Active NPI
Johnna Tenberge, PA-C
- Physician Assistant
- Springfield, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 2022001188
- Practice address
- 3045 S National Ave Ste 110
Springfield, MO 65804-4247 - Phone
- (417) 820-5610
- NPI assigned
- Dec 8, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 2022001188 | MO | Primary |
Addresses
Primary practice location
3045 S National Ave Ste 110
Springfield, MO 65804-4247
Mailing address
3045 S National Ave Ste 110
Springfield, MO 65804-4247
Phone (417) 820-5610
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1235 E Cherokee St
Springfield, MO 65804-2203
2115 S Fremont Ave
Springfield, MO 65804-2232
2115 S Fremont Ave
3050 MC Infectious Disease Whiteside
Springfield, MO 65804-2236
Phone (417) 820-3905
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mercy Clinic Springfield Communities | Current | Accepting new patients | |
| Mercy Clinic Springfield Communities | Current | Accepting new patients | |
| Ozarks Medical Center | Past | Accepting new patients |
Locations
2115 S Fremont Ave
Ste 4300
Springfield, MO 65804
Phone (417) 829-3911
1235 E Cherokee St
Springfield, MO 65804
Phone (417) 820-2115
3045 S National Ave
Ste 110
Springfield, MO 65804
Phone (417) 820-5610
2115 S Fremont Ave
Ste 3050
Springfield, MO 65804
Phone (417) 820-3905
Interoperability endpoints
- jtenberge1222644@directc.mercy.net
Organizations & group practices 3
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.
-
- Family Medicine Physician
- Springfield, MO
- NPI 1245277631
-
- Rural Health Clinic/Center
- Willow Springs, MO
- NPI 1972771657
-
- General Acute Care Hospital
- West Plains, MO
- NPI 1831115641
Hospital & facility affiliations 11
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Aurora, MO
- NPI 1467543090
-
- General Acute Care Hospital
- Springfield, MO
- NPI 1578504056
-
- General Acute Care Hospital
- Rogers, AR
- NPI 1316902414
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1638921600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1642636800000",
"number": "1962161802",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3045 S NATIONAL AVE STE 110",
"city": "SPRINGFIELD",
"state": "MO",
"postal_code": "658044247",
"telephone_number": "417-820-5610"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3045 S NATIONAL AVE STE 110",
"city": "SPRINGFIELD",
"state": "MO",
"postal_code": "658044247",
"telephone_number": "417-820-5610"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TENBERGE",
"first_name": "JOHNNA",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-12-08",
"last_updated": "2022-01-20",
"certification_date": "2022-01-20",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "MO",
"license": "2022001188",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Springfield, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.