Georgann Marie Greissinger, FNP CNM

Individual provider Active NPI Family Nurse Practitioner · Shell Knob, MO

NPI 1962499830 · NPPES record last updated Feb 4, 2013

Key facts

NPI
1962499830
Entity type
Individual (NPI type 1)
Primary specialty
Family Nurse Practitioner 363LF0000X
License
2008004559 (MO)
Practice address
25376 State Hwy 39
#301
Shell Knob, MO 65747-7343
Phone
(417) 236-2680
Fax
(417) 236-2683
NPI assigned
Oct 5, 2005
Sex
Female
Sole proprietor
No

Organizations & group practices 1

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Certified Nurse Midwife, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
7929CAMDAcupuncturist
104AKMDHearing Instrument Specialist
AK 07944-104-02AKMDFamily Nurse Practitioner
2008004559MOMDFamily Nurse Practitioner
07944-104-02AKMDAdvanced Practice Midwife

Practice roles

OrganizationSpecialtyStatusNew patients
Lung and Sleep Clinic of Alaska Inc Past
since Jun 1, 2009
Accepting new patients

Interoperability endpoints

  • Direct secure messaging: georgann.greissinger@cernerdirect.coxhealth.com

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AK 07944-104-02 AK
Advanced Practice Midwife 367A00000X 07944-104-02 AK
Family Nurse Practitioner 363LF0000X 2008004559 MO Yes

Addresses

Primary practice location

25376 State Hwy 39
#301
Shell Knob, MO 65747-7343

Mailing address

3800 S. National Ave
Ste. 540
Springfield, MO 65807-5284
Phone (417) 236-2680

Other identifiers

IdentifierTypeStateIssuer
NP3686MedicaidAK

Other providers in Shell Knob, MO

All providers in Shell Knob, MO · Family Nurse Practitioner in Missouri

Sources for this page

Verify at the official NPI Registry.