SOUTHERN MISSOURI EAR, NOSE & THROAT, PC
NPI 1114057395
Specialist in West Plains, MO

Q: What is Southern Missouri Ear, Nose & Throat, PC's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Active since March 06, 2007

3100 INDEPENDENCE SQ, WEST PLAINS, MO 65775(417) 255-1373(417) 256-5040 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Southern Missouri Ear, Nose & Throat, Pc NPPES

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

SOUTHERN MISSOURI EAR, NOSE & THROAT, PC (NPI 1114057395) is a healthcare organization registered as a specialist in West Plains, Missouri and active in the NPI registry since March 2007. The organization lists Jeffrey J Hull, President, as its authorized official.

NPPES Registry Identity

NPI1114057395

Entity TypeOrganization

Primary Taxonomy174400000X

Legal Business NameSOUTHERN MISSOURI EAR, NOSE & THROAT, PC

Location Address3100 INDEPENDENCE SQWest Plains, MO 65775-4235

Mailing Address3100 Independence SqWest Plains, MO 65775-4235 · (417) 255-1373 · Fax (417) 256-5040

Phone(417) 255-1373

Fax(417) 256-5040

Authorized OfficialJeffrey J HullPresident · (417) 255-1373

Enumeration DateMarch 6, 2007

Last NPPES UpdateJuly 8, 2007

✔ NPI 1114057395 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers

Taxonomy Code174400000X

License✔ Licensed in MO · 2002004660

Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

3100 INDEPENDENCE SQ, West Plains, MO 65775

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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 Ambetter from Arkansas Health & Wellness, Ambetter from Sunflower Health Plan, Ambetter Health and more.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)

Southern Missouri Ear, Nose & Throat, Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 4 clinicians reassign Medicare billing to Southern Missouri Ear, Nose & Throat, PC, which bills Medicare for the services they deliver. Of these, 3 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (4)

Kirstie Recktenwald, FNP

Nurse Practitioner

NPI 1023441672

1409 DOCTORS DR
West Plains, MO 65775

(417) 255-1373

✔ PECOS✔ Accepts Medicare0.8 mi

Christy Russell, FNP-C

Nurse Practitioner

NPI 1437510252

181 N KENTUCKY AVE SUITE 200
West Plains, MO 65775

(417) 255-8337

✔ PECOS✔ Accepts Medicare1.1 mi

Jeffery Hull, MD

Otolaryngology

NPI 1033106539

1409 DOCTORS DRIVE
West Plains, MO 65775

(417) 255-1373

✔ PECOS✔ Accepts Medicare2.6 mi

Leida Stovall, AUD

Qualified Audiologist

NPI 1598165896

626 BURNETT DR
Mountain Home, AR 72653

(870) 424-4200

✔ Accepts Medicare40 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 Southern Missouri Ear, Nose & Throat, PC's NPI number?

The NPI number for Southern Missouri Ear, Nose & Throat, PC is 1114057395. It was assigned to this organization in the NPPES registry on March 6, 2007.

Where is Southern Missouri Ear, Nose & Throat, PC located?

Southern Missouri Ear, Nose & Throat, PC is located at 3100 Independence Sq, West Plains, MO 65775. The listed phone number is (417) 255-1373.

What is Southern Missouri Ear, Nose & Throat, PC's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is Southern Missouri Ear, Nose & Throat, PC enrolled in Medicare?

Yes. Southern Missouri Ear, Nose & Throat, PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Southern Missouri Ear, Nose & Throat, PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians reassign their Medicare billing to Southern Missouri Ear, Nose & Throat, PC, in Nurse Practitioner, Otolaryngology and Qualified Audiologist. 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.

What insurance does Southern Missouri Ear, Nose & Throat, PC 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 Southern Missouri Ear, Nose & Throat, PC 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 Southern Missouri Ear, Nose & Throat, PC was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.