ANDREA GULLETT – Family Nurse Practitioner, NPI 1679943377

ANDREA GULLETT is a healthcare provider. based in Springfield, Missouri. specializing in NURSE PRACTITIONER. They hold a License No. 2015021532 (MO). The NPI Number for ANDREA GULLETT is 1679943377

Main info

Female
11 Years Of Experience
Accepts Medicare Assignment
Name
ANDREA GULLETT
NPI
1679943377
Phone
(417) 269-5712
Address
3800 S NATIONAL AVE
Enumeration Date
7 October 2015
Last Update Date
6 May 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4172692278
Graduation Year
2015 (11 years ago)
PAC ID
7315256633
Group Practice PAC ID
5799787784
Professional Enrollment ID
I20210915000553
Address ID
MO655365303LE510XX32XX302
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience44
Completeness75
Years active:10State licenses:1Digital endpointsOther names

7,023 NURSE PRACTITIONER in MO

Provider Addresses for ANDREA GULLETT

  • 3800 S NATIONAL AVE

    STE 540

    SPRINGFIELD, MO 658075209

    Phone: (417) 269-5712

    Fax: (417) 269-7567

    Type: Mailing

  • 106 COMMERCE DR

    AURORA, MO 656056260

    Phone: (417) 269-2400

    Fax: (417) 269-2410

    Type: Location

  • PO BOX 802843

    KANSAS CITY, MO 641802843

    Phone: (417) 730-6430

    Fax: (417) 269-7567

    Type: Mailing

  • 3203 E OLD STONE RD

    BROOKLINE, MO 656199620

    Phone: (417) 269-1910

    Fax: (417) 269-1916

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 57 Open Payments records for all available years, with a total value of $994.

Total Amount is formed as General ($994) + Research ($0) + Ownership ($0) = $994.

Last reported payment date: 2024-12-13 • Largest payer in this snapshot: ABBVIE INC. ($243).

Total Amount

$994

General + Research + Ownership

Payments

57

Total payment records

General Amount

$994

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-13

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2021-09-15

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

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
I20210915000553INurse PractitionerMOTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes12476$0
36415Insertion of needle into vein for collection of blood sample8861$0
99213Established patient office or other outpatient visit, 20-29 minutes4945$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit2525$0
81003Automated urinalysis test1814$0
View full utilization report →

Insurance plans in this area (ZIP 65807)

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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: 5799787784View full group profile

Reviews

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Frequently asked questions

What NPI should I save for ANDREA GULLETT?
Save NPI 1679943377 if you need a stable reference for ANDREA GULLETT.
Is ANDREA GULLETT's NPI currently valid?
The extract we use shows ANDREA GULLETT as active.
Does ANDREA GULLETT list a primary specialty?
If you are matching referrals, note Family Nurse Practitioner for ANDREA GULLETT. Clinical services aligned with this taxonomy classification.
What location metadata exists for ANDREA GULLETT?
The page summarizes Springfield, Missouri for ANDREA GULLETT; expand the address list for detail.
How can I contact ANDREA GULLETT?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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