NPI: 1205154606 · HOLDEN, MO 64040 · Nurse Practitioner · NPI assigned 05/10/2010
| Authorized Official | JACKSON, CAROL (OFFICE MANAGER) |
| NPI Enumeration Date | 05/10/2010 |
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 385 | $28K |
| 2019 | 396 | $28K |
| 2020 | 143 | $11K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| T1015 | Clinic visit/encounter, all-inclusive | 924 | 799 | $66K |