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FITZGIBBON WOUND CARE
NPI 1073748786
Registered Nurse - Wound Care in Marshall, MO

Active since May 26, 2009
2305 SOUTH 65 HIGHWAY, MARSHALL, MO 65340(660) 886-7431(660) 886-9001 Get Directions Write a Review

NPPES record last updated: March 5, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Mar 5, 2024, Oct 10, 2023, Feb 18, 2016 (3 updates tracked since 2016).

About Fitzgibbon Wound Care NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

FITZGIBBON WOUND CARE (NPI 1073748786) is a healthcare organization registered as a wound care in Marshall, Missouri and active in the NPI registry since May 2009. The organization lists Nancy Harris, Cfo/coo, as its authorized official.

NPPES Registry Identity

NPI1073748786
Entity TypeOrganization
Primary Taxonomy163WW0000X
Legal Business NameJOHN FITZGIBBON MEMORIAL HOSPITAL INC
Location Address2305 SOUTH 65 HIGHWAYMarshall, MO 65340-3702
Mailing Address2305 South 65 HighwayMarshall, MO 65340-3702 · (660) 886-7431 · Fax (660) 886-9001
Phone(660) 886-7431
Fax(660) 886-9001
Organization SubpartYesParent: John Fitzgibbon Memorial Hospital, Inc.
Authorized OfficialNancy HarrisCfo/coo · (660) 886-7231
Enumeration DateMay 26, 2009
Last NPPES UpdateMarch 5, 20243 updates tracked since enumeration
NPPES CertifiedMarch 5, 2024
✔ NPI 1073748786 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRegistered Nurse · Wound CareNursing Service Providers
Taxonomy Code163WW0000X
Licenses✔ Licensed in MO · 27-57✔ Licensed in MO · 109128
2305 SOUTH 65 HIGHWAY, Marshall, MO 65340
Open in Google Maps ↗

Other Names 1

Doing Business AsFitzgibbon Wound Care

Other Identifiers 1

Medicaid1073748786MO

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Fitzgibbon Wound Care is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

70

Medicare enrollment records show 70 clinicians reassign Medicare billing to Fitzgibbon Wound Care, which bills Medicare for the services they deliver. Of these, 8 practice at this address and 27 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 17

Nurse Practitioner22
Family Practice14
Certified Registered Nurse Anesthetist (CRNA)8
Psychiatry4
Emergency Medicine3
General Surgery3
Internal Medicine3
Obstetrics/Gynecology3
9 other specialties10

Nearest to this location (20)

See all 70
Kylie Clemons
Chiropractic
NPI 1447706718
2305 SOUTH 65 HWY
Marshall, MO 65340
(660) 831-3759
Same address
Brenda Dodds, RN, FNP-C, FNP
Nurse Practitioner
NPI 1467455568
2305 SOUTH 65 HIGHWAY, BUILDING A
Marshall, MO 65340
(660) 886-7800
✔ PECOS✔ Accepts MedicareSame address
Deanna Donnell, CNM
Certified Nurse Midwife (CNM)
NPI 1588667166
2305 SOUTH 65 HIGHWAY BUILDING A
Marshall, MO 65340
(660) 886-7800
✔ PECOS✔ Accepts MedicareSame address
Melanie Elfrink, MD
Family Practice
NPI 1629203179
2305 SOUTH 65 HIGHWAY
Marshall, MO 65340
(660) 888-7431
✔ PECOSSame address
Darin Haug, DO
Internal Medicine
NPI 1902879760
2305 SOUTH 65 HIGHWAY
Marshall, MO 65340
(660) 866-7431
✔ PECOS✔ Accepts MedicareSame address
Preston Howerton, DO
Emergency Medicine
NPI 1023004652
2305 SOUTH 65 HIGHWAY
Marshall, MO 65340
(660) 886-7431
✔ PECOS✔ Accepts MedicareSame address
Megan Shepard, CNM
Certified Nurse Midwife (CNM)
NPI 1033401328
2305 SOUTH 65 HIGHWAY, BUILDING A MARSHALL WOMEN'S CENTER
Marshall, MO 65340
(660) 886-7800
✔ PECOS✔ Accepts MedicareSame address
Craig Simons, D.O.
Emergency Medicine
NPI 1073568846
2305 SOUTH 65 HIGHWAY
Marshall, MO 65340
(660) 886-7431
✔ PECOS✔ Accepts MedicareSame address
Justin Cortez, RN, MSN, APRN FNP-C
Nurse Practitioner
NPI 1356801328
2303 S HIGHWAY 65 STE A
Marshall, MO 65340
(660) 886-3364
✔ PECOS✔ Accepts Medicare1.6 mi
David Keuhn, M.D.
Family Practice
NPI 1124061056
2303 S HIGHWAY 65 STE A
Marshall, MO 65340
(660) 831-1175
✔ PECOS✔ Accepts Medicare1.6 mi
Timothy Ryan, D.O.
Internal Medicine
NPI 1790721520
2303 S HIGHWAY 65
Marshall, MO 65340
(660) 886-3364
✔ PECOS✔ Accepts Medicare1.6 mi
Jack Uhrig, M.D.
Internal Medicine
NPI 1720024557
2303 S HIGHWAY 65
Marshall, MO 65340
(660) 886-3364
✔ PECOS✔ Accepts Medicare1.6 mi
Diane Weinreich, APRN, FNP-BC
Nurse Practitioner
NPI 1427293067
2303 S HIGHWAY 65 STE A
Marshall, MO 65340
(660) 831-1175
✔ PECOS✔ Accepts Medicare1.6 mi
Kaylea Bultmann, FNP
Nurse Practitioner
NPI 1811761760
2305 S HIGHWAY 65
Marshall, MO 65340
(660) 886-7431
✔ PECOS✔ Accepts Medicare1.6 mi
Karla Dobbs, D.O.
Family Practice
NPI 1164786604
2305 S HIGHWAY 65
Marshall, MO 65340
(660) 886-7431
✔ PECOS✔ Accepts Medicare1.6 mi
Ann Gray, M.D.
Family Practice
NPI 1831153824
2305 S HIGHWAY 65
Marshall, MO 65340
(660) 886-7431
✔ PECOS✔ Accepts Medicare1.6 mi
Rebecca Pence, FNP, MSN, ADN
Nurse Practitioner
NPI 1972026151
2305 S HIGHWAY 65
Marshall, MO 65340
(660) 886-7431
✔ PECOS✔ Accepts Medicare1.6 mi
Jared Romney, D.O.
Family Practice
NPI 1194160028
2305 S HIGHWAY 65
Marshall, MO 65340
(660) 886-7431
✔ PECOS✔ Accepts Medicare2.4 mi
Michael Turner, MD
Pediatric Medicine
NPI 1649233602
2305 SOUTH 65 HIGHWAY
Marshall, MO 65340
(660) 886-7431
✔ PECOS2.5 mi
Sara Walker, RDN
Registered Dietitian or Nutrition Professional
NPI 1447707419
2305 SOUTH 65 HIGHWAY
Marshall, MO 65340
(660) 831-3265
2.5 mi
See all 70 clinicians

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is John Fitzgibbon Memorial Hospital Inc's NPI number?

The NPI number for John Fitzgibbon Memorial Hospital Inc is 1073748786. It was assigned to this organization in the NPPES registry on May 26, 2009. The provider is doing business as Fitzgibbon Wound Care.

Where is John Fitzgibbon Memorial Hospital Inc located?

John Fitzgibbon Memorial Hospital Inc is located at 2305 South 65 Highway, Marshall, MO 65340. The listed phone number is (660) 886-7431.

What is John Fitzgibbon Memorial Hospital Inc's specialty?

The primary specialty registered for this NPI is Registered Nurse, specializing in Wound Care, with taxonomy code 163WW0000X.

Is John Fitzgibbon Memorial Hospital Inc enrolled in Medicare?

Yes. John Fitzgibbon Memorial Hospital Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through John Fitzgibbon Memorial Hospital Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 70 clinicians in 17 Medicare specialties reassign their Medicare billing to John Fitzgibbon Memorial Hospital Inc. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (22), Family Practice (14) and Certified Registered Nurse Anesthetist (CRNA) (8). Of these, 8 practice at this address and 27 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for John Fitzgibbon Memorial Hospital Inc was last updated on March 5, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.