CORNERSTONE MEDICAL, LLC
NPI 1104549948
Internal Medicine in Joplin, MO

Active since September 26, 2022CLIA Certified · 2 labs
2613 S MAIN ST STE D, JOPLIN, MO 64804(417) 624-8730 Get Directions Write a Review

NPPES record last updated: September 25, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Cornerstone Medical, Llc NPPES

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

CORNERSTONE MEDICAL, LLC (NPI 1104549948) is a healthcare organization registered as an internal medicine in Joplin, Missouri and active in the NPI registry since September 2022. The organization holds 2 active CLIA laboratory certificates, maintains a secondary practice location in Granby, and lists Joseph Kirk Sheppard, Ceo, as its authorized official.

NPPES Registry Identity

NPI1104549948
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameCORNERSTONE MEDICAL, LLC
Location Address2613 S MAIN ST STE DJoplin, MO 64804-2678
Mailing Address2613 S Main St Ste DJoplin, MO 64804-2678 · (417) 553-7920 · Fax (877) 464-5922
Organization SubpartNo
Authorized OfficialJoseph Kirk SheppardCeo · (417) 379-1176
Enumeration DateSeptember 26, 2022
Last NPPES UpdateSeptember 25, 2025
NPPES CertifiedSeptember 25, 2025
✔ NPI 1104549948 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedFamily MedicineTaxonomy 207Q00000X
Also ListedInternal Medicine · Obesity MedicineTaxonomy 207RB0002X
Also ListedOtolaryngology · Facial Plastic SurgeryTaxonomy 207YS0123X
Also ListedOtolaryngology · Otolaryngic AllergyTaxonomy 207YX0602X
2613 S MAIN ST STE D, Joplin, MO 64804

Secondary Practice Location 1

Location 1308 N Main StGranby, MO 64844-8357 · Phone (417) 553-7920 · Fax (877) 464-5922

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)

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

Clinicians Billing Medicare Through This Organization

9

Medicare enrollment records show 9 clinicians reassign Medicare billing to Cornerstone Medical, LLC, which bills Medicare for the services they deliver. Of these, 4 practice at this address and 7 within 10 miles. They are listed nearest first.

Clinicians, nearest first (9)

Nurse Practitioner
NPI 1063966802
2613 S MAIN ST STE D
Joplin, MO 64804
(417) 553-7920
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1053645713
2613 S MAIN ST STE D
Joplin, MO 64804
(417) 553-7920
✔ PECOS✔ Accepts MedicareSame address
Otolaryngology
NPI 1154520757
2613 S MAIN ST STE D
Joplin, MO 64804
(417) 553-7920
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1467833871
2613 S MAIN ST STE D
Joplin, MO 64804
(417) 553-7920
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1326099516
3202 MCINTOSH CIR STE 301
Joplin, MO 64804
(417) 347-2909
✔ PECOS✔ Accepts Medicare0.7 mi
Hospitalist
NPI 1306123286
1102 W 32ND ST
Joplin, MO 64804
(417) 347-4570
✔ PECOS✔ Accepts Medicare0.9 mi
Internal Medicine
NPI 1891138848
2702 CUNNINGHAM AVE STE A
Joplin, MO 64804
(417) 553-7920
✔ PECOS✔ Accepts Medicare1.2 mi
Family Practice
NPI 1083901821
4040 LA QUESTA DR.
Neosho, MO 64850
(417) 283-4953
✔ PECOS✔ Accepts Medicare13 mi
Internal Medicine
NPI 1134741127
336 S JEFFERSON ST
Neosho, MO 64850
(417) 455-4200
✔ PECOS✔ Accepts Medicare15 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 2

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 26D2308989

Cornerstone Medical LLC · Granby, MO
Active · expires Aug 6, 2028
CLIA Number26D2308989
Laboratory TypePhysician Office
Certificate Effective DateAugust 7, 2026
Certificate Expiration DateAugust 6, 2028
Laboratory DirectorJoseph K. Sheppard
Laboratory Phone(417) 553-7920
Laboratory LocationCornerstone Medical LLC308 N Main St, Granby, MO 64844
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 26D2273356

Cornerstone Medical · Joplin, MO
Active · expires Dec 11, 2026
CLIA Number26D2273356
Laboratory TypePhysician Office
Certificate Effective DateDecember 12, 2024
Certificate Expiration DateDecember 11, 2026
Laboratory DirectorJoseph Sheppard
Laboratory Phone(417) 553-7920
Laboratory LocationCornerstone Medical2702 Cunningham Ave Ste A, Joplin, MO 64804
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only 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 Cornerstone Medical, LLC's NPI number?

The NPI number for Cornerstone Medical, LLC is 1104549948. It was assigned to this organization in the NPPES registry on September 26, 2022.

Where is Cornerstone Medical, LLC located?

Cornerstone Medical, LLC is located at 2613 S Main St Ste D, Joplin, MO 64804. The listed phone number is (417) 624-8730.

What is Cornerstone Medical, LLC's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Cornerstone Medical, LLC enrolled in Medicare?

Yes. Cornerstone Medical, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Cornerstone Medical, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 9 clinicians in 5 Medicare specialties reassign their Medicare billing to Cornerstone Medical, 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 (3), Family Practice (2) and Internal Medicine (2). Of these, 4 practice at this address and 7 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Cornerstone Medical, LLC hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

What insurance does Cornerstone Medical, 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 2 other insurers list Cornerstone Medical, 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 Cornerstone Medical, LLC was last updated on September 25, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.