

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
138036MOMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
General John J Pershing Memorial Hospital Association CurrentSince Dec 4, 2006 Accepting new patients
General John J Pershing Memorial Hospital Association Current Accepting new patients
General John J Pershing Memorial Hospital Association CurrentSince Jul 25, 2008 Accepting new patients

Locations

125 E Lockling St
Brookfield, MO 64628
Phone (660) 258-3363

130 E Lockling St
Brookfield, MO 64628
Phone (660) 258-1050

101 E Hayward St
Meadville, MO 64659
Phone (660) 938-4213

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/23d7eb1d-294f-4546-883b-c856fcd53f34/

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 4

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": "1164672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1228435200000",
    "number": "1932275286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 BROOKSIDE CT",
            "city": "BROOKFIELD",
            "state": "MO",
            "postal_code": "646282479",
            "telephone_number": "660-258-7194"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 E LOCKLING ST",
            "city": "BROOKFIELD",
            "state": "MO",
            "postal_code": "646282337",
            "telephone_number": "660-258-1050",
            "fax_number": "660-258-1052"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARSONSON",
        "first_name": "IRENE",
        "middle_name": "NEWMAN",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-28",
        "last_updated": "2008-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "138036",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE NUMBER",
            "identifier": "138036",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brookfield, MO

Sources for this page

Verify at the official NPI Registry.