Elite Professional Providers, Llc - Medicare Primary Care in Springfield, MO

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Elite Professional Providers, Llc is a medicare enrolled primary clinic (Family Medicine) in Springfield, Missouri. The current practice location for Elite Professional Providers, Llc is 3322 S Campbell Ave Ste T-1, Springfield, Missouri. For appointments, you can reach them via phone at (417) 220-4482. The mailing address for Elite Professional Providers, Llc is 2135 E Independence St # 1093, Springfield, Missouri and phone number is (417) 220-4482.

Elite Professional Providers, Llc is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1891488433. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (417) 220-4482.

Contact Information

Elite Professional Providers, Llc
3322 S Campbell Ave Ste T-1
Springfield
MO 65807-4980
(417) 220-4482
(417) 414-0017

Map and Direction


Primary Care Clinic Profile

Full NameElite Professional Providers, Llc
SpecialityFamily Medicine
Location3322 S Campbell Ave Ste T-1, Springfield, Missouri
Authorized Official Name and PositionShawn Kelley (COO)
Authorized Official Contact4172204482
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Elite Professional Providers, Llc
2135 E Independence St # 1093
Springfield
MO 65804-3749

Ph: (417) 220-4482		Elite Professional Providers, Llc
3322 S Campbell Ave Ste T-1
Springfield
MO 65807-4980

Ph: (417) 220-4482

NPI Details:

NPI Number1891488433
Provider Enumeration Date05/30/2023
Last Update Date01/22/2024

Medicare PECOS Information:

Medicare PECOS PAC ID1254792740
Medicare Enrollment IDO20230731003920

Medical Identifiers

Medical identifiers for Elite Professional Providers, Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1891488433NPI-NPPES
500128969MedicaidMO

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine (* (Not Available))Primary
363LF0000XNurse Practitioner - Family (* (Not Available))Secondary
363LP0808XNurse Practitioner - Psychiatric/mental Health (* (Not Available))Secondary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Elite Professional Providers, Llc acts as a billing entity for following providers:
Provider NameGregoria Villaruel-kirk
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1588649651
PECOS PAC ID: 0941233837
Enrollment ID: I20050912000995
Provider NameLinda C Burdett
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1639154677
PECOS PAC ID: 3173545886
Enrollment ID: I20051222000049
Provider NameChristopher W Billings
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1124024864
PECOS PAC ID: 8628165834
Enrollment ID: I20081112000019
Provider NameThomas E Dahlberg
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1013013093
PECOS PAC ID: 6406919604
Enrollment ID: I20090114000594
Provider NameLynda K Nickle
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1417178906
PECOS PAC ID: 3173665288
Enrollment ID: I20100127000333
Provider NameJana Scott
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1497028344
PECOS PAC ID: 9234374950
Enrollment ID: I20130401000243
Provider NameLee-amy Kathleen Choate
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1386162691
PECOS PAC ID: 0143594887
Enrollment ID: I20170920000117
Provider NameJoseph Adam Reighard
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1295938934
PECOS PAC ID: 6204174147
Enrollment ID: I20190219001068
Provider NameJessica N Rice
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1013522150
PECOS PAC ID: 9830504521
Enrollment ID: I20210210000861
Provider NameJennifer Marie Storey
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1073332862
PECOS PAC ID: 0042745671
Enrollment ID: I20241120000157

Reviews and Comments


Family Medicine in Springfield, MO

James M. Carmichael, Dc Pc
Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 3108 S Fremont Ave, Springfield, MO 65804
Phone: 417-886-4910    Fax: 417-886-4910

Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 3525 S National Ave, #307, Springfield, MO 65807
Phone: 417-269-9220    Fax: 417-269-9229

Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 3800 S National Ave, #600, Springfield, MO 65807
Phone: 417-269-1499    Fax: 417-269-1459

Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 1423 N Jefferson Ave, #k-100, Springfield, MO 65802
Phone: 417-269-3915    Fax: 417-269-3913
Mercy Clinic Hospitalists
Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 1235 E Cherokee St, Springfield, MO 65804
Phone: 417-820-2600    Fax: 417-820-2100

Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 1429 W Sunshine St, Springfield, MO 65807
Phone: 417-269-2240    Fax: 417-269-2245

Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 1720 W Grand St Ste B, Springfield, MO 65802
Phone: 417-831-0150    Fax: 417-831-0155

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.