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

Jamie Vandermierden

Individual provider Family Nurse Practitioner · NPI 1487213864

Jamie Vandermierden is a Nurse Practitioner in Cape Girardeau, Missouri. Qualified in 2019, 7 years ago. Practices with Southeast Missouri Hospital Physicians LLC, a 206-clinician group and accepts Medicare assignment. Licensed in Missouri.

Years since qualifying
7
Licensed in
MO
In the registry since
2019
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Practice location Address checks out

1723 Broadway St Ste 210
Cape Girardeau, MO 63701-4556
Phone: (573) 331-7870
Fax: (573) 331-7899
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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 2019019067 (MO)

Record details

NPI number1487213864
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJune 10, 2019
Last updated in NPPESJune 10, 2019
Mailing address1723 Broadway St Ste 210, Cape Girardeau, MO 63701-4556

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Southeast Missouri Hospital Physicians Llc — 206 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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