Independent US Healthcare Provider Directory & Public Medical Database Patient Guides

Samantha M Charters , ATC

Specialist • Springfield, MO

Active NPI 1154677912 Individual Practitioner Female Practitioner
Practice location in NPPES

901 S National Ave, Athletic Medical And Rehab
Springfield, MO 65897

Call 4178365461 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

901 S National Ave
Athletic Medical And Rehab

Springfield, MO 65897

Telephone 4178365461
Fax 4178366101
Organization at the Same NPPES Address or Phone
Missouri State University Athletic Training Servicesis Facility NPI 1427021765

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

NPI first issued

2012

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

12 active clinicians are listed under Specialist with a practice address in Springfield, MO (445 in Missouri).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Springfield

0% of these 12 clinicians have the CMS telehealth indicator.

8.3% of these 12 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

Specialist Primary Specialty

NUCC Taxonomy Code: 174400000X

License # reported to NPPES TN 313005

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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

Clinicians Sharing This Practice Address or Phone

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

8 listed
Dr. Don Brockman , MD

Family Medicine

NPI 1356384242

Doctor of Medicine (M.D.)

Brendan Ellebracht , RN

Nurse Anesthetist, Certified Registered

NPI 1164157145

Registered Nurse

NPI 1427212083

Doctor of Osteopathic Medicine (D.O.)

Dr. Jennifer Mcnay , MD

Internal Medicine

NPI 1861574816

Doctor of Medicine (M.D.)

Dr. James Rogers , MD

Internal Medicine

NPI 1346306115

Doctor of Medicine (M.D.)

Josie Sullivan , APRN

Nurse Practitioner - Psychiatric/Mental Health

NPI 1568037422

Advanced Practice Registered Nurse

Career & Practice History

NPI enumerated July 31, 2012.

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: 1154677912
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 31, 2012
Last Update: October 28, 2014
Sole Proprietor: No

Other Specialists in Springfield

Healthcare providers in Springfield

Mailing Address

3636 Taliluna Ave, Apt 227

Knoxville, TN 379197813

Phone: 7573740279

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.