Organization
Regional Services
Provider's NPPES record last updated: July 22, 2020
Overview
- Entity Type
- Organization
- NPI
- 1891275350
- Primary Specialty
- Nurse Practitioner — Family
- Practice Location
- Willard, Missouri
- Organization Subpart
- No
Federal Screening
NPISignal checked this NPI against federal exclusion sources. Results below are based on the NPI number itself — an identifier match, not a name match.
List of Excluded Individuals/Entities (LEIE)
HHS Office of Inspector General
No potential match was identified in NPISignal's indexed List of Excluded Individuals/Entities (LEIE) records as of 2026-09-10.
- Source data
- September 10, 2026
- Records indexed
- 84,001
- Screened
- Sep 18, 2026, 5:59 AM UTC
This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.
SAM.gov Exclusions
U.S. General Services Administration
SAM.gov Exclusions was not checked.
SAM.gov screening is not configured on this deployment. No SAM check has been performed.
- Screened
- Not checked
This is an NPI-based check only. NPISignal does not publish name-based exclusion matches on a provider profile. A shared or similar name is a lead that requires human review, not an identification, and this page is not the place to make one. Run a name-based screening below to see potential matches with the reasons for each.
This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.
Searches OIG LEIE and SAM.gov by name and reviews every potential match.
Specialties & Taxonomies
- Primary
Nurse Practitioner
Family
Physician Assistants & Advanced Practice Nursing Providers
Definition to come...
Taxonomy code 363LF0000X
Practice Locations
Practice Location
205 S Miller Rd
Willard, Missouri 65781
Phone: (417) 742-2588
Additional Practice Location
409 Farmer Rd # A
Willard, Missouri 65781-9509
Phone: (417) 742-2597
Additional Practice Location
4151 W Division St
Springfield, Missouri 65802-1087
Phone: (417) 862-6308
Additional Practice Location
515 E Jackson St
Willard, Missouri 65781-9209
Phone: (417) 742-3524
Additional Practice Location
4595 W Farm Road 140
Springfield, Missouri 65802-5644
Phone: (417) 869-0600
Other Names
- Coxhealth School Based TelemedicineReported August 28, 2018
Record Information
- Enumeration Date
- August 15, 2018
- Provider's NPPES Record Last Updated
- July 22, 2020
- Certification Date
- July 22, 2020
- NPISignal NPPES Dataset
- August 2026
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