Independent US Healthcare Provider Directory & Public Medical Database Patient Guides

Mary Susan Conner , CPNP

Nurse Practitioner - Pediatrics • Springfield, MO

Active NPI 1265572176 Individual Practitioner Female Practitioner
Practice location in NPPES

4331 S Fremont Ave
Springfield, MO 658047328

Call 4178205000 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

4331 S Fremont Ave

Springfield, MO 658047328

Telephone 4178205000
Fax 4178205025
Organization at the Same NPPES Address or Phone
St Johns Clinic Inc Facility NPI 1083737704

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Industry payments (Open Payments)

No Open Payments records are listed for this clinician for 2021–2025.

Guide: How to read an Open Payments record

NPI first issued

2007

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, “Does your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Springfield and Missouri

26 active clinicians are listed under Nurse Practitioner - Pediatrics with a practice address in Springfield, MO (896 in Missouri).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Springfield

0% of these 26 clinicians have the CMS telehealth indicator.

7.7% of these 26 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo · Report an error.

Specialties & License Numbers Reported to NPPES

Nurse Practitioner - Pediatrics Primary Specialty

NUCC Taxonomy Code: 363LP0200X

License # reported to NPPES MO 058838
Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Missouri Board of Registration for the Healing Arts.
Look Up on State Board Site

Additional State Medicaid & Healthcare Payer Identifiers

Other Identifier Ark Blue Shield
83416 (AR)
Other Identifier Mo Blue Shield
205822 (MO)

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

5 listed
Megan Benton , PA

Physician Assistant

NPI 1033824024

Physician Assistant

NPI 1386784460

Doctor of Medicine (M.D.)

Cynthia Griessel , PA-C

Physician Assistant

NPI 1659510725

Physician Assistant (Certified)

Ann Mcvey , PA-C

Physician Assistant

NPI 1437299526

Physician Assistant (Certified)

Allison Tucker , NP

Nurse Practitioner - Family

NPI 1346588696

Nurse Practitioner

Career & Practice History

NPI enumerated February 08, 2007.

No changes to the name, practice address, taxonomy or NPI status in this record have been observed in the monthly NPPES data files from January 2017 to August 2026.

No reviews have been published yet. Leave a review.

NPI Administrative Meta

NPI Number: 1265572176
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 08, 2007
Last Update: July 08, 2007
Sole Proprietor: No

Mailing Address

Po Box 2580

Springfield, MO 658012580

Phone: 4178294620

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.