Individual provider Active NPI

Andrea Kinsey, MSN RN APRN FNP-BC

  • Family Nurse Practitioner
  • Jefferson City, MO
National Provider Identifier
1942617675
Registry record updated Jul 15, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
2014023489 Issued in MO
Practice address
100 Saint Marys Medical PLZ
Jefferson City, MO 65101-1602
Phone
(573) 761-7011
NPI assigned
Jul 15, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2014

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 2014023489 MO Primary

Addresses

Primary practice location

100 Saint Marys Medical PLZ
Jefferson City, MO 65101-1602

Mailing address

8445 County Road 370
New Bloomfield, MO 65063
Phone (573) 680-5055

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
I20150123001206 MO Practitioner - Nurse Practitioner 5890019749 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cole Physician Services LLCGroup PAC ID 0648420810, 23 clinicians

Practice addresses (Care Compare)

2505 Mission Dr
Jefferson City, MO 65109-9508
Phone (573) 681-3000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
83.47 of 100Reported as group
Quality
79.53
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner, Registered Nurse

State licenses

LicenseStateTypeSpecialty
2014023489MOMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Capital Emergency Physicians, PC CurrentSince Nov 30, 2014 Accepting new patients
Cole Physician Services LLC CurrentSince Jul 22, 2017 Accepting new patients

Locations

100 Saint Marys Plz
Jefferson Cty, MO 65101
Phone (573) 635-7642

Interoperability endpoints

  • Direct secure messaging: akinsey68779@direct-ehr-ssmhc.com

Organizations & group practices 2

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 1

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": "1405382400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1405382400000",
    "number": "1942617675",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8445 COUNTY ROAD 370",
            "city": "NEW BLOOMFIELD",
            "state": "MO",
            "postal_code": "65063",
            "telephone_number": "573-680-5055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 SAINT MARYS MEDICAL PLZ",
            "city": "JEFFERSON CITY",
            "state": "MO",
            "postal_code": "651011602",
            "telephone_number": "573-761-7011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KINSEY",
        "first_name": "ANDREA",
        "name_prefix": "Ms.",
        "credential": "MSN RN APRN FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-07-15",
        "last_updated": "2014-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "2014023489",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jefferson City, MO

Sources for this page

Verify at the official NPI Registry.