MISS KELLEY NICOLE TATE P.T.
NPI 1003811258
Physical Therapist in Boonville, MO
About Miss Kelley Nicole Tate P.t. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MISS KELLEY NICOLE TATE P.T. (NPI 1003811258) is an individual physical therapist in Boonville, Missouri, licensed in Missouri (2002025550) and active in the NPI registry since June 2005. She is a graduate of University Of Missouri, Columbia School Of Medicine (2002).
NPPES Registry Identity
Specialties & Licenses
- Diagnose and manage movement dysfunction and enhance physical and functional abilities.
- Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health.
- Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries.
- Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems.
- Address the negative effects attributable to unique personal and environmental factors as they relate to human performance.
Other Names 1
Other Identifiers 3
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Miss Kelley Nicole Tate P.t. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignments
2Medicare enrollment records show Kelley Tate reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Kansas City, MO 64154
- Reassigned Medicare billing, Missouri enrollment
- 201 clinicians in this Medicare group
Saint Charles, MO 63301
- Reassigned Medicare billing, Missouri enrollment
- 268 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 65233 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 8
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
BOONVILLE, MO 65233
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Kelley Tate's NPI number?
The NPI number for Kelley Tate is 1003811258. It was assigned to this individual provider in the NPPES registry on June 15, 2005. The provider is also known as Kelley Malaney.
Where is Kelley Tate located?
Kelley Tate practices at 1420 W Ashley Rd, Boonville, MO 65233. The listed phone number is (660) 882-6115.
What is Kelley Tate's specialty?
The primary specialty registered for this NPI is Physical Therapist with taxonomy code 225100000X.
Is Kelley Tate enrolled in Medicare?
Yes. Kelley Tate is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Kelley Tate's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kelley Tate reassigns Medicare benefits to 2 organizations: Empowerme Wellness Kansas City, LLC (Kansas City, MO) and Empowerme Rehabilitation Missouri LLC (Saint Charles, MO). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kelley Tate's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Kelley Tate accept?
Health plans from Anthem Blue Cross and Blue Shield and Blue Cross and Blue Shield of Kansas City list Kelley Tate as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Kelley Tate was last updated on February 20, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.