Individual provider Active NPI

Julie Ann Stapp, NP

  • Family Nurse Practitioner
  • Joplin, MO
National Provider Identifier
1992784086
Registry record updated Feb 10, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
107286 Issued in MO
Practice address
2817 Saint Johns Blvd
Joplin, MO 64804-1563
Phone
(417) 625-2300
Fax
(417) 625-2005
NPI assigned
Jan 17, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 10, 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 107286 MO Primary

Addresses

Primary practice location

2817 Saint Johns Blvd
Joplin, MO 64804-1563

Mailing address

2817 Saint Johns Blvd
Joplin, MO 64804-1563
Phone (417) 625-2300

Other identifiers 2

IdentifierTypeStateIssuer
428371603MedicaidMO
200267150BMedicaidKS

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
I20041021000408 MO Practitioner - Nurse Practitioner 3173584398 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ozark Tri-County Health Care ConsortiumGroup PAC ID 8123918257, 38 clinicians

Practice addresses (Care Compare)

530 S Maiden LN
Joplin, MO 64801-3084
Phone (417) 782-6200

Hospital & facility affiliations

  • Mercy Hospital - Cassville Hospital, Cassville, MO, CCN 261317
  • Cox Monett Hospital Hospital, Monett, MO, CCN 261329

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Ozark Tri-County Health Care Consortium CurrentSince Mar 3, 2015 Accepting new patients
Ozark Tri-County Health Care Consortium Current Accepting new patients
Ozark Tri-County Health Care Consortium CurrentSince Mar 3, 2015 Accepting new patients
M D M DO, LLC Past Accepting new patients
Sjmgroup Past Accepting new patients

Locations

927 N Highway 71
Anderson, MO 64831
Phone (417) 845-2273

1810 S Carnation Dr
Aurora, MO 65605
Phone (417) 678-1260

1335 E Fairview Ave
Carthage, MO 64836
Phone (417) 674-2141

4016 Main St
Cassville, MO 65625
Phone (417) 847-0057

530 S Maiden Ln
Joplin, MO 64801
Phone (417) 223-4385

210 W 10th St
Lamar, MO 64759
Phone (417) 681-0027

1504 N Business 49
#A
Neosho, MO 64850
Phone (417) 346-1201

475 Nelson Ave
Neosho, MO 64850

Interoperability endpoints

  • Direct secure messaging: julie.stapp@othcdafc.eclinicaldirectplus.com
  • Direct secure messaging: julie.stapp@cernerdirect.coxhealth.com

Organizations & group practices 5

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.

Hospital & facility affiliations 2

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": "1137456000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1328832000000",
    "number": "1992784086",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2817 SAINT JOHNS BLVD",
            "city": "JOPLIN",
            "state": "MO",
            "postal_code": "648041563",
            "telephone_number": "417-625-2300",
            "fax_number": "417-625-2005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2817 SAINT JOHNS BLVD",
            "city": "JOPLIN",
            "state": "MO",
            "postal_code": "648041563",
            "telephone_number": "417-625-2300",
            "fax_number": "417-625-2005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STAPP",
        "first_name": "JULIE",
        "middle_name": "ANN",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-17",
        "last_updated": "2012-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "107286",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "428371603",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200267150B",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Joplin, MO

Sources for this page

Verify at the official NPI Registry.