APPLEGATE MEDICAL GROUP
NPI 1063705341
Clinic/Center - Rural Health in Brookfield, MO
About Applegate Medical Group NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
APPLEGATE MEDICAL GROUP (NPI 1063705341) is a healthcare organization registered as a rural health in Brookfield, Missouri and active in the NPI registry since May 2011. The organization holds a CLIA Certificate of Compliance certificate valid through November 6, 2026 and lists Kenneth E Baranski, Cfo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Other Identifiers 1
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)
Applegate Medical Group is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
20Medicare enrollment records show 20 clinicians reassign Medicare billing to Applegate Medical Group, which bills Medicare for the services they deliver. Of these, 6 practice at this address and 7 within 10 miles. They are listed nearest first.
Clinicians by Medicare Specialty 5
Clinicians, nearest first (20)
Jonesboro, GA 30236
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Compliance 26D0705327
General John J Pershing Memorial Hospital · Brookfield, MOFrequently 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 General John J Pershing Memorial Hospital Association's NPI number?
The NPI number for General John J Pershing Memorial Hospital Association is 1063705341. It was assigned to this organization in the NPPES registry on May 19, 2011. The provider is doing business as Applegate Medical Group.
Where is General John J Pershing Memorial Hospital Association located?
General John J Pershing Memorial Hospital Association is located at 130 E Lockling St, Brookfield, MO 64628. The listed phone number is (660) 258-1288.
What is General John J Pershing Memorial Hospital Association's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Rural Health, with taxonomy code 261QR1300X.
Is General John J Pershing Memorial Hospital Association enrolled in Medicare?
Yes. General John J Pershing Memorial Hospital Association is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through General John J Pershing Memorial Hospital Association?
According to the CMS Revalidation Reassignment List (October 2026 release), 20 clinicians in 5 Medicare specialties reassign their Medicare billing to General John J Pershing Memorial Hospital Association. 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 Family Practice (10), Nurse Practitioner (7) and Emergency Medicine (1). Of these, 6 practice at this address and 7 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does General John J Pershing Memorial Hospital Association hold a CLIA laboratory certificate?
Yes. A Certificate of Compliance (number 26D0705327) is associated with this NPI, valid through November 6, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does General John J Pershing Memorial Hospital Association accept?
Health plans from Anthem Blue Cross and Blue Shield list General John J Pershing Memorial Hospital Association 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 General John J Pershing Memorial Hospital Association was last updated on November 8, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Applegate Medical Group · NPI 1063705341
Rural Health organization in Brookfield, Missouri. Organization record, active in the CMS NPPES registry since May 19, 2011.
## Identity
- **NPI:** 1063705341 (Entity type: Organization)
- **Enumerated:** May 19, 2011
- **Primary specialty:** Clinic/Center - Rural Health · taxonomy 261QR1300X
- **Legal business name:** General John J Pershing Memorial Hospital Association
- **Organization subpart:** No
- **Authorized official:** Kenneth Baranski, CFO
## Practice location
- **Address:** 130 E LOCKLING ST, Brookfield, MO 64628-2337
- **Phone:** (660) 258-1288 · **Fax:** (660) 258-4002
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 20 clinicians in 5 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Family Practice (10), Nurse Practitioner (7), Emergency Medicine (1); 6 practice at this address and 7 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** November 8, 2023
- **Other identifiers:** Other 26-8669 (MO)
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1063705341) · Data from the CMS NPPES public registry.