Nicholas Allen Locke, NP-C - Medicare Nurse Practitioner in Bolivar, MO

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Nicholas Allen Locke, NP-C is a medicare enrolled "Nurse Practitioner - Family" in Bolivar, Missouri. His current practice location is 3817 S Springfield Ave Ste 140, Bolivar, Missouri. You can reach out to his office (for appointments etc.) via phone at (417) 730-3508.

Nicholas Allen Locke is licensed to practice in Missouri (license number 2021001430) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1841889854.

Contact Information

Nicholas Allen Locke, NP-C
3817 S Springfield Ave Ste 140,
Bolivar, MO 65613-9129
(417) 730-3508
Not Available

Map and Direction




Provider's Profile

Full NameNicholas Allen Locke
GenderMale
SpecialityNurse Practitioner - Family
Location3817 S Springfield Ave Ste 140, Bolivar, Missouri
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1841889854
  • Provider Enumeration Date: 01/13/2021
  • Last Update Date: 11/12/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 1153734843
  • Enrollment ID: I20210120000788

Medical Identifiers

Medical identifiers for Nicholas Allen Locke such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1841889854NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 2021001430 (Missouri)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Nicholas Allen Locke allows following entities to bill medicare on his behalf.
Entity NameMercy Clinic Springfield Communities
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1972771657
PECOS PAC ID: 7416865845
Enrollment ID: O20031218000354
Entity NameCitizens Memorial Healthcare
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1568566131
PECOS PAC ID: 4183528169
Enrollment ID: O20040315001374
Entity NameCitizens Memorial Hospital District
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1558548818
PECOS PAC ID: 2769574433
Enrollment ID: O20070827000044
Entity NameMercy Southern Missouri Ambulatory Services Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1871094052
PECOS PAC ID: 5193089621
Enrollment ID: O20180508002317
Entity NameHni Medical Services Of Missouri Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1659943975
PECOS PAC ID: 6002214343
Enrollment ID: O20211018000994

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Nicholas Allen Locke is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Nicholas Allen Locke, NP-C
3817 S Springfield Ave Ste 140,
Bolivar, MO 65613-9129

Ph: (417) 730-3508		Nicholas Allen Locke, NP-C
3817 S Springfield Ave Ste 140,
Bolivar, MO 65613-9129

Ph: (417) 730-3508

Reviews and Comments


Nurse Practitioner Nurses in Bolivar, MO

Kyla Inman,
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 1240 N Butterfield Rd, Bolivar, MO 65613
Phone: 417-326-6021    
Oma L Shelton, CFNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 2230 S Springfield Ave, Suite H-j, Bolivar, MO 65613
Phone: 417-777-4800    
Kaylee Jaynelle Ankrom,
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 1300 N Oakland Ave, Bolivar, MO 65613
Phone: 417-326-7676    
Courtney Marie Brummel, MSN, FNP-C
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 1120 S Springfield Ave, Bolivar, MO 65613
Phone: 417-326-7814    
Olivia Jenae Cumley, FNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1240 N Butterfield Rd, Bolivar, MO 65613
Phone: 417-326-6021    Fax: 417-326-6347
Ms. Carol D Curless, FNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 3817 S Springfield Ave Ste 120, Bolivar, MO 65613
Phone: 417-730-3508    
Karona Paschke, FNP-C
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1155 W Parkview St Ste 1c, Bolivar, MO 65613
Phone: 417-326-7246    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.