| Lester E Cox Medical Centers | |
| 2750 S Campbell Ave Springfield MO 65807-3506 | |
| (417) 269-2281 | |
| (417) 269-2292 | 
| Full Name | Lester E Cox Medical Centers | 
|---|---|
| Speciality | Family Medicine | 
| Location | 2750 S Campbell Ave, Springfield, Missouri | 
| Authorized Official Name and Position | Brock Shamel (VICE PRESIDENT) | 
| Authorized Official Contact | 4172694368 | 
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. | 
| Mailing Address | Practice Location Address | 
|---|---|
| Lester E Cox Medical Centers Po Box 7411626 Chicago IL 60674-5626 Ph: (417) 730-6430 | Lester E Cox Medical Centers 2750 S Campbell Ave Springfield MO 65807-3506 Ph: (417) 269-2281 | 
| NPI Number | 1447324660 | 
|---|---|
| Provider Enumeration Date | 11/20/2006 | 
| Last Update Date | 06/17/2025 | 
| Medicare PECOS PAC ID | 5799787784 | 
|---|---|
| Medicare Enrollment ID | O20070206000541 | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1447324660 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary | 
| Provider Name | William R Detten | 
|---|---|
| Provider Type | Practitioner - Family Practice | 
| Provider Identifiers | NPI Number: 1033229935 PECOS PAC ID: 7416938261 Enrollment ID: I20040527000155 | 
| Provider Name | Lorri A Julian-trotter | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1275599599 PECOS PAC ID: 5799757951 Enrollment ID: I20040809000536 | 
| Provider Name | Jeanne I Rodman | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1700876059 PECOS PAC ID: 1153390315 Enrollment ID: I20040927000004 | 
| Provider Name | Julia L Flax | 
|---|---|
| Provider Type | Practitioner - Family Practice | 
| Provider Identifiers | NPI Number: 1053421875 PECOS PAC ID: 5698735744 Enrollment ID: I20041013001148 | 
| Provider Name | Leslie Ann Lee | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1285623058 PECOS PAC ID: 8820051519 Enrollment ID: I20041104000165 | 
| Provider Name | Randal T Qualls | 
|---|---|
| Provider Type | Practitioner - Family Practice | 
| Provider Identifiers | NPI Number: 1922108422 PECOS PAC ID: 5294784740 Enrollment ID: I20050121000548 | 
| Provider Name | Lawrence L Dybedock | 
|---|---|
| Provider Type | Practitioner - Family Practice | 
| Provider Identifiers | NPI Number: 1952411860 PECOS PAC ID: 2365482767 Enrollment ID: I20050505000056 | 
| Provider Name | Jess L Lyon | 
|---|---|
| Provider Type | Practitioner - Family Practice | 
| Provider Identifiers | NPI Number: 1912010851 PECOS PAC ID: 5294776415 Enrollment ID: I20050518000768 | 
| Provider Name | Kimberly K Mcginn-perryman | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1033210331 PECOS PAC ID: 1456394394 Enrollment ID: I20050602000336 | 
| Provider Name | Mark R Ellis | 
|---|---|
| Provider Type | Practitioner - Family Practice | 
| Provider Identifiers | NPI Number: 1982714804 PECOS PAC ID: 3375589302 Enrollment ID: I20050630000049 | 
| Provider Name | Siu Ping Luthy | 
|---|---|
| Provider Type | Practitioner - Family Practice | 
| Provider Identifiers | NPI Number: 1275546947 PECOS PAC ID: 1254368616 Enrollment ID: I20050719000002 | 
| Provider Name | Hope E Misterovich | 
|---|---|
| Provider Type | Practitioner - Family Practice | 
| Provider Identifiers | NPI Number: 1336288067 PECOS PAC ID: 0446280614 Enrollment ID: I20050817000434 | 
| Provider Name | William P Triplett | 
|---|---|
| Provider Type | Practitioner - Family Practice | 
| Provider Identifiers | NPI Number: 1730196080 PECOS PAC ID: 8224056247 Enrollment ID: I20051108001108 | 
| Provider Name | Lisa K Reno | 
|---|---|
| Provider Type | Practitioner - Emergency Medicine | 
| Provider Identifiers | NPI Number: 1588686653 PECOS PAC ID: 9234132614 Enrollment ID: I20060825000098 | 
| Provider Name | Jamie C Jones | 
|---|---|
| Provider Type | Practitioner - Family Practice | 
| Provider Identifiers | NPI Number: 1174536940 PECOS PAC ID: 8426050741 Enrollment ID: I20070215000128 | 
| Provider Name | Esther M Trammell | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1700080645 PECOS PAC ID: 2668552977 Enrollment ID: I20071227000472 | 
| Provider Name | David K Showers | 
|---|---|
| Provider Type | Practitioner - Family Practice | 
| Provider Identifiers | NPI Number: 1356474753 PECOS PAC ID: 9032294236 Enrollment ID: I20080312000397 | 
| Provider Name | Kate P Kilgo | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1841466265 PECOS PAC ID: 7517037690 Enrollment ID: I20080602000107 | 
| Provider Name | Crystal A Webb | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1154465466 PECOS PAC ID: 9436222668 Enrollment ID: I20080722000394 | 
| Provider Name | Thuy H Dang | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1376719674 PECOS PAC ID: 3870658305 Enrollment ID: I20090218000040 | 
| Provider Name | Bradley M Gillespie | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1083856892 PECOS PAC ID: 1759438229 Enrollment ID: I20090421000129 | 
| Provider Name | Julitta J Shirley | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1881784635 PECOS PAC ID: 9234287277 Enrollment ID: I20090501000242 | 
| Provider Name | Matthew J Loutzenhiser | 
|---|---|
| Provider Type | Practitioner - Family Practice | 
| Provider Identifiers | NPI Number: 1538258348 PECOS PAC ID: 6002911252 Enrollment ID: I20090505000120 | 
| Provider Name | Corbin S Van De Wege | 
|---|---|
| Provider Type | Practitioner - Family Practice | 
| Provider Identifiers | NPI Number: 1174713564 PECOS PAC ID: 0345395000 Enrollment ID: I20090901000370 | 
| Provider Name | Richard R Hester | 
|---|---|
| Provider Type | Practitioner - Family Practice | 
| Provider Identifiers | NPI Number: 1831280197 PECOS PAC ID: 0941354468 Enrollment ID: I20091022000319 | 
| Provider Name | Sally R Schafer | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1003892654 PECOS PAC ID: 1153461041 Enrollment ID: I20091228000520 | 
| Provider Name | Beth A Knox | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1831424266 PECOS PAC ID: 6406997709 Enrollment ID: I20100108000497 | 
| Provider Name | Levent Akduman | 
|---|---|
| Provider Type | Practitioner - Ophthalmology | 
| Provider Identifiers | NPI Number: 1245344605 PECOS PAC ID: 2860529260 Enrollment ID: I20100415000881 | 
| Provider Name | Rachael J Winston | 
|---|---|
| Provider Type | Practitioner - Family Practice | 
| Provider Identifiers | NPI Number: 1205010022 PECOS PAC ID: 0941376321 Enrollment ID: I20100902000671 | 
| Provider Name | Ronda D Azelton | 
|---|---|
| Provider Type | Practitioner - Family Practice | 
| Provider Identifiers | NPI Number: 1679510358 PECOS PAC ID: 9032265004 Enrollment ID: I20100917000135 | 
| Provider Name | Laura J Isaacson | 
|---|---|
| Provider Type | Practitioner - Family Practice | 
| Provider Identifiers | NPI Number: 1760611917 PECOS PAC ID: 3678769494 Enrollment ID: I20101118001392 | 
| Provider Name | Andrew A Post | 
|---|---|
| Provider Type | Practitioner - Family Practice | 
| Provider Identifiers | NPI Number: 1538159421 PECOS PAC ID: 6305886581 Enrollment ID: I20110318000662 | 
| Provider Name | Tammy L Seifried | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1285924761 PECOS PAC ID: 6002091055 Enrollment ID: I20110506000309 | 
| Provider Name | Christina M Welton | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1356635171 PECOS PAC ID: 4385812650 Enrollment ID: I20110713000305 | 
| Provider Name | Cory J Bethmann | 
|---|---|
| Provider Type | Practitioner - Family Practice | 
| Provider Identifiers | NPI Number: 1538321898 PECOS PAC ID: 8628247723 Enrollment ID: I20110805000651 | 
| Provider Name | Mimi M Propst | 
|---|---|
| Provider Type | Practitioner - Family Practice | 
| Provider Identifiers | NPI Number: 1639482912 PECOS PAC ID: 8729250303 Enrollment ID: I20111003000610 | 
| Provider Name | Laura D Burton | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1669750261 PECOS PAC ID: 7517130982 Enrollment ID: I20111031000273 | 
| Provider Name | Heather Haley | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1891078499 PECOS PAC ID: 4587839758 Enrollment ID: I20111216000336 | 
| Provider Name | Jennifer L Aldridge | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1437444031 PECOS PAC ID: 2567633241 Enrollment ID: I20111228000054 | 
| Provider Name | Kristin L Schulte | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1710258991 PECOS PAC ID: 6507025095 Enrollment ID: I20120301000542 | 
| Provider Name | Cassandra B Cole | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1821360256 PECOS PAC ID: 4789843749 Enrollment ID: I20120309000654 | 
| Provider Name | Laci M Donnelly | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1467727321 PECOS PAC ID: 7810158144 Enrollment ID: I20120413000406 | 
| Provider Name | Rosa P Nguyen | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1437405248 PECOS PAC ID: 8123275419 Enrollment ID: I20120821000699 | 
| Provider Name | Erik T Cochran | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1306192323 PECOS PAC ID: 2163671983 Enrollment ID: I20121010000443 | 
| Provider Name | Jaclyn D Curnutt | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1306192729 PECOS PAC ID: 9638324247 Enrollment ID: I20130306000118 | 
| Provider Name | Rosanne M Johnson | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1730427345 PECOS PAC ID: 9436395985 Enrollment ID: I20130429000479 | 
| Provider Name | Stephanie E Pendergrass | 
|---|---|
| Provider Type | Practitioner - Family Practice | 
| Provider Identifiers | NPI Number: 1902119290 PECOS PAC ID: 5395988844 Enrollment ID: I20130830000594 | 
| Provider Name | Jamie D Durfey | 
|---|---|
| Provider Type | Practitioner - Family Practice | 
| Provider Identifiers | NPI Number: 1407169881 PECOS PAC ID: 4981847209 Enrollment ID: I20130905000136 | 
| Provider Name | Karen L Young | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1578996682 PECOS PAC ID: 8224266762 Enrollment ID: I20140108001420 | 
| Provider Name | Erin J Hieb Morgan | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1639140627 PECOS PAC ID: 7719878461 Enrollment ID: I20140707001485 | 
| Provider Name | Phillip G Kelchen | 
|---|---|
| Provider Type | Practitioner - Family Practice | 
| Provider Identifiers | NPI Number: 1154612588 PECOS PAC ID: 5294964037 Enrollment ID: I20140908002187 | 
| Provider Name | Gerri L Stuppy | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1518369396 PECOS PAC ID: 7315168119 Enrollment ID: I20141020002721 | 
| Provider Name | Becky A Cumley | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1194966713 PECOS PAC ID: 6608193826 Enrollment ID: I20150327001849 | 
| Provider Name | Stacey L Fawbush | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1104215854 PECOS PAC ID: 1254659089 Enrollment ID: I20150407002297 | 
| Provider Name | Jean M Kelchen | 
|---|---|
| Provider Type | Practitioner - Pediatric Medicine | 
| Provider Identifiers | NPI Number: 1336430768 PECOS PAC ID: 7517198880 Enrollment ID: I20150416001616 | 
| Provider Name | Valerie J Bennett | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1841682507 PECOS PAC ID: 1456670595 Enrollment ID: I20150512001064 | 
| Provider Name | Cynthia L Armstrong | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1083080022 PECOS PAC ID: 4486960408 Enrollment ID: I20150904001022 | 
| Provider Name | Michelle Marie Spencer | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1003282864 PECOS PAC ID: 5092022681 Enrollment ID: I20150915000701 | 
| Provider Name | Melissa A Gaines | 
|---|---|
| Provider Type | Practitioner - Internal Medicine | 
| Provider Identifiers | NPI Number: 1376557264 PECOS PAC ID: 4789689191 Enrollment ID: I20160816002981 | 
| Provider Name | Meghan E Guthrie-baker | 
|---|---|
| Provider Type | Practitioner - Family Practice | 
| Provider Identifiers | NPI Number: 1982085189 PECOS PAC ID: 7911292149 Enrollment ID: I20160826000257 | 
| Provider Name | Helen Kozlov | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1982158580 PECOS PAC ID: 0244526333 Enrollment ID: I20160916000512 | 
| Provider Name | Krystal M August | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1477008753 PECOS PAC ID: 6709173792 Enrollment ID: I20160919001683 | 
| Provider Name | Stacy L Rohrbaugh | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1265985543 PECOS PAC ID: 8527355114 Enrollment ID: I20160926001354 | 
| Provider Name | Emily Akridge | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1659806578 PECOS PAC ID: 7517234271 Enrollment ID: I20170531000174 | 
| Provider Name | Alicia S Stogsdill | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1619497740 PECOS PAC ID: 9931479425 Enrollment ID: I20170717000538 | 
| Provider Name | Justin S Legris | 
|---|---|
| Provider Type | Practitioner - Family Practice | 
| Provider Identifiers | NPI Number: 1952715716 PECOS PAC ID: 5395041321 Enrollment ID: I20170810000072 | 
| Provider Name | Stacy L Tomlin | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1912423781 PECOS PAC ID: 6103190038 Enrollment ID: I20170915002338 | 
| Provider Name | Jennifer Harp | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1679099576 PECOS PAC ID: 1951675768 Enrollment ID: I20170918002246 | 
| Provider Name | Jonathan A Mikail | 
|---|---|
| Provider Type | Practitioner - Pediatric Medicine | 
| Provider Identifiers | NPI Number: 1205196912 PECOS PAC ID: 2860794112 Enrollment ID: I20171019002529 | 
| Provider Name | Clara J Rollins | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1871019158 PECOS PAC ID: 2264798511 Enrollment ID: I20171102001877 | 
| Provider Name | Marlana M Bray | 
|---|---|
| Provider Type | Practitioner - Family Practice | 
| Provider Identifiers | NPI Number: 1437565223 PECOS PAC ID: 5890018873 Enrollment ID: I20180123003314 | 
| Provider Name | Erin R Carlile | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1255733895 PECOS PAC ID: 9638491855 Enrollment ID: I20180406002066 | 
| Provider Name | Lisa Y Requena | 
|---|---|
| Provider Type | Practitioner - Family Practice | 
| Provider Identifiers | NPI Number: 1164761946 PECOS PAC ID: 9032435441 Enrollment ID: I20180717002073 | 
| Provider Name | Terra R Vestal | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1477033603 PECOS PAC ID: 5991055758 Enrollment ID: I20180829002288 | 
| Provider Name | Taylor M Jennings | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1831678671 PECOS PAC ID: 2365792009 Enrollment ID: I20180830001339 | 
| Provider Name | Brittney Harris | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1407218712 PECOS PAC ID: 2062762453 Enrollment ID: I20180905003312 | 
| Provider Name | Teresa M Cunningham | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1114401312 PECOS PAC ID: 6507118379 Enrollment ID: I20181004002478 | 
| Provider Name | Evan Branscum | 
|---|---|
| Provider Type | Practitioner - Family Practice | 
| Provider Identifiers | NPI Number: 1437679651 PECOS PAC ID: 7719231141 Enrollment ID: I20181121000225 | 
| Provider Name | Jamshid Nikbakht | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1437488657 PECOS PAC ID: 4688716210 Enrollment ID: I20181213001572 | 
| Provider Name | Ellen Kathleen Pitts | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1346708625 PECOS PAC ID: 5698016400 Enrollment ID: I20190404000865 | 
| Provider Name | Scott Dooley | 
|---|---|
| Provider Type | Practitioner - Family Practice | 
| Provider Identifiers | NPI Number: 1598165565 PECOS PAC ID: 0648512939 Enrollment ID: I20190507002858 | 
| Provider Name | Trisha Washburn | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1730644840 PECOS PAC ID: 5395088553 Enrollment ID: I20190510001249 | 
| Provider Name | Kristen Allcorn Killen | 
|---|---|
| Provider Type | Practitioner - Family Practice | 
| Provider Identifiers | NPI Number: 1144679960 PECOS PAC ID: 8325330160 Enrollment ID: I20190722002850 | 
| Provider Name | Derek Lee Snodgrass | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1699327023 PECOS PAC ID: 9133456916 Enrollment ID: I20190816001749 | 
| Provider Name | Stephanie Marie Wood | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1528602539 PECOS PAC ID: 7810320579 Enrollment ID: I20191210003337 | 
| Provider Name | Brittani Nicole Rogers | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1336784032 PECOS PAC ID: 2062845696 Enrollment ID: I20191211003189 | 
| Provider Name | Karissa A Merritt | 
|---|---|
| Provider Type | Practitioner - Family Practice | 
| Provider Identifiers | NPI Number: 1386137313 PECOS PAC ID: 1355776881 Enrollment ID: I20200110001151 | 
| Provider Name | Hannah Lynn Savage | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1336787399 PECOS PAC ID: 6507292208 Enrollment ID: I20200128001770 | 
| Provider Name | Ashley Ray | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1386275154 PECOS PAC ID: 5395172969 Enrollment ID: I20200219002870 | 
| Provider Name | Quade Vickers | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1477178564 PECOS PAC ID: 6507289378 Enrollment ID: I20200713001491 | 
| Provider Name | Molly Elizabeth Vahldick | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1689299588 PECOS PAC ID: 5193140663 Enrollment ID: I20200730002301 | 
| Provider Name | Lauren Branham | 
|---|---|
| Provider Type | Practitioner - Family Practice | 
| Provider Identifiers | NPI Number: 1407376619 PECOS PAC ID: 2668897604 Enrollment ID: I20200807000323 | 
| Provider Name | Elizabeth Cape | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1972787711 PECOS PAC ID: 1557440955 Enrollment ID: I20200824003527 | 
| Provider Name | Abbey Hibbert | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1376004721 PECOS PAC ID: 0749694487 Enrollment ID: I20210120003176 | 
| Provider Name | Mark Jeffrey Allen | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1134791411 PECOS PAC ID: 4284030487 Enrollment ID: I20210914002532 | 
| Provider Name | Christopher Wiles | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1104371467 PECOS PAC ID: 3173819968 Enrollment ID: I20210917001382 | 
| Provider Name | Kelsey Gregory | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1598219263 PECOS PAC ID: 7012307069 Enrollment ID: I20220207001098 | 
| Provider Name | Zachary Lovell | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1336870641 PECOS PAC ID: 6709269277 Enrollment ID: I20220816001553 | 
| Provider Name | Kristen Ruth Snyder-hernandez | 
|---|---|
| Provider Type | Practitioner - Family Practice | 
| Provider Identifiers | NPI Number: 1477113504 PECOS PAC ID: 4587047733 Enrollment ID: I20220820000088 | 
| Provider Name | Jaime Renee Renfro | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1356073712 PECOS PAC ID: 6305222720 Enrollment ID: I20221007000866 | 
| Provider Name | Kyle Douglas Gronberg | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1427773852 PECOS PAC ID: 2668848292 Enrollment ID: I20221021001615 | 
| Provider Name | Shelbey Wilkening | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1790480028 PECOS PAC ID: 3375900699 Enrollment ID: I20230601000807 | 
| Provider Name | Soleya Abigail Pippin | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1396514667 PECOS PAC ID: 2062865314 Enrollment ID: I20240202000717 | 
| Provider Name | Joshua David Whittington | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1508637091 PECOS PAC ID: 4183069354 Enrollment ID: I20240227003023 | 
| Provider Name | Peter Lazarz | 
|---|---|
| Provider Type | Practitioner - Family Practice | 
| Provider Identifiers | NPI Number: 1346745585 PECOS PAC ID: 2062769953 Enrollment ID: I20240511000343 | 
| Provider Name | Maria Rhodora Kabatay Lee Ho | 
|---|---|
| Provider Type | Practitioner - Family Practice | 
| Provider Identifiers | NPI Number: 1174560353 PECOS PAC ID: 9739085713 Enrollment ID: I20240627002373 | 
| James M. Carmichael, Dc Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3108 S Fremont Ave, Springfield, MO 65804 Phone: 417-886-4910 Fax: 417-886-4910 | |
| Regional Services Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3525 S National Ave, #307, Springfield, MO 65807 Phone: 417-269-9220 Fax: 417-269-9229 | |
| Lester E. Cox Medical Centers Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3800 S National Ave, #600, Springfield, MO 65807 Phone: 417-269-1499 Fax: 417-269-1459 | |
| Regional Services Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1423 N Jefferson Ave, #k-100, Springfield, MO 65802 Phone: 417-269-3915 Fax: 417-269-3913 | |
| Mercy Clinic Hospitalists Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1235 E Cherokee St, Springfield, MO 65804 Phone: 417-820-2600 Fax: 417-820-2100 | |
| Lester E Cox Medical Centers Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1429 W Sunshine St, Springfield, MO 65807 Phone: 417-269-2240 Fax: 417-269-2245 | |
| Advocates For A Healthy Community, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1720 W Grand St Ste B, Springfield, MO 65802 Phone: 417-831-0150 Fax: 417-831-0155 |