| Misty Leeanne Denevan, RN | |
|
1100 N Kentucky Ave, West Plains, MO 65775 | |
| (417) 256-9111 | |
| Not Available |
| Full Name | Misty Leeanne Denevan |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 7 Years |
| Location | 1100 N Kentucky Ave, West Plains, 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 |
|---|---|---|---|
| 1477044162 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 2018024053 (Missouri) | Primary |
| 163W00000X | Registered Nurse | 2004020401 (Missouri) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Mercy Hospital Springfield | Springfield, MO | Hospital |
| Ozarks Medical Center | West plains, MO | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Ozarks Medical Center | 3870491863 | 164 |
| Skaggs Community Hospital Association | 5092624320 | 153 |
| Mercy Hospital Springfield | 7416867593 | 59 |
| North Arkansas Regional Medical Center | 5193615896 | 60 |
| Entity Name | Mercy Clinic Springfield Communities |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1245277631 PECOS PAC ID: 7416865845 Enrollment ID: O20031104000060 |
| Entity Name | Ozarks Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1831115641 PECOS PAC ID: 3870491863 Enrollment ID: O20040209001035 |
| Entity Name | Ozarks Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1831115641 PECOS PAC ID: 3870491863 Enrollment ID: O20040211000422 |
| Entity Name | Cox-monett Hospital Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1669687125 PECOS PAC ID: 0345236667 Enrollment ID: O20040521000080 |
| Entity Name | Mercy Hospital Lebanon |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1447284898 PECOS PAC ID: 7214829019 Enrollment ID: O20040907000806 |
| Entity Name | Mercy Hospital Springfield |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1043242159 PECOS PAC ID: 7416867593 Enrollment ID: O20050118000038 |
| Entity Name | Skaggs Community Hospital Association |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1346602646 PECOS PAC ID: 5092624320 Enrollment ID: O20160517000289 |
| Mailing Address | Practice Location Address |
|---|---|
| Misty Leeanne Denevan, RN 100 Hospital Dr, Lebanon, MO 65536-9210 Ph: (417) 533-6100 | Misty Leeanne Denevan, RN 1100 N Kentucky Ave, West Plains, MO 65775 Ph: (417) 256-9111 |
Mr. Larry Ray Kennon, APRN, BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1137 Independence Dr, West Plains, MO 65775 Phone: 417-255-8464 | |
Jana Ethel Reid, PMHNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1211 Porter Wagoner Blvd, West Plains, MO 65775 Phone: 417-349-2334 | |
Susan Kenslow, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1100 N Kentucky Ave, West Plains, MO 65775 Phone: 417-257-9111 | |
James Streff, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1115 Alaska St, Suite 114, West Plains, MO 65775 Phone: 417-257-5950 | |
Kristen Rene' White, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1137 Independence Dr, West Plains, MO 65775 Phone: 417-255-8464 | |
Cypress Cheyenne Wood, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 181 Kentucky Ave, West Plains, MO 65775 Phone: 417-257-5972 | |
Lakynn R Bradshaw, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1307 Porter Wagoner Blvd, West Plains, MO 65775 Phone: 417-255-8645 |