Brenda M Cupp (NPI# 1366530628, PAC ID# 8729087598) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1366530628 |
| PAC ID by PECOS | 8729087598 |
| Professional Enrollment ID | I20061206000163 |
| Full Name | Brenda M Cupp |
| Organization Legal Name | MERCY CLINIC JOPLIN LLC |
| Address |
1401 S Park St El Dorado Springs MO 64744-2037 |
| Phone Number | 4177815387 |
| Gender | F |
| Credential | NP |
| Graduation Year | 2016 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 0547300196 |
| Number of Group Practice Members | 222 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 260001 | MERCY HOSPITAL JOPLIN |
| 261323 | CEDAR COUNTY MEMORIAL HOSPITAL |
| 261338 | MERCY HOSPITAL CARTHAGE |
| Address | Phone | Organization |
|---|---|---|
| 1401 S Park St, El Dorado Springs, MO 64744-2037 | 4177815387 | MERCY CLINIC JOPLIN LLC |
| 100 Mercy Way, Joplin, MO 64804-4524 | MERCY CLINIC JOPLIN LLC | |
| 3126 S Jackson Ave, Joplin, MO 64804-2500 | MERCY CLINIC JOPLIN LLC |
| Organization Legal Name | MERCY CLINIC JOPLIN LLC |
| Physicians | 206 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Samantha L Mcfarland | Nurse Practitioner | Mercy Clinic Joplin LLC | 1717 S Range Line Rd B, Mc Family Medicine Rangeline, Joplin, MO 64804-3224 |
| Ezinnaya Ubagharaji | Internal Medicine | Mercy Clinic Joplin LLC | 202 E 50th St, Mc Internal Medicine 50th Street, Joplin, MO 64804-4527 |
| Justin J Dillingham | Family Medicine | Mercy Clinic Joplin LLC | 3126 S Jackson Ave, 200 Mc Lab and Imaging Services S Jackson, Joplin, MO 64804-2500 |
| Patricia C. Ridings | Nurse Practitioner | Mercy Clinic Joplin LLC | 805 Barker Dr, Oswego, KS 67356-9034 |
| Thad L Taylor | Nurse Practitioner | Mercy Clinic Joplin LLC | 100 Mercy Way, Mercy Clinic Joplin Emergency Medic, Joplin, MO 64804-4524 |
| Benjamen H Williams | Family Medicine | Mercy Clinic Joplin LLC | 220 N Pennsylvania Ave, Mc Heart Care Columbus, Columbus, KS 66725-1110 |
| Crystal M Taylor | Nurse Practitioner | Mercy Clinic Joplin LLC | 111 E 7th St, Galena, KS 66739-1229 |
| Patrick J. Stangeby | Psychiatry | Mercy Clinic Joplin LLC | 5615 W 32nd St, St Johns Clinic Joplin Psychiatry, Joplin, MO 64804-8161 |
| Trina M Larery | Nurse Practitioner | Mercy Clinic Joplin LLC | 1300 E Centennial Dr, Via Christi Mercy Clinic LLC, Pittsburg, KS 66762-6650 |
| Johnny L Venter | Pulmonary Disease | Mercy Clinic Joplin LLC | 115 W 12th St, Lamar, MO 64759-1756 |
| Street Address |
1401 S PARK ST |
| City | EL DORADO SPRINGS |
| State | MO |
| Zip | 64744-2037 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Melissa Jones | Psychiatry | Compass Health Inc | 107 W Broadway St, El Dorado Springs, MO 64744-1133 |
| Sandra Mcgatha | Clinical Social Worker | Compass Health Inc | 107 W Broadway St, El Dorado Springs, MO 64744-1133 |
| John Michael Dandurand | Clinical Psychologist | Compass Health Inc | 107 W Broadway St, Pathways Community Behav Healthcare, Eldorado Springs, MO 64744-1133 |
| Cheryl A Thornton | Clinical Psychologist | Compass Health Inc | 107 W Broadway St, Eldorado Springs, MO 64744-1133 |
| Chad D Holland | Physician Assistant | Mercy Clinic Springfield Communities | 309 E Hospital Rd, Mc Family Medicine El Dorado Spg, El Dorado Springs, MO 64744-2021 |
| Tedi E Payne | Nurse Practitioner | Mercy Clinic Springfield Communities | 309 E Hospital Rd, Mc Family Medicine El Dorado Spg, El Dorado Springs, MO 64744-2021 |
| Roderick H White | Physician Assistant | Mercy Clinic Springfield Communities | 309 E Hospital Rd, Mc Family Medicine El Dorado Spg, El Dorado Springs, MO 64744-2021 |
| Jacquelyn Fiber | Physician Assistant | Mercy Clinic Springfield Communities | 309 E Hospital Rd, Mc Family Medicine El Dorado Spg, El Dorado Springs, MO 64744-2021 |
| Calen T Coyle | Physician Assistant | Mercy Clinic Springfield Communities | 309 E Hospital Rd, Mc Family Medicine El Dorado Spg, El Dorado Springs, MO 64744-2021 |
| Danielle Elizabeth Mills | Physician Assistant | Mercy Clinic Springfield Communities | 309 E Hospital Rd, Mc Family Medicine El Dorado Spg, El Dorado Springs, MO 64744-2021 |
| Find all physicians in zip 64744 | |||
| City | EL DORADO SPRINGS |
| Zip Code | 64744 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | EL DORADO SPRINGS + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Brenda M Cupp.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.