SPECTRUM HEALTH CARE
NPI 1063785442
Public Health or Welfare in Columbia, MO

Active since February 16, 2012CLIA 26D1081028 · Microscopy
1123 WILKES BLVD STE 110, COLUMBIA, MO 65201(573) 514-7312(573) 242-6427 Get Directions Write a Review

NPPES record last updated: January 5, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jan 5, 2024, Dec 6, 2021, Nov 13, 2017 (3 updates tracked since 2017).

About Spectrum Health Care NPPES

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

SPECTRUM HEALTH CARE (NPI 1063785442) is a healthcare organization registered as a public health or welfare in Columbia, Missouri and active in the NPI registry since February 2012. The organization holds a CLIA Microscopy certificate valid through March 6, 2028 and lists Shawna Woofter, Program Manager, as its authorized official.

NPPES Registry Identity

NPI1063785442
Entity TypeOrganization
Primary Taxonomy251K00000X
Legal Business NameSPECTRUM HEALTH CARE
Location Address1123 WILKES BLVD STE 110Columbia, MO 65201-4774
Mailing Address1123 Wilkes Blvd Ste 100Columbia, MO 65201-4774 · (573) 514-7312 · Fax (573) 242-6336
Fax(573) 242-6427
Organization SubpartNo
Authorized OfficialShawna WoofterProgram Manager · (573) 514-7312
Enumeration DateFebruary 16, 2012
Last NPPES UpdateJanuary 5, 20243 updates tracked since enumeration
NPPES CertifiedDecember 22, 2023
✔ NPI 1063785442 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

★ Primary SpecialtyPublic Health or WelfareAgencies
Taxonomy Code251K00000X
Also ListedLicensed Practical NurseTaxonomy 164W00000X
Also ListedClinic/Center · Health ServiceTaxonomy 261QH0100X
Also ListedClinic/Center · Rural HealthTaxonomy 261QR1300X
1123 WILKES BLVD STE 110, Columbia, MO 65201

Other Identifiers 1

Medicaid1063785442MO

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)

Spectrum Health Care is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

5

Medicare enrollment records show 5 clinicians reassign Medicare billing to Spectrum Health Care, which bills Medicare for the services they deliver. Of these, 3 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (5)

Family Practice
NPI 1912046178
1200 FAY ST
Columbia, MO 65201
(573) 443-7070
✔ PECOS✔ Accepts Medicare0.2 mi
Nurse Practitioner
NPI 1720688914
6 LUCERNE CT
Columbia, MO 65203
(537) 303-8025
✔ PECOS3.6 mi
Family Practice
NPI 1306132808
551 E SOUTHAMPTON DR
Columbia, MO 65201
(738) 847-7335
✔ PECOS✔ Accepts Medicare4.4 mi
Nurse Practitioner
NPI 1386813855
501 WESTMINSTER AVE
Fulton, MO 65251
(573) 592-5361
✔ PECOS21 mi
Obstetrics/Gynecology
NPI 1831291517
105 W PARK DR
Kingsport, TN 37660
(423) 224-3220
✔ PECOS✔ Accepts Medicare560 mi

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 for Provider-Performed Microscopy Procedures (PPMP) 26D1081028

Spectrum Health Care · Columbia, MO
Active · expires Mar 6, 2028
CLIA Number26D1081028
Laboratory TypeIndependent
Certificate Effective DateMarch 7, 2026
Certificate Expiration DateMarch 6, 2028
Laboratory DirectorAshley Millham
Laboratory Phone(573) 514-7312
Laboratory LocationSpectrum Health Care3890 Rangeline St Suite 101, Columbia, MO 65202
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

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 Spectrum Health Care's NPI number?

The NPI number for Spectrum Health Care is 1063785442. It was assigned to this organization in the NPPES registry on February 16, 2012.

Where is Spectrum Health Care located?

Spectrum Health Care is located at 1123 Wilkes Blvd Ste 110, Columbia, MO 65201. The listed phone number is (573) 514-7312.

What is Spectrum Health Care's specialty?

The primary specialty registered for this NPI is Public Health or Welfare with taxonomy code 251K00000X.

Is Spectrum Health Care enrolled in Medicare?

Yes. Spectrum Health Care is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Spectrum Health Care?

According to the CMS Revalidation Reassignment List (October 2026 release), 5 clinicians reassign their Medicare billing to Spectrum Health Care, in Family Practice, Nurse Practitioner and Obstetrics/Gynecology. 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. Of these, 3 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Spectrum Health Care hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 26D1081028) is associated with this NPI, valid through March 6, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Spectrum Health Care 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 2 other insurers list Spectrum Health Care 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 Spectrum Health Care was last updated on January 5, 2024. 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.