| Audrey Anne Hubler, FNP | |
|
109 N Broadway St, South West City, MO 64863-9417 | |
| (417) 762-3287 | |
| (417) 762-3255 |
| Full Name | Audrey Anne Hubler |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 6 Years |
| Location | 109 N Broadway St, South West City, 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 |
|---|---|---|---|
| 1831754720 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 2019010401 (Missouri) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Mercy Hospital Joplin | Joplin, MO | Hospital |
| Mercy Hospital Carthage | Carthage, MO | Hospital |
| Mercy Hospital Columbus | Columbus, KS | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Mercy Clinic Joplin Llc | 0547300196 | 238 |
| Mercy Clinic Joplin Llc | 0547300196 | 238 |
| 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 |
| Entity Name | Mercy Clinic Joplin Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1215264817 PECOS PAC ID: 0547300196 Enrollment ID: O20091218000092 |
| Mailing Address | Practice Location Address |
|---|---|
| Audrey Anne Hubler, FNP 109 N Broadway St, South West City, MO 64863-9417 Ph: (417) 762-3287 | Audrey Anne Hubler, FNP 109 N Broadway St, South West City, MO 64863-9417 Ph: (417) 762-3287 |
Shaye Wilson, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 10700 S State Highway 43, South West City, MO 64863 Phone: 417-762-5250 Fax: 177-625-2524 | |
Ashley N Weathers, CFNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 109 N Broadway St, South West City, MO 64863 Phone: 417-762-3287 Fax: 417-762-3255 |