Active NPI
Lenora Mae Epple, DO
- Internal Medicine Physician
- Jefferson City, MO
National Provider Identifier
1689777815
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 2008003780
- Practice address
- 1705 Christy Dr
Jefferson City, MO 65101-5195 - Phone
- (573) 289-9619
- Fax
- (573) 240-9879
- NPI assigned
- Sep 6, 2006
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 2008003780 | MO | Primary |
Addresses
Primary practice location
1705 Christy Dr
Jefferson City, MO 65101-5195
Mailing address
5614 Foxfire LN
Lohman, MO 65053-9602
Phone (573) 289-9619
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P00713887 | Other | RAILROAD MEDICARE | |
| 1689777815 | Medicaid | MO | |
| 431560263 | Other | MO | TRICARE WEST |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2008003780 | MO | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Focused Health and Wellness Inc | Internal Medicine | Current | Accepting new patients |
| Ozarks Medical Center | Past | Accepting new patients |
Locations
1705 Christy Dr
Jefferson Cty, MO 65101
Phone (573) 289-9619
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Internal Medicine Physician
- Jefferson City, MO
- NPI 1679447932
-
- General Acute Care Hospital
- West Plains, MO
- NPI 1831115641
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1157500800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1770163200000",
"number": "1689777815",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5614 FOXFIRE LN",
"city": "LOHMAN",
"state": "MO",
"postal_code": "650539602",
"telephone_number": "573-289-9619",
"fax_number": "573-240-9879"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1705 CHRISTY DR",
"city": "JEFFERSON CITY",
"state": "MO",
"postal_code": "651015195",
"telephone_number": "573-289-9619",
"fax_number": "573-240-9879"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EPPLE",
"first_name": "LENORA",
"middle_name": "MAE",
"name_prefix": "Dr.",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-06",
"last_updated": "2026-02-04",
"certification_date": "2026-02-04",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MO",
"license": "2008003780",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00713887",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1689777815",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRICARE WEST",
"identifier": "431560263",
"state": "MO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Jefferson City, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.