PILOT GROVE MEDICAL CLINIC AT FITZGIBBON
NPI 1073279873
Clinic/Center - Rural Health in Pilot Grove, MO
About Pilot Grove Medical Clinic At Fitzgibbon NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PILOT GROVE MEDICAL CLINIC AT FITZGIBBON (NPI 1073279873) is a healthcare organization registered as a rural health in Pilot Grove, Missouri and active in the NPI registry since November 2021. The organization holds a CLIA Waiver certificate valid through April 19, 2027 and lists Nancy Harris, Cfo/coo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
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)
Pilot Grove Medical Clinic At Fitzgibbon is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
70Medicare enrollment records show 70 clinicians reassign Medicare billing to Pilot Grove Medical Clinic At Fitzgibbon, which bills Medicare for the services they deliver. Of these, 1 practice at this address. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 17
Nearest to this location (20)
See all 70Marshall, MO 65340
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 Waiver 26D1039724
Pilot Grove Medical Clinic At Fitzgibbon · Pilot Grove, 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 John Fitzgibbon Memorial Hospital Inc's NPI number?
The NPI number for John Fitzgibbon Memorial Hospital Inc is 1073279873. It was assigned to this organization in the NPPES registry on November 16, 2021. The provider is doing business as Pilot Grove Medical Clinic At Fitzgibbon.
Where is John Fitzgibbon Memorial Hospital Inc located?
John Fitzgibbon Memorial Hospital Inc is located at 212 College St, Pilot Grove, MO 65276. The listed phone number is (660) 831-3728.
What is John Fitzgibbon Memorial Hospital Inc's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Rural Health, with taxonomy code 261QR1300X.
Is John Fitzgibbon Memorial Hospital Inc enrolled in Medicare?
Yes. John Fitzgibbon Memorial Hospital Inc is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through John Fitzgibbon Memorial Hospital Inc?
According to the CMS Revalidation Reassignment List (October 2026 release), 70 clinicians in 17 Medicare specialties reassign their Medicare billing to John Fitzgibbon Memorial Hospital Inc. 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 (22), Family Practice (14) and Certified Registered Nurse Anesthetist (CRNA) (8). Of these, 1 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does John Fitzgibbon Memorial Hospital Inc hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 26D1039724) is associated with this NPI, valid through April 19, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does John Fitzgibbon Memorial Hospital Inc 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 John Fitzgibbon Memorial Hospital Inc 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 John Fitzgibbon Memorial Hospital Inc was last updated on June 19, 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.
# Pilot Grove Medical Clinic At Fitzgibbon · NPI 1073279873
Rural Health organization in Pilot Grove, Missouri. Organization record, active in the CMS NPPES registry since November 16, 2021.
## Identity
- **NPI:** 1073279873 (Entity type: Organization)
- **Enumerated:** November 16, 2021
- **Primary specialty:** Clinic/Center - Rural Health · taxonomy 261QR1300X
- **Legal business name:** John Fitzgibbon Memorial Hospital Inc
- **Organization subpart:** Yes (part of John Fitzgibbon Memorial Hospital, Inc.)
- **Authorized official:** Nancy Harris, CFO/COO
## Practice location
- **Address:** 212 COLLEGE ST, Pilot Grove, MO 65276-1005
- **Phone:** (660) 831-3728
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 70 clinicians in 17 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (22), Family Practice (14), Certified Registered Nurse Anesthetist (CRNA) (8); 1 practice at this address; [full list](https://npiprofile.com/npi/1073279873/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** June 19, 2024
- **Other identifiers:** Medicaid 268790 (MO)
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1073279873) · Data from the CMS NPPES public registry.