Individual provider Active NPI

Sheena Jose, MD

  • Family Medicine Physician
  • Columbia, MO
National Provider Identifier
1710055389
Registry record updated Mar 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
2011003501 Issued in MO
Practice address
601 W Business Loop 70 Ste 275
Columbia, MO 65203-2522
Phone
(573) 874-0008
Fax
(573) 875-5350
NPI assigned
Dec 1, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2025

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 2011003501 MO Primary

Addresses

Primary practice location

601 W Business Loop 70 Ste 275
Columbia, MO 65203-2522

Mailing address

601 W Business Loop 70 Ste 275
Columbia, MO 65203-2522
Phone (573) 874-0008

Other identifiers 1

IdentifierTypeStateIssuer
1710055389MedicaidMO

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110322000776 MO Practitioner - Family PracticePractitioner - Emergency Medicine 6507998424 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Emergency Medicine
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Boone Physician Services LLCGroup PAC ID 6507090644, 243 clinicians

Practice addresses (Care Compare)

1905 Cherry Hill Dr
Suite 202
Columbia, MO 65203-5920
Phone (573) 447-6564

900 W Nifong Blvd
Suite 100
Columbia, MO 65203-4469
Phone (573) 815-6631

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Cherry Hill Clinic, LLC Family Medicine CurrentSince Jan 22, 2018 Accepting new patients
Nextcare Missouri LLC CurrentSince Aug 1, 2016 Accepting new patients
Boone Physician Services, LLC CurrentSince Sep 28, 2022 Accepting new patients

Locations

601 W Business Loop 70
Ste 275
Columbia, MO 65203
Phone (573) 874-0008

202 E Nifong Blvd
Columbia, MO 65203
Phone (573) 874-6824

1905 Cherry Hill Dr
Columbia, MO 65203
Phone (573) 303-5772

403 N Stadium Blvd
Ste 104
Columbia, MO 65203
Phone (573) 514-6271

900 W Nifong Blvd
Ste 100
Columbia, MO 65203
Phone (573) 815-6631

1905 Cherry Hill Dr
Ste 202
Columbia, MO 65203
Phone (573) 447-6564

1705 E Broadway
Ste 280
Columbia, MO 65201
Phone (573) 815-7119

1600 E Broadway
Columbia, MO 65201
Phone (573) 632-5000

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 4

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": "1164931200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741910400000",
    "number": "1710055389",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 W BUSINESS LOOP 70 STE 275",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652032522",
            "telephone_number": "573-874-0008",
            "fax_number": "573-875-5350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 W BUSINESS LOOP 70 STE 275",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652032522",
            "telephone_number": "573-874-0008",
            "fax_number": "573-875-5350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOSE",
        "first_name": "SHEENA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-01",
        "last_updated": "2025-03-14",
        "certification_date": "2025-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MO",
            "license": "2011003501",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1710055389",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, MO

Sources for this page

Verify at the official NPI Registry.