- Medicare Primary Care in Rolla, MO

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is a medicare enrolled primary clinic (Clinic/center - Federally Qualified Health Center (fqhc)) in Rolla, Missouri. The current practice location for is 1081 E 18th St, Rolla, Missouri. For appointments, you can reach them via phone at (573) 426-2407. The mailing address for is 1081 E 18th St, Rolla, Missouri and phone number is (573) 426-2407.

is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1164669172. 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 (573) 426-2407.

Contact Information

1081 E 18th St
Rolla
MO 65401-2448
(573) 426-2407
Not Available

Map and Direction


Primary Care Clinic Profile

Full Name
SpecialityClinic/Center
Location1081 E 18th St, Rolla, Missouri
Authorized Official Name and PositionElizabeth Sparks (HR MANAGER)
Authorized Official Contact5734262407
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address

1081 E 18th St
Rolla
MO 65401-2448

Ph: (573) 426-2407
1081 E 18th St
Rolla
MO 65401-2448

Ph: (573) 426-2407

NPI Details:

NPI Number1164669172
Provider Enumeration Date01/13/2009
Last Update Date02/06/2023

Medicare PECOS Information:

Medicare PECOS PAC ID1355513581
Medicare Enrollment IDO20111013000097

Medical Identifiers

Medical identifiers for such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1164669172NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
261QF0400XClinic/center - Federally Qualified Health Center (fqhc) (* (Not Available))Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. acts as a billing entity for following providers:
Provider NameDawn R Tope
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1366644320
PECOS PAC ID: 9335047901
Enrollment ID: I20031222000266
Provider NameShaundelle A Olusanya
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1801090444
PECOS PAC ID: 3779481650
Enrollment ID: I20031230000298
Provider NameDebra A Mccaul
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1376692939
PECOS PAC ID: 1153300033
Enrollment ID: I20040714001610
Provider NameTony Lam
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1093742314
PECOS PAC ID: 4284603176
Enrollment ID: I20040928000486
Provider NameOluyomi Olusanya
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1457302937
PECOS PAC ID: 7315996394
Enrollment ID: I20050117000467
Provider NameKimberly D Johnson
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1396717104
PECOS PAC ID: 9032186036
Enrollment ID: I20060818000019
Provider NameSonja Williams
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1609836857
PECOS PAC ID: 3870590946
Enrollment ID: I20061102000305
Provider NameYvonne M Prince
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1538150222
PECOS PAC ID: 7618012055
Enrollment ID: I20100309000891
Provider NamePatrick Sporleder
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1922099506
PECOS PAC ID: 6406992445
Enrollment ID: I20101011000658
Provider NameElaine Briggs
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1700105673
PECOS PAC ID: 1456545326
Enrollment ID: I20101104000750
Provider NameMichaela Muehlbach
Provider TypePractitioner - Clinical Psychologist
Provider IdentifiersNPI Number: 1083921381
PECOS PAC ID: 3971741836
Enrollment ID: I20130604000879
Provider NameKatie E Cameron
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1942511753
PECOS PAC ID: 5597993410
Enrollment ID: I20140122000706
Provider NameShawna R Middleton
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1104104090
PECOS PAC ID: 7911177282
Enrollment ID: I20140403001343
Provider NameNancy S Brown
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1558347666
PECOS PAC ID: 0648588988
Enrollment ID: I20151006001164
Provider NameAlexis R West
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1083083042
PECOS PAC ID: 7618286592
Enrollment ID: I20151015000275
Provider NameSean L Harris
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1356696942
PECOS PAC ID: 9739302357
Enrollment ID: I20161018000801
Provider NameMatthew T Porter
Provider TypePractitioner - General Practice
Provider IdentifiersNPI Number: 1477791606
PECOS PAC ID: 4880827252
Enrollment ID: I20161018002934
Provider NameMandi Nicole Parks
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1760966188
PECOS PAC ID: 9638413925
Enrollment ID: I20181127001566
Provider NameBarbara A Appleman Graham
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1922566777
PECOS PAC ID: 9032451018
Enrollment ID: I20190423000222
Provider NameJohnnie W Parker
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1073051942
PECOS PAC ID: 5597710699
Enrollment ID: I20190509002556
Provider NameGillian C Brown
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1750897229
PECOS PAC ID: 6204250269
Enrollment ID: I20200723000605
Provider NameAmanda Stites
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1508510298
PECOS PAC ID: 0042605115
Enrollment ID: I20220328002087
Provider NameElizabeth A Bland
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1306568738
PECOS PAC ID: 8729455894
Enrollment ID: I20221102000344
Provider NameHallie Davis
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1366283269
PECOS PAC ID: 5698216422
Enrollment ID: I20240920000735
Provider NameDawn Cavender-erangey
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1548921943
PECOS PAC ID: 6305370412
Enrollment ID: I20241112003948

Reviews and Comments


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Choudhrymd, Llc
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Practice Location: 604 W 6th St, Rolla, MO 65401
Phone: 573-202-3969    Fax: 573-341-8581

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.