Individual provider Active NPI

Victoria Verheyen

  • Family Nurse Practitioner
  • Aurora, MO
National Provider Identifier
1972851897
Registry record updated Aug 27, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
2012025985 Issued in MO
Practice address
550 S Hudson Ave
Aurora, MO 65605-2362
Phone
(417) 678-5176
NPI assigned
Aug 27, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 2012025985 MO Primary

Addresses

Primary practice location

550 S Hudson Ave
Aurora, MO 65605-2362

Mailing address

550 S Hudson Ave
Aurora, MO 65605-2362

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20121031000385 MO Practitioner - Nurse Practitioner 7113177015 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Clinic Springfield Communities Family CurrentSince Oct 15, 2012 Accepting new patients
Mercy Clinic Springfield Communities CurrentSince Feb 7, 2018 Accepting new patients
Mercy Clinic Springfield Communities Family CurrentSince Oct 15, 2012 Accepting new patients

Locations

550 S Hudson Ave
Aurora, MO 65605
Phone (417) 678-0632

1717 S Range Line Rd
Ste B
Joplin, MO 64804
Phone (417) 556-2231

1605 Martin Springs Dr
Rolla, MO 65401
Phone (573) 458-6379

1605 Martin Springs Dr
Ste 330
Rolla, MO 65401
Phone (573) 458-6379

2115 S Fremont Ave
Ste 3050
Springfield, MO 65804
Phone (417) 820-3905

Interoperability endpoints

  • Direct secure messaging: vverheyen11544@directb.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.

NPI Registry JSON

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

{
    "created_epoch": "1346025600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1346025600000",
    "number": "1972851897",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "550 S HUDSON AVE",
            "city": "AURORA",
            "state": "MO",
            "postal_code": "656052362"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 S HUDSON AVE",
            "city": "AURORA",
            "state": "MO",
            "postal_code": "656052362",
            "telephone_number": "417-678-5176"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VERHEYEN",
        "first_name": "VICTORIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-08-27",
        "last_updated": "2012-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "2012025985",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aurora, MO

Sources for this page

Verify at the official NPI Registry.