NPIMap

Individual provider Active NPI

Colleen L Hunter-Pearson, MD

  • Family Medicine Physician
  • Sikeston, MO
National Provider Identifier
1639274236
Registry record updated May 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
2002002044 Issued in MO
Practice address
1017 N Main St
Sikeston, MO 63801-5043
Phone
(573) 472-6030
Fax
(573) 472-6029
NPI assigned
Sep 14, 2006
Last updated
May 30, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 30, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 2002002044 MO Primary

Addresses

Primary practice location

1017 N Main St
Sikeston, MO 63801-5043

Mailing address

1008 N Main St
Sikeston, MO 63801-5044
Phone (573) 472-6030

Other identifiers 1

IdentifierTypeStateIssuer
205760812MedicaidMO

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address chunter@missouridelta.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080124000172 MO Practitioner - Family Practice 1254413669 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Missouri, Kansas City, School of Medicine, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Missouri Delta Medical CenterGroup PAC ID 1355252891, 134 clinicians
Health Facilities Rehab Services IncGroup PAC ID 3476679226, 152 clinicians

Practice addresses (Care Compare)

1017 N Main St
Sikeston, MO 63801-5043
Phone (573) 472-6030

1102 Sikes Ave
Sikeston, MO 63801-5021

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10
Removal of skin lesions1-10
Removal or shaving of skin growth1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Missouri Delta Medical Center Family Medicine CurrentSince Jan 1, 2008 Accepting new patients
Missouri Delta Medical Center CurrentSince Jan 1, 2008 Accepting new patients
1St Choice Family and Occupational Medicint Clinic Family Medicine Past Accepting new patients

Locations

1008 N Main St
Sikeston, MO 63801
Phone (573) 471-1600

1017 N Main St
Sikeston, MO 63801
Phone (573) 472-6030

1019 N Main St
Sikeston, MO 63801
Phone (573) 472-7702

121 Smith Ave
Sikeston, MO 63801
Phone (573) 471-0200

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.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1158192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717027200000",
    "number": "1639274236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1008 N MAIN ST",
            "city": "SIKESTON",
            "state": "MO",
            "postal_code": "638015044",
            "telephone_number": "573-472-6030",
            "fax_number": "573-472-6029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1017 N MAIN ST",
            "city": "SIKESTON",
            "state": "MO",
            "postal_code": "638015043",
            "telephone_number": "573-472-6030",
            "fax_number": "573-472-6029"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUNTER-PEARSON",
        "first_name": "COLLEEN",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-14",
        "last_updated": "2024-05-30",
        "certification_date": "2021-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MO",
            "license": "2002002044",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "205760812",
            "state": "MO"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "chunter@missouridelta.com",
            "affiliation": "N",
            "endpointDescription": "Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1017 N Main St",
            "city": "Sikeston",
            "state": "MO",
            "country_code": "US",
            "postal_code": "638015043",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Sikeston, MO

Sources for this page

Verify at the official NPI Registry.