| Amanda J Chapman, MSN-NP | |
|
108 S Hickory St, Mount Vernon, MO 65712-1407 | |
| (417) 466-4110 | |
| (417) 466-4255 |
| Full Name | Amanda J Chapman |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 5 Years |
| Location | 108 S Hickory St, Mount Vernon, Missouri |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659960979 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 2021008231 (Missouri) | Primary |
| 163W00000X | Registered Nurse | 2011021027 (Missouri) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Ozarks Community Hospital Of Gravette | Gravette, AR | Hospital |
| Mercy Hospital - Aurora | Aurora, MO | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Sgoh Acquisition Inc | 5092616276 | 74 |
| Entity Name | Sgoh Acquisition Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1114924768 PECOS PAC ID: 5092616276 Enrollment ID: O20040205000647 |
| Mailing Address | Practice Location Address |
|---|---|
| Amanda J Chapman, MSN-NP 108 S Hickory St, Mount Vernon, MO 65712-1407 Ph: (417) 466-4110 | Amanda J Chapman, MSN-NP 108 S Hickory St, Mount Vernon, MO 65712-1407 Ph: (417) 466-4110 |
Amy Eileen Moenning, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1011 S East St, Mount Vernon, MO 65712 Phone: 417-466-7191 | |
Mrs. Bethany Laurian Douglas, MSN FNP-C Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 320 W Mount Vernon Blvd, Mount Vernon, MO 65712 Phone: 417-461-0056 Fax: 833-707-1944 | |
Mrs. Mary Anne Loftis, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1011 S East St, Mount Vernon, MO 65712 Phone: 417-466-7191 Fax: 417-466-3876 | |
Cheryl Calvin, APRN, BC FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 101 W Patterson St, Mount Vernon, MO 65712 Phone: 417-466-7700 Fax: 417-466-7754 | |
Malinda K Kendrick, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 108 S Hickory St, Mount Vernon, MO 65712 Phone: 417-466-4110 Fax: 417-466-4255 | |
Stephanie Justus, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1011 S East St, Mount Vernon, MO 65712 Phone: 417-466-7191 |