Cross Trails Medical Center
A Medicare group practice based in Cape Girardeau, MO: 5 NPIs enrolled under one PECOS associate control ID (PAC ID 8820902851), with 18 clinicians.
Medicare enrollment
Medicare enrollment files- PAC ID
- 8820902851
- Provider type
- Part A Provider - Federally Qualified Health Center (FQHC), Part B Supplier - Clinic/Group Practice
- Enrolled in
- MO
- Enrollments
- 6
- Group size
- 9 clinicians
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Practice locations
- 10
Enrollment records 6
| Enrollment ID | State | Provider type | NPI |
|---|---|---|---|
| O20031114000205 | MO | Part B Supplier - Clinic/Group Practice | 1356393268 |
| O20070209000600 | MO | Part A Provider - Federally Qualified Health Center (FQHC) | 1962565499 |
| O20040729001015 | MO | Part A Provider - Federally Qualified Health Center (FQHC) | 1356393268 |
| O20140102001443 | MO | Part A Provider - Federally Qualified Health Center (FQHC) | 1215368402 |
| O20230725003377 | MO | Part A Provider - Federally Qualified Health Center (FQHC) | 1033895628 |
| O20100908000602 | MO | Part A Provider - Federally Qualified Health Center (FQHC) | 1225191752 |
NPIs in this group 5
NPPES NPI RegistryThese NPI records belong to the same enrolled organization. Each has its own page.
-
Cross Trails Medical Center
- Federally Qualified Health Center (FQHC)
- Cape Girardeau, MO
- NPI 1033895628
-
Cross Trails Medical Center
- Federally Qualified Health Center (FQHC)
- Perryville, MO
- NPI 1215368402
-
Cross Trails Medical Center
- Federally Qualified Health Center (FQHC)
- Advance, MO
- NPI 1225191752
-
Cross Trails Medical Center
- Federally Qualified Health Center (FQHC)
- Cape Girardeau, MO
- NPI 1356393268
-
Cross Trails Medical Center
- Federally Qualified Health Center (FQHC)
- Marble Hill, MO
- NPI 1962565499
Practice locations
- Cape Girardeau, MO4
- Perryville, MO2
- Marble Hill, MO2
- Advance, MO2
Clinicians 18
Clinicians who reassign their Medicare benefits to this group (18) or whom Care Compare lists as members (9).
-
Robert D Anderson, DDS
- General Practice Dentistry
- Clearfield, UT
- NPI 1770698912
-
Janna R Crosnoe, M.D.
- Family Medicine Physician
- Cape Girardeau, MO
- NPI 1720017296
-
Suzana Gjino
- Public Health Dentistry
- Advance, MO
- NPI 1396300547
-
Sarah Goodman, D.O.
- Internal Medicine Physician
- Cape Girardeau, MO
- NPI 1962645838
-
Curtis Lee Jansen, D.O.
- Internal Medicine Physician
- Marble Hill, MO
- NPI 1447530597
-
Brenna Maria Camargo Keller, D.O.
- Infectious Disease Physician
- Cape Girardeau, MO
- NPI 1932261104
-
Constance R Koerner, LCSW
- Clinical Social Worker
- Cape Girardeau, MO
- NPI 1386108181
-
Jessica Sarah Ludwig, FNP-BC
- Family Nurse Practitioner
- Cape Girardeau, MO
- NPI 1407125370
-
Ann Catherine Martin, DDS
- Dentist
- Cape Girardeau, MO
- NPI 1740170083
-
Amy Elizabeth Massa, RN, FNP-BC
- Family Nurse Practitioner
- Jackson, MO
- NPI 1760739668
-
Sherri Lynn McDonald, APRN,BC,FNP
- Adult Health Nurse Practitioner
- Charleston, MO
- NPI 1639267990
-
Dana Marie Moore, APRN
- Family Nurse Practitioner
- Cape Girardeau, MO
- NPI 1760730139
-
Amanda Pleimann, D.O.
- Family Medicine Physician
- Cape Girardeau, MO
- NPI 1659722155
-
Ramya Siddaiah, BDS, MDS (OMFS), DDS
- General Practice Dentistry
- Cape Girardeau, MO
- NPI 1255083564
-
Angela Spoljaric, DMD
- Dentist
- Saint Louis, MO
- NPI 1235114489
-
Karen Lee Tracy, F.N.P.
- Family Nurse Practitioner
- Cape Girardeau, MO
- NPI 1346252293
-
Julia Jane Ann Vidyakin
- Dentist
- Cape Girardeau, MO
- NPI 1356070890
-
Angela Kay Wright, APRN, FNP-BC
- Family Nurse Practitioner
- Perryville, MO
- NPI 1598316564
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.