DOUGLAS R BISHOP NPI 1417353608

NPI Information

  • NPI: 1417353608
  • Provider Name: DOUGLAS R BISHOP
  • Classification: Nurse Practitioner - 363LA2200X
  • Specialization: Adult Health
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 2865 JAMES BLVD
    POPLAR BLUFF, MO
    ZIP 63901
  • Phone: (573) 776-1100

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NPI Details

Douglas R Bishop is an adult health nurse practitioner in Poplar Bluff, MO with 11 years of experience. Douglas R Bishop NPI is 1417353608. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

2865 JAMES BLVD
POPLAR BLUFF, MO
ZIP 63901-803
Phone: (573) 776-1100
Fax: (573) 776-1107

The NPI 1417353608 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Initial hospital inpatient care per day, typically 70 minutes (HCPCS:99223)
  • Advance care planning, first 30 minutes (HCPCS:99497)
  • Initial hospital observation care per day, typically 70 minutes (HCPCS:99220)
  • Follow-up hospital inpatient care per day, typically 25 minutes (HCPCS:99232)
  • Follow-up hospital inpatient care per day, typically 35 minutes (HCPCS:99233)
  • Hospital discharge day management, more than 30 minutes (HCPCS:99239)

The enumeration date for this NPI number is 11/14/2014 and was last updated on 11/14/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1163W00000XRegistered Nurse2009003804MISSOURINo
2363LA2200XNurse PractitionerAdult Health2014038385MISSOURIYes
3363LG0600XNurse PractitionerGerontology2014038385MISSOURINo

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1APPLYINGMEDICAIDMISSOURI
2APPLYINGMEDICARE PINMISSOURI

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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