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

Inta Davidyuk, FNP

Individual provider Family Nurse Practitioner · NPI 1902577141

Inta Davidyuk, FNP is a Nurse Practitioner in Bolivar, Missouri. Qualified in 2021, 5 years ago. Practices with Mercy Clinic Springfield Communities, a 1,126-clinician group and accepts Medicare assignment. Licensed in Missouri.

Years since qualifying
5
Licensed in
MO
In the registry since
2021
What do these letters mean?
FNP — Family Nurse Practitioner
A nurse practitioner who treats patients of all ages, much like a family doctor.

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Practice location Address checks out

3817 S Springfield Ave Ste 140
Bolivar, MO 65613-9129
Phone: (417) 422-4769
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 2021021667 (MO)

Record details

NPI number1902577141
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP
Sole proprietorNo
NPI enumeratedSeptember 27, 2021
Last updated in NPPESNovember 18, 2021
Certification dateNovember 18, 2021
Mailing address3817 S Springfield Ave Ste 140, Bolivar, MO 65613-9129

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Mercy Clinic Springfield Communities — 1126 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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