Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Deirdre L Nivens, FAMILYNURSEPRACITI

Individual provider Nurse Practitioner · NPI 1225260532

Deirdre L Nivens, FAMILYNURSEPRACITI is a Nurse Practitioner in Potosi, Missouri. Qualified in 2009, 17 years ago. Practices with Great Mines Health Center, an 18-clinician group and accepts Medicare assignment. Licensed in Missouri.

Years since qualifying
17
Licensed in
MO
In the registry since
2009

Practice location Address checks out

200 Health Way Dr
Potosi, MO 63664-1434
Phone: (573) 438-2977
Fax: (573) 438-2874
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 124134 (MO)

Record details

NPI number1225260532
Entity typeIndividual (Type 1)
GenderFemale
Credentials FAMILYNURSEPRACITI
Sole proprietorNo
NPI enumeratedAugust 20, 2009
Last updated in NPPESJune 17, 2014

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2009 (17 years in practice)
Group practice Great Mines Health Center — 18 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Potosi