MISSOURI MEDICAL PROVIDERS LLC
NPI 1043817323
Nurse Practitioner - Family in Cape Girardeau, MO

Active since October 08, 2020
2215 BROADWAY ST, CAPE GIRARDEAU, MO 63701(636) 725-1255(573) 534-3131 Get Directions Write a Review

NPPES record last updated: April 13, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Apr 13, 2026, Oct 20, 2023, Sep 1, 2023 and 5 more (8 updates tracked since 2020).

About Missouri Medical Providers Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MISSOURI MEDICAL PROVIDERS LLC (NPI 1043817323), doing business as Solutions Medical Provider Services, is a healthcare organization registered as a family in Cape Girardeau, Missouri and active in the NPI registry since October 2020. The organization maintains 8 additional practice locations and lists Omer Malik, Owner, as its authorized official.

NPPES Registry Identity

NPI1043817323
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameMISSOURI MEDICAL PROVIDERS LLC
Location Address2215 BROADWAY STCape Girardeau, MO 63701-4403
Mailing Address2215 Broadway StCape Girardeau, MO 63701-4403 · (636) 725-1255 · Fax (573) 534-3131
Fax(573) 534-3131
Organization SubpartNo
Authorized OfficialOmer MalikOwner · (573) 382-3301
Enumeration DateOctober 8, 2020
Last NPPES UpdateApril 13, 20268 updates tracked since enumeration
NPPES CertifiedApril 13, 2026
✔ NPI 1043817323 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
Also ListedRegistered Nurse · Wound CareTaxonomy 163WW0000X
Also ListedNurse PractitionerTaxonomy 363L00000X
2215 BROADWAY ST, Cape Girardeau, MO 63701

Other Names 1

Doing Business AsSolutions Medical Provider Services

Secondary Practice Locations 8

Location 11500 Calvary Church RdFestus, MO 63028-4125 · Phone (573) 271-5317 · Fax (573) 335-6724
Location 21349 US Highway 61Festus, MO 63028-4107 · Phone (636) 937-3500 · Fax (636) 931-2646
Location 32001 N Kingshighway StCape Girardeau, MO 63701-2127 · Phone (573) 335-1999 · Fax (573) 335-1997
Location 410 Lake DrBonne Terre, MO 63628-1820 · Phone (573) 358-2800 · Fax (573) 358-1090
Location 5783 Weber RdFarmington, MO 63640-3318 · Phone (573) 756-1574 · Fax (573) 756-1577
Location 61100 Progress PkwySte Genevieve, MO 63670-9232 · Phone (573) 883-3500 · Fax (573) 883-7673
Location 75408 S BroadwaySaint Louis, MO 63111-2023 · Phone (573) 271-5317 · Fax (573) 335-6724
Location 8202 S West StConcordia, MO 64020-9643 · Phone (660) 463-2267 · Fax (573) 335-6724

Other Identifiers 2

Other1043817323MO · Npi
Medicaid500090302MO

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Missouri Medical Providers Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

7

Medicare enrollment records show 7 clinicians reassign Medicare billing to Missouri Medical Providers LLC, which bills Medicare for the services they deliver. They are listed nearest first.

Clinicians, nearest first (7)

Nurse Practitioner
NPI 1992367213
1400 US HIGHWAY 61 STE G50
Festus, MO 63028
(314) 366-4874
✔ PECOS✔ Accepts Medicare77 mi
Nurse Practitioner
NPI 1891429718
1390 US HIGHWAY 61 STE G1000
Festus, MO 63028
(636) 933-7400
✔ PECOS✔ Accepts Medicare77 mi
Nurse Practitioner
NPI 1104400837
1621 N 1ST ST
Saint Louis, MO 63102
(314) 922-1822
✔ PECOS✔ Accepts Medicare98 mi
Nurse Practitioner
NPI 1235836982
3320 MARSHALL AVE
Saint Louis, MO 63114
(314) 489-5537
✔ PECOS✔ Accepts Medicare106 mi
Nurse Practitioner
NPI 1003514563
4801 WELDON SPRING PKWY
St. Charles, MO 63304
(314) 556-7612
✔ PECOS✔ Accepts Medicare115 mi
Nurse Practitioner
NPI 1114526266
1000 W NIFONG BLVD STE 120
Columbia, MO 65203
(573) 444-6331
✔ PECOS✔ Accepts Medicare188 mi
Internal Medicine
NPI 1821522004
4201 W MEDICAL CENTER DR
Mchenry, IL 60050
(815) 759-4323
✔ PECOS✔ Accepts Medicare352 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Missouri Medical Providers LLC's NPI number?

The NPI number for Missouri Medical Providers LLC is 1043817323. It was assigned to this organization in the NPPES registry on October 8, 2020. The provider is doing business as Solutions Medical Provider Services.

Where is Missouri Medical Providers LLC located?

Missouri Medical Providers LLC is located at 2215 Broadway St, Cape Girardeau, MO 63701. The listed phone number is (636) 725-1255.

What is Missouri Medical Providers LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Missouri Medical Providers LLC enrolled in Medicare?

Yes. Missouri Medical Providers LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Missouri Medical Providers LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 7 clinicians in 2 Medicare specialties reassign their Medicare billing to Missouri Medical Providers LLC. A 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 the clinician's services. The largest specialties are Nurse Practitioner (6) and Internal Medicine (1). Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Missouri Medical Providers LLC accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Arkansas Health & Wellness, Ambetter from Sunflower Health Plan and Ambetter of Oklahoma and 1 other insurer list Missouri Medical Providers LLC 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 Missouri Medical Providers LLC was last updated on April 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.