Kirksville Missouri Hospital Company LLC
A Medicare group practice based in Kirksville, MO: 5 NPIs enrolled under one PECOS associate control ID (PAC ID 3274517347), with 8 clinicians.
Medicare enrollment
Medicare enrollment files- PAC ID
- 3274517347
- Provider type
- Part A Provider - Hospital, Part A Provider - Rural Health Clinic, Part B Supplier - Clinic/Group Practice
- Enrolled in
- MO
- Enrollments
- 4
- Group size
- 6 clinicians
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Practice locations
- 6
Enrollment records 4
| Enrollment ID | State | Provider type | NPI |
|---|---|---|---|
| O20050713000947 | MO | Part A Provider - Hospital | 1104899442 |
| O20080327000559 | MO | Part A Provider - Hospital | 1932172293 |
| O20130312000204 | MO | Part B Supplier - Clinic/Group Practice | 1336491448 |
| O20120305000406 | MO | Part A Provider - Rural Health Clinic | 1508135005 |
NPIs in this group 5
NPPES NPI RegistryThese NPI records belong to the same enrolled organization. Each has its own page.
-
Kirksville Missouri Hospital Company LLC
dba Northeast Regional Medical Group
- Family Medicine Physician
- Kirksville, MO
- NPI 1336491448
-
Kirksville Missouri Hospital Company LLC
dba Northeast Regional Medical Group
- Rural Health Clinic/Center
- Kirksville, MO
- NPI 1508135005
-
Kirksville Missouri Hospital Company, LLC
dba Northeast Regional Medical Center
- General Acute Care Hospital
- Kirksville, MO
- NPI 1104899442
-
Kirksville Missouri Hospital Company, LLC
dba Northeast Regional Medical Center
- Medicare Defined Swing Bed Hospital Unit
- Kirksville, MO
- NPI 1932172293
-
Kirksville Missouri Hospital Company LLC
dba Family Health Center of Edina
- Family Medicine Physician
- Edina, MO
- NPI 1164776944
Practice locations
- Kirksville, MO6
Clinicians 8
Clinicians who reassign their Medicare benefits to this group (8) or whom Care Compare lists as members (6).
-
John Markus Deleeuw, DO
- Internal Medicine Physician
- Kirksville, MO
- NPI 1770590846
-
Valena Fiscus, D.O.
- Internal Medicine Physician
- Kirksville, MO
- NPI 1386087757
-
Kade Earl Kinney, DO
- Family Medicine Physician
- Kirksville, MO
- NPI 1508598681
-
Jacqueline Elise Kirkpatrick, FNP-BC
- Family Nurse Practitioner
- Kirksville, MO
- NPI 1831969526
-
Melissa Anne Mann, DO
- Internal Medicine Physician
- Kirksville, MO
- NPI 1730706243
-
Tysen J Petre, D.O.
- Family Medicine Physician
- Kirksville, MO
- NPI 1871642470
-
Nancy Lynn Rourke, CNP
- Family Nurse Practitioner
- Kirksville, MO
- NPI 1811615529
-
David Vincent Spencer, DO
- Internal Medicine Physician
- Kirksville, MO
- NPI 1154820157
Sources for this page
- Medicare Fee-For-Service Public Provider Enrollment: the enrollments, PAC ID, practice locations and benefit reassignments.
- Care Compare Doctors and Clinicians: group membership, group size and the name CMS shows patients.
- NPPES NPI Registry: the names and addresses of the NPIs above.