BECKY SUE HAMMON (FNP) – Family Nurse Practitioner, NPI 1508264946

BECKY SUE HAMMON (FNP) is a healthcare provider. based in De soto, Missouri. specializing in NURSE PRACTITIONER. They hold the professional credentials FNP. They hold a License No. F1114403 (MO). The NPI Number for BECKY SUE HAMMON (FNP) is 1508264946

Main info

Female
Sole Proprietor
12 Years Of Experience
Accepts Medicare Assignment
Name
BECKY SUE HAMMON (FNP)
NPI
1508264946
Phone
(636) 586-6685
Address
12 JEFFERSON SQ
Enumeration Date
17 December 2014
Last Update Date
19 September 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3142730195
Graduation Year
2014 (12 years ago)
PAC ID
8426358995
Group Practice PAC ID
3072421254
Professional Enrollment ID
I20151207000284
Address ID
MO631101351SA1110XEXXX500

Contacts

FHIR Endpoint
https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience51
Completeness95
Years active:11State licenses:1Other names

7,023 NURSE PRACTITIONER in MO

Provider Addresses for BECKY SUE HAMMON (FNP)

  • 12 JEFFERSON SQ

    DE SOTO, MO 630201031

    Phone: (636) 586-6685

    Type: Mailing

  • PO BOX 959354

    SAINT LOUIS, MO 631951031

    Phone: (314) 996-7014

    Fax: (314) 273-0140

    Type: Mailing

  • 3009 N BALLAS RD STE 383C

    SAINT LOUIS, MO 631312324

    Phone: (636) 484-5277

    Fax: (314) 273-0140

    Type: Location

  • 12 Jefferson Sq

    DE Soto, MO 630201031

    Phone: (636) 586-6685

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $96.

Total Amount is formed as General ($96) + Research ($0) + Ownership ($0) = $96.

Last reported payment date: 2024-04-27 • Largest payer in this snapshot: VIVUS LLC ($79).

Total Amount

$96

General + Research + Ownership

Payments

2

Total payment records

General Amount

$96

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-04-27

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
VIVUS LLC$79
Lilly USA, LLC$18
View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2015-12-07

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Past revalidation due date

Earliest CMS due date was 2023-12-31 (892 days ago).

Enrollment records

1

Earliest due date

2023-12-31

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20151207000284INurse PractitionerMO2023-12-31

What to do next

  • Verify current status on the CMS Revalidation Lookup Tool immediately.
  • Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
  • Overdue revalidation can lead to deactivation of Medicare billing privileges.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 63020)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3072421254View full group profile
NameSpecialtyState
-MO
-MO
Family PracticeMO
Hospitalist, Family PracticeMO
Internal MedicineMO
-MO
Family PracticeMO
Internal MedicineIL
Internal Medicine, HospitalistMO
Nurse PractitionerMO

Reviews

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Frequently asked questions

What federal number belongs to BECKY SUE HAMMON (FNP)?
The federal identifier for BECKY SUE HAMMON (FNP) is NPI 1508264946.
Is BECKY SUE HAMMON (FNP) active in the national directory?
BECKY SUE HAMMON (FNP)'s public NPI profile is in an active state.
What does BECKY SUE HAMMON (FNP) treat or focus on?
Patients typically see BECKY SUE HAMMON (FNP) under the specialty Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Where is BECKY SUE HAMMON (FNP)'s primary listing?
We display De Soto, Missouri because that is what the record indicates for BECKY SUE HAMMON (FNP).
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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