Active NPI
Cephas Paniamogan, FNP-C
- Family Nurse Practitioner
- Bethany, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 2011007027
- Practice address
- 3202 Miller St
Bethany, MO 64424-2713 - Phone
- (660) 425-3154
- NPI assigned
- Apr 15, 2011
- Last updated
- Jun 24, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 2011007027 | MO | Primary |
Addresses
Primary practice location
3202 Miller St
Bethany, MO 64424-2713
Mailing address
16027 Locust St
Apt 5
Eagleville, MO 64442-7130
Phone (660) 867-5111
Other practice location 1
16027 Locust St
Eagleville, MO 64442-7130
Phone (660) 867-5111
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
16027 Locust St
Eagleville, MO 64442-7130
Phone (660) 867-5111
3202 Miller St
Bethany, MO 64424-2713
Phone (660) 425-3154
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2011007027 | MO | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Harrison County Community Hospital District | Current | Accepting new patients | |
| Harrison County Community Hospital District | Current | Accepting new patients | |
| Harrison County Community Hospital District | Current | Accepting new patients | |
| Harrison County Community Hospital District | Past | Accepting new patients |
Locations
2600 Miller St
Bethany, MO 64424
Phone (660) 425-2211
3202 Miller St
Bethany, MO 64424
Phone (660) 425-3154
16027 Locust St
Eagleville, MO 64442
Phone (660) 425-0201
16027 Locust St
Apt 5
Eagleville, MO 64442
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Bethany Medical Clinic
- Rural Health Clinic/Center
- Bethany, MO
- NPI 1154645745
-
dba North Harrison Medical Clinic
- Rural Health Clinic/Center
- Eagleville, MO
- NPI 1114348083
-
dba HCCH Pattonsburg Medical Clinic
- Family Medicine Physician
- Pattonsburg, MO
- NPI 1285427104
-
dba Harrison County Community Hospital
- Critical Access Hospital
- Bethany, MO
- NPI 1528062569
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Harrison County Community Hospital
- Critical Access Hospital
- Bethany, MO
- NPI 1528062569
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1302825600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1782259200000",
"number": "1053601716",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16027 LOCUST ST",
"address_2": "APT 5",
"city": "EAGLEVILLE",
"state": "MO",
"postal_code": "644427130",
"telephone_number": "660-867-5111",
"fax_number": "660-425-2366"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3202 MILLER ST",
"city": "BETHANY",
"state": "MO",
"postal_code": "644242713",
"telephone_number": "660-425-3154"
}
],
"practiceLocations": [
{
"address_1": "16027 Locust St",
"address_purpose": "LOCATION",
"city": "Eagleville",
"state": "MO",
"postal_code": "644427130",
"country_code": "US",
"telephone_number": "660-867-5111",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PANIAMOGAN",
"first_name": "CEPHAS",
"name_prefix": "Mr.",
"credential": "FNP-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-04-15",
"last_updated": "2026-06-24",
"certification_date": "2026-06-24",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MO",
"license": "2011007027",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bethany, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.