NPIMap

Organization Active NPI

TP Nixa Ops

  • Family Nurse Practitioner
  • Nixa, MO
National Provider Identifier
1972327203
Registry record updated Jun 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
Legal business name
TP NIXA OPS
Practice address
1919 Fitz LN
Nixa, MO 65714-8459
Phone
(409) 683-2457
NPI assigned
Nov 13, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2025

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

Authorized official

Name
Robert Brace
Title
VP Compliance & HR
Phone
(469) 607-8448

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X
Urgent Care Clinic/Center 261QU0200X
Family Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LF0000X Primary

Addresses

Primary practice location

1919 Fitz LN
Nixa, MO 65714-8459

Mailing address

1601 Elm St Ste 4210
Dallas, TX 75201-7282
Phone (469) 607-8448

Other practice location 1

1029 S Campbell Ave
Springfield, MO 65807-1439
Phone (417) 319-6664

Other practice location 2

3250 Shepherd Of The Hills Expy
Branson, MO 65616-8104
Phone (417) 248-2093

Other practice location 3

590 Birch Rd
Hollister, MO 65672-9605
Phone (417) 248-2091

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250404001049 MO Part B Supplier - Clinic/Group Practice 0648794255 Receives reassigned benefits from 10 practitioners
Practice locations: Hollister, MO; Springfield, MO; Nixa, MO; Branson, MO

National Provider Directory

National Provider Directory

Locations

1919 Fitz Ln
Nixa, MO 65714
Phone (416) 233-1262

Practitioners & affiliated clinicians

Practitioners 10

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1731456000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1749513600000",
    "number": "1972327203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1601 ELM ST STE 4210",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752017282",
            "telephone_number": "469-607-8448"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1919 FITZ LN",
            "city": "NIXA",
            "state": "MO",
            "postal_code": "657148459",
            "telephone_number": "409-683-2457"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1029 S Campbell Ave",
            "address_purpose": "LOCATION",
            "city": "Springfield",
            "state": "MO",
            "postal_code": "658071439",
            "country_code": "US",
            "telephone_number": "417-319-6664",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3250 Shepherd Of The Hills Expy",
            "address_purpose": "LOCATION",
            "city": "Branson",
            "state": "MO",
            "postal_code": "656168104",
            "country_code": "US",
            "telephone_number": "417-248-2093",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "590 Birch Rd",
            "address_purpose": "LOCATION",
            "city": "Hollister",
            "state": "MO",
            "postal_code": "656729605",
            "country_code": "US",
            "telephone_number": "417-248-2091",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "TP NIXA OPS",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-13",
        "last_updated": "2025-06-10",
        "certification_date": "2025-06-10",
        "status": "A",
        "authorized_official_last_name": "BRACE",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "VP COMPLIANCE & HR",
        "authorized_official_telephone_number": "469-607-8448"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nixa, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.