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SULLIVAN COUNTY MEMORIAL HOSPITAL
NPI 1063553642
Emergency Medicine in Milan, MO

Active since February 08, 2007
630 W 3RD ST, MILAN, MO 63556(660) 265-4212(660) 265-4898 Get Directions Write a Review

NPPES record last updated: May 16, 2011. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Sullivan County Memorial Hospital NPPES

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

SULLIVAN COUNTY MEMORIAL HOSPITAL (NPI 1063553642) is a healthcare organization registered as an emergency medicine in Milan, Missouri and active in the NPI registry since February 2007. The organization lists Amy Michael, Chief Financial Officer, as its authorized official.

NPPES Registry Identity

NPI1063553642
Entity TypeOrganization
Primary Taxonomy207P00000X
Legal Business NameSULLIVAN COUNTY MEMORIAL HOSPITAL
Location Address630 W 3RD STMilan, MO 63556-1076
Mailing Address630 W 3rd StMilan, MO 63556-1076 · (660) 265-4212 · Fax (660) 265-4898
Phone(660) 265-4212
Fax(660) 265-4898
Organization SubpartNo
Authorized OfficialAmy MichaelChief Financial Officer · (660) 265-4212
Enumeration DateFebruary 8, 2007
Last NPPES UpdateMay 16, 2011
✔ NPI 1063553642 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License✔ Licensed in MO · 130-49
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
630 W 3RD ST, Milan, MO 63556
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Other Identifiers 2

Medicare ID-Type Unspecified000050097
Medicaid540324803MO

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include UnitedHealthcare.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)

Sullivan County Memorial Hospital is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

20

Medicare enrollment records show 20 clinicians reassign Medicare billing to Sullivan County Memorial Hospital, which bills Medicare for the services they deliver. Of these, 4 practice at this address and 6 within 10 miles. They are listed nearest first.

Clinicians by Medicare Specialty 8

Nurse Practitioner9
Family Practice5
Cardiovascular Disease (Cardiology)1
Certified Registered Nurse Anesthetist (CRNA)1
Orthopedic Surgery1
Podiatry1
Rheumatology1
Urology1

Clinicians, nearest first (20)

Ryan Williams, M.D.
Family Practice
NPI 1528324779
630 W 3RD ST
Milan, MO 63556
(660) 265-4212
✔ PECOS✔ Accepts MedicareSame address
Thomas Williams, D.O.
Family Practice
NPI 1659479061
630 W 3RD ST
Milan, MO 63556
(660) 265-4212
✔ PECOS✔ Accepts MedicareSame address
Megan Duffy
Nurse Practitioner
NPI 1033938212
630 W 3RD ST
Milan, MO 63556
(660) 265-4212
✔ PECOS✔ Accepts MedicareSame address
Katelin Spratt
Nurse Practitioner
NPI 1215755913
630 W 3RD ST
Milan, MO 63556
(660) 265-4212
✔ PECOS✔ Accepts MedicareSame address
Dale Essmyer, D.O.
Family Practice
NPI 1770666984
210 N MARKET ST
Milan, MO 63556
(660) 265-4456
✔ PECOS✔ Accepts Medicare0.4 mi
Sherri Hedges, APRN, FNP, BC
Nurse Practitioner
NPI 1922293109
210 N MARKET ST
Milan, MO 63556
(660) 265-4456
✔ PECOS✔ Accepts Medicare0.4 mi
Dawn Stout, RN, BCFNP
Nurse Practitioner
NPI 1376654178
189 IOWA BLVD
Trenton, MO 64683
(660) 358-5750
✔ PECOS✔ Accepts Medicare25 mi
Nicholas Comstock, DO
Family Practice
NPI 1568032712
315 S OSTEOPATHY AVE
Kirksville, MO 63501
(660) 785-1000
✔ PECOS✔ Accepts Medicare29 mi
Larry Handlin, DO
Cardiovascular Disease (Cardiology)
NPI 1437144375
800 W JEFFERSON ST
Kirksville, MO 63501
(660) 785-1991
✔ PECOS✔ Accepts Medicare30 mi
Deborah Holte, DPM
Podiatry
NPI 1487687935
1405 CROWN DR
Kirksville, MO 63501
(660) 665-9000
✔ PECOS✔ Accepts Medicare30 mi
Amy Creason, FNP
Nurse Practitioner
NPI 1235610304
130 E LOCKLING ST
Brookfield, MO 64628
(660) 258-1050
✔ PECOS✔ Accepts Medicare30 mi
Vivian Hall, MSN, RN, BC, FNP
Nurse Practitioner
NPI 1023159514
624 W LOCKLING ST
Brookfield, MO 64628
(660) 268-4006
✔ PECOS✔ Accepts Medicare30 mi
Tonia Nerini, NP-C
Nurse Practitioner
NPI 1790220606
34294 STATE HIGHWAY FF
Bevier, MO 63532
(660) 346-8558
✔ PECOS✔ Accepts Medicare45 mi
Robert Jackson, D.O.
Rheumatology
NPI 1730293705
SIGLER AVE
Memphis, MO 63555
(660) 465-2828
✔ PECOS✔ Accepts Medicare54 mi
Elliot Deblieck, DO
Family Practice
NPI 1588288435
450 E SIGLER AVE STE A
Memphis, MO 63555
(660) 465-2828
✔ PECOS✔ Accepts Medicare54 mi
Sonya See
Nurse Practitioner
NPI 1801271788
450 E SIGLER AVE STE A
Memphis, MO 63555
(660) 465-2828
✔ PECOS✔ Accepts Medicare54 mi
Joshua Delozier, DNAP
Certified Registered Nurse Anesthetist (CRNA)
NPI 1598320558
1515 UNION AVE
Moberly, MO 65270
(660) 263-8400
✔ Accepts Medicare66 mi
Michael Aberger, M.D.
Urology
NPI 1346533924
901 HEARTLAND RD STE 1800
Saint Joseph, MO 64506
(816) 232-8877
✔ PECOS✔ Accepts Medicare92 mi
Connie Barker, NP-C
Nurse Practitioner
NPI 1467861716
37 MEDICAL DRIVE
Gainesville, MO 65655
(417) 679-4613
✔ PECOS✔ Accepts Medicare251 mi
Matthew Ragsdell, DO
Orthopedic Surgery
NPI 1629196811
1615 PASADENA AVE S STE 290
South Pasadena, FL 33707
(727) 826-0329
✔ PECOS✔ Accepts Medicare1,043 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 Sullivan County Memorial Hospital's NPI number?

The NPI number for Sullivan County Memorial Hospital is 1063553642. It was assigned to this organization in the NPPES registry on February 8, 2007.

Where is Sullivan County Memorial Hospital located?

Sullivan County Memorial Hospital is located at 630 W 3rd St, Milan, MO 63556. The listed phone number is (660) 265-4212.

What is Sullivan County Memorial Hospital's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Sullivan County Memorial Hospital enrolled in Medicare?

Yes. Sullivan County Memorial Hospital is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Sullivan County Memorial Hospital?

According to the CMS Revalidation Reassignment List (October 2026 release), 20 clinicians in 8 Medicare specialties reassign their Medicare billing to Sullivan County Memorial Hospital. 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 (9), Family Practice (5) and Cardiovascular Disease (Cardiology) (1). Of these, 4 practice at this address and 6 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Sullivan County Memorial Hospital accept?

Health plans from UnitedHealthcare list Sullivan County Memorial Hospital 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 Sullivan County Memorial Hospital was last updated on May 16, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years 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.