CAROL MONROE NP
NPI 1700835345
Nurse Practitioner in Joplin, MO

Q: What is Carol Monroe's NPI number?

The NPI number for Carol Monroe is 1700835345. It was assigned to this individual provider in the NPPES registry on May 10, 2006.

Q: What is Carol Monroe's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Q: When was this NPI record last updated?

The NPPES record for Carol Monroe was last updated on July 11, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since May 10, 2006PECOS EnrolledAccepts Medicare Assignment

87.35/100

CMS Quality Rating

2615 E 20TH ST, JOPLIN, MO 64804(417) 624-4701(417) 624-9807 Get Directions Write a Review

NPPES record last updated: July 11, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Carol Monroe Np NPPES

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

CAROL MONROE NP (NPI 1700835345) is an individual nurse practitioner in Joplin, Missouri, licensed in Missouri (107694) and active in the NPI registry since May 2006. She is enrolled in Medicare PECOS, is affiliated with Mercy Hospital Joplin, and is a graduate of Other (1996).

NPPES Registry Identity

NPI1700835345

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameCAROL MONROECredential: NP

Location Address2615 E 20TH STJoplin, MO 64804-1039

Mailing Address2615 E 20th StJoplin, MO 64804-1039 · (417) 624-4701 · Fax (417) 624-9807

Phone(417) 624-4701

Fax(417) 624-9807

Sole ProprietorNo

Medical School CMSOtherGraduated 1996

Enumeration DateMay 10, 2006

Last NPPES UpdateJuly 11, 2023

NPPES CertifiedJuly 11, 2023

✔ NPI 1700835345 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in MO · 107694

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

2615 E 20TH ST, Joplin, MO 64804

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Other Identifiers 5

OtherP00248185Rr Medicare

Medicaid100052650AOK

Medicaid428635916MO

Other126077MO · Anthem

Medicaid100314760CKS

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Sunflower Health Plan and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Carol Monroe Np is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1254364292

PECOS Enrollment IDI20050912000471

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Mercy Hospital Joplin

Acute Care Hospitals · Joplin, MO

1/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number260001

Location100 Mercy WayJoplin, MO 64804 · Jasper County

Emergency services Birthing friendly

Mercy Hospital Carthage

Critical Access Hospitals · Carthage, MO

OwnershipVoluntary non-profit - Private

CMS Certification Number261338

Location3125 Dr Russell Smith WayCarthage, MO 64836 · Jasper County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 64804 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$81.64 typical visit price

range $52.28 – $161.24

Typical copayment $20.41 (range $13.07 – $40.31)

Most-billed visit code 99203

Established Patient

$93.24 typical visit price

range $16.30 – $131.05

Typical copayment $23.31 (range $4.07 – $32.76)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

87.35/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

98.08

Improvement Activities

Cost

60.39

Referred Medical Equipment & Supplies CMS DME claims 10

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253

DME-Other DME · category DE017N

6 suppliers34 claims61 services$5.08 avg. paid by Medicare

Lancets, per box of 100 A4259

DME-Medical/Surgical Supplies · category DA000N

5 suppliers11 claims13 services$0.86 avg. paid by Medicare

High frequency chest wall oscillation system, with full anterior and/or posterior thoracic region receiving simultaneous external oscillation, includes all accessories and supplies, each E0483

DME-Other DME · category DE000N

1 supplier17 claims17 services$857.83 avg. paid by Medicare

Nebulizer, with compressor E0570

DME-Other DME · category DE000N

2 suppliers11 claims11 services$4.97 avg. paid by Medicare

Continuous positive airway pressure (cpap) device E0601

DME-Other DME · category DE001N

2 suppliers12 claims13 services$36.34 avg. paid by Medicare

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

3 suppliers31 claims33 services$98.20 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KATHERINE SOMERS CLARK MS,RDN,CNSC,LD

Dietitian, Registered (Nutrition, Metabolic)

2615 E 20TH ST
JOPLIN, MO 64804

Newton County (417) 624-7546

JOPLIN INTERNAL MEDICINE CLINIC

Internal Medicine

2615 E 20TH ST
JOPLIN, MO 64804

Newton County (417) 624-4701

KIMBERLY WOOD MD

Hospitalist

2615 E 20TH ST
JOPLIN, MO 64804

Newton County (417) 624-4701

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 Carol Monroe's NPI number?

The NPI number for Carol Monroe is 1700835345. It was assigned to this individual provider in the NPPES registry on May 10, 2006.

Where is Carol Monroe located?

Carol Monroe practices at 2615 E 20th St, Joplin, MO 64804. The listed phone number is (417) 624-4701.

What is Carol Monroe's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Carol Monroe enrolled in Medicare?

Yes. Carol Monroe is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Carol Monroe accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health and Ambetter from Sunflower Health Plan and 2 other insurers list Carol Monroe as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Carol Monroe affiliated with any hospitals?

According to CMS data, Carol Monroe is affiliated with Mercy Hospital Joplin and Mercy Hospital Carthage.

When was this NPI record last updated?

The NPPES record for Carol Monroe was last updated on July 11, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.