MITZI GERRETSEN FNP-C
NPI 1952765695
Nurse Practitioner - Family in Conway, MO

Q: What is Mitzi Gerretsen's NPI number?

The NPI number for Mitzi Gerretsen is 1952765695. It was assigned to this individual provider in the NPPES registry on April 8, 2016.

Q: What is Mitzi Gerretsen's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Mitzi Gerretsen was last updated on April 8, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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 April 08, 2016

301 S NEWPORT AVE, CONWAY, MO 65632(417) 589-2050 Get Directions Write a Review

NPPES record last updated: April 8, 2016. Verified against the NPPES registry weekly; last sync: August 23, 2026.

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About Mitzi Gerretsen Fnp-c NPPES

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

MITZI GERRETSEN FNP-C (NPI 1952765695) is an individual family provider in Conway, Missouri, licensed in Missouri (2016009385) and active in the NPI registry since April 2016.

NPPES Registry Identity

NPI1952765695

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameMITZI GERRETSENCredential: FNP-C

Location Address301 S NEWPORT AVEConway, MO 65632-8322

Mailing Address301 S Newport AveConway, MO 65632-8322

Phone(417) 589-2050

Sole ProprietorNo

Enumeration DateApril 8, 2016

✔ NPI 1952765695 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in MO · 2016009385

301 S NEWPORT AVE, Conway, MO 65632

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Medica.Insurance ›

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 Mitzi Gerretsen's NPI number?

The NPI number for Mitzi Gerretsen is 1952765695. It was assigned to this individual provider in the NPPES registry on April 8, 2016.

Where is Mitzi Gerretsen located?

Mitzi Gerretsen practices at 301 S Newport Ave, Conway, MO 65632. The listed phone number is (417) 589-2050.

What is Mitzi Gerretsen's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

What insurance does Mitzi Gerretsen accept?

Health plans from Medica list Mitzi Gerretsen 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.

When was this NPI record last updated?

The NPPES record for Mitzi Gerretsen was last updated on April 8, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.