Timothy O Pruett

FNP | Nurse Practitioner | 22+ years Exp

1900 S National Ave, Suite 3600, Springfield
  Missouri, 65804-2265
417-820-3911
Accepts Medicare Nurse Anesthetist in Springfield, Missouri.
Timothy O Pruett is a Springfield, Missouri based nurse practitioner with 22 years of experience in . He completed his graduation in 2002. and . He accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Timothy O Pruett is 112446 in Missouri. His current practice location is 1900 S National Ave, Suite 3600, Springfield. Patients can reach him at 417-820-3911 or can fax him at 417-820-3924. Timothy O Pruett is FNP and his NPI number (Unique professional ID assigned by NPPES) is 1972645117.
Timothy O Pruett has completed additional training beyond basic nursing education and provides primary health care services in accordance with state nurse practice laws or statutes. NPs are trained to assess patient needs, order and interpret diagnostic and laboratory tests, diagnose disease, formulate and prescribe medications and treatment plans.
Complete Profile:
Timothy O Pruett speciality, credentials, practice address, contact phone number and fax are as below. Patients can call on the below given phone number for appointment.
Name: Timothy O Pruett
Specialization: Nurse Practitioner (NP)
Gender:Male
Credentials: FNP
Experience: 22+ years
Medical School Attended:Other
Graduation Year:2002
Accepts Medicare Assignment:Yes
Practice Address:1900 S National Ave, Suite 3600, Springfield,
Missouri, 65804-2265
Phone:417-820-3911
Fax:417-820-3924
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
PAC ID: 2961526900
Enrollment ID: I20100827000822
NPI Number: 1972645117
NPI Enumeration Date: 13 Feb, 2007
NPI Last Update On: 14 Jul, 2008

Medical Licenses:
NPs can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Timothy O Pruett are as mentioned below.
License NumberSpecializationStateStatus
112446 MissouriPrimary
Hospital Affiliation:
NPs can be affiliated to many hospitals whom they worked with in the past or are presently working with. One NP can be affiliated to four to five hospitals at a time.
Hospital Name (CCN) State Hospital Type
(260065)Springfield, MOAcute Care Hospital
(260059)Lebanon, MOAcute Care Hospital
Group Practice:
Group practices are practice of medicine by a group of NPs who share their premises and other resources. Following list states all the group name with which Timothy O Pruett is associated with along with the number of members in that group.
Organization Name (Group PAC ID) Members
Mercy Clinic Springfield Communities (7416865845)902
Other Medical Identifiers:
Other legacy medical identifiers associated with Timothy O Pruett such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
IdentifierTypeStateIssuer
174073OtherMissouriMO BLUE SHIELD
428328702MedicaidMissouri
82543OtherArkansasARK BLUE SHIELD
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address: Timothy O Pruett
Po Box 2580,
Springfield, Missouri
Zip: 65801-2580
Phone Number: 417-829-4620
Fax Number: 417-829-4316
Patients can reach Timothy O Pruett at 1900 S National Ave, Suite 3600, Springfield, Missouri or can call to book an appointment on 417-820-3911.
Comments/ Reviews:

Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 December, 2024.