Individual provider Active NPI

Zachary J Vincent

  • Emergency Medicine Physician
  • Neosho, MO
National Provider Identifier
1962025585
Registry record updated Jun 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
2021043447 Issued in MO
Practice address
113 W Hickory St
Neosho, MO 64850-1705
Phone
(417) 451-1234
NPI assigned
May 19, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X DR.0071633 CO
Student in an Organized Health Care Education/Training Program 390200000X
Emergency Medicine Physician 207P00000X 2021043447 MO Primary
Emergency Medicine Physician 207P00000X 010160 AZ

Addresses

Primary practice location

113 W Hickory St
Neosho, MO 64850-1705

Mailing address

1102 W 32ND St
Joplin, MO 64804-3503
Phone (417) 347-6612

Other practice location 1

300 W Ottley Ave
Fruita, CO 81521-2118
Phone (970) 858-3900

Other practice location 2

1102 W 32nd St
Joplin, MO 64804-3503
Phone (417) 347-1111

Other practice location 3

1501 E 3rd St
Delta, CO 81416-2815
Phone (970) 874-7681

Other identifiers 1

IdentifierTypeStateIssuer
9000220063MedicaidCO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ, CO2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20230612002505 AZ Practitioner - Emergency Medicine 6305233321 Reassigns benefits to 2 organizations
I20230901003608 CO Practitioner - Emergency Medicine 6305233321 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Rocky Vista University College of Osteopathic Med, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Delta County Memorial HospitalGroup PAC ID 1850200601, 107 clinicians
Emergency Group of Arizona Professional CorporationGroup PAC ID 1355596644, 102 clinicians
Colorado West Healthcare SystemGroup PAC ID 3971491887, 35 clinicians

Practice addresses (Care Compare)

1501 E 3Rd St
Delta Health
Delta, CO 81416-2815
Phone (970) 874-7681

16815 W Bell Rd
Surprise, AZ 85374-2101
Phone (800) 562-2945

2351 G Rd
Grand Junction, CO 81505-9641
Phone (970) 242-0920

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of nail tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
10160AZMDPharmacist
010160AZMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lower Valley Hospital Association Family Medicine CurrentSince Aug 1, 2023 Accepting new patients
Arizona Acute Medical Services 1 PC CurrentSince Jul 31, 2023 Accepting new patients
Colorado West Healthcare System CurrentSince Nov 1, 2024 Accepting new patients
Lower Valley Hospital Association CurrentSince Oct 16, 2025 Accepting new patients
Emergency Group of Arizona Professional Corporation Emergency Medicine CurrentSince Jul 15, 2023 Accepting new patients
Colorado West Emergency Physicians, LLC Emergency Medicine CurrentSince Oct 4, 2024 Accepting new patients
Delta County Memorial Hospital CurrentSince Jul 27, 2025 Accepting new patients
Lower Valley Hospital Association Emergency Medicine Current Accepting new patients
Colorado West Healthcare System CurrentSince Nov 1, 2024 Accepting new patients
Delta County Memorial Hospital CurrentSince Jul 27, 2025 Accepting new patients
Colorado West Healthcare System Family Medicine Current Accepting new patients
Lower Valley Hospital Association CurrentSince Aug 1, 2023 Accepting new patients
Community Medical Group, LLC Family Medicine Past Accepting new patients

Locations

1930 E Thomas Rd
Phoenix, AZ 85016
Phone (602) 532-1000

3929 E Bell Rd
Phoenix, AZ 85032
Phone (602) 923-5000

16815 W Bell Rd
Surprise, AZ 85374
Phone (623) 244-2400

1450 Burgess St
Delta, CO 81416
Phone (970) 874-7668

1501 E 3rd St
Delta, CO 81416
Phone (970) 874-2470

Dept 0861
Denver, CO 80256
Phone (970) 298-1977

300 W Ottley Ave
#W
Fruita, CO 81521

300 W Ottley Ave
Fruita, CO 81521
Phone (970) 858-3900

2351 G Rd
Grand Junction, CO 81505
Phone (970) 242-0920

2635 N 7th St
Grand Junction, CO 81501
Phone (970) 244-2009

Organizations & group practices 13

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.

View all 13

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": "1589846400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782691200000",
    "number": "1962025585",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1102 W 32ND ST",
            "city": "JOPLIN",
            "state": "MO",
            "postal_code": "648043503",
            "telephone_number": "417-347-6612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "113 W HICKORY ST",
            "city": "NEOSHO",
            "state": "MO",
            "postal_code": "648501705",
            "telephone_number": "417-451-1234"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "300 W Ottley Ave",
            "address_purpose": "LOCATION",
            "city": "Fruita",
            "state": "CO",
            "postal_code": "815212118",
            "country_code": "US",
            "telephone_number": "970-858-3900",
            "fax_number": "970-858-2202",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1102 W 32nd St",
            "address_purpose": "LOCATION",
            "city": "Joplin",
            "state": "MO",
            "postal_code": "648043503",
            "country_code": "US",
            "telephone_number": "417-347-1111",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1501 E 3rd St",
            "address_purpose": "LOCATION",
            "city": "Delta",
            "state": "CO",
            "postal_code": "814162815",
            "country_code": "US",
            "telephone_number": "970-874-7681",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VINCENT",
        "first_name": "ZACHARY",
        "middle_name": "J",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-05-19",
        "last_updated": "2026-06-29",
        "certification_date": "2026-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "CO",
            "license": "DR.0071633",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MO",
            "license": "2021043447",
            "primary": true
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "AZ",
            "license": "010160",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9000220063",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Neosho, MO

Sources for this page

Verify at the official NPI Registry.