Individual provider Active NPI

Sara E Kracman, NP-C

  • Nurse Practitioner
  • Branson, MO
National Provider Identifier
1952945222
Registry record updated Oct 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
2019019269 Issued in MO
Practice address
280 Wintergreen Rd
Branson, MO 65616-8850
Phone
(417) 544-0961
NPI assigned
Oct 30, 2019
Last updated
Oct 9, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 9, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 2019019269 MO Primary
Adult Health Nurse Practitioner 363LA2200X 2019019269 MO

Addresses

Primary practice location

280 Wintergreen Rd
Branson, MO 65616-8850

Mailing address

280 Wintergreen Rd
Branson, MO 65616-8850
Phone (417) 544-0961

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Jan 1, 2023 through Jan 1, 2027

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2019019269MOMDAdult Health Nurse Practitioner

Interoperability endpoints

  • Direct secure messaging: sara.kracman@350283831574532.direct.elationemr.com

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1572393600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633737600000",
    "number": "1952945222",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "280 WINTERGREEN RD",
            "city": "BRANSON",
            "state": "MO",
            "postal_code": "656168850",
            "telephone_number": "417-544-0961"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "280 WINTERGREEN RD",
            "city": "BRANSON",
            "state": "MO",
            "postal_code": "656168850",
            "telephone_number": "417-544-0961"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRACMAN",
        "first_name": "SARA",
        "middle_name": "E",
        "credential": "NP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-10-30",
        "last_updated": "2021-10-09",
        "certification_date": "2021-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MO",
            "license": "2019019269",
            "primary": true
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "MO",
            "license": "2019019269",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Branson, MO

Sources for this page

Verify at the official NPI Registry.