NEVADA HABILITATION CENTER
NPI 1114971702
General Practice in Nevada, MO
About Nevada Habilitation Center NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
NEVADA HABILITATION CENTER (NPI 1114971702) is a healthcare organization registered as a general practice in Nevada, Missouri and active in the NPI registry since May 2006. The organization lists Molly Jane Boeckmann, Director Of Administrative Services, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Other Names 1
Other Identifiers 1
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Nevada Habilitation Center is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
17Medicare enrollment records show 17 clinicians reassign Medicare billing to Nevada Habilitation Center, which bills Medicare for the services they deliver. They are listed nearest first.
Clinicians by Medicare Specialty 4
Clinicians, nearest first (17)
Saint Joseph, MO 64506
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 State Of Missouri's NPI number?
The NPI number for State Of Missouri is 1114971702. It was assigned to this organization in the NPPES registry on May 19, 2006. The provider is doing business as Nevada Habilitation Center.
Where is State Of Missouri located?
State Of Missouri is located at 2323 N Ash St, Nevada, MO 64772. The listed phone number is (417) 667-7833.
What is State Of Missouri's specialty?
The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.
Is State Of Missouri enrolled in Medicare?
Yes. State Of Missouri is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through State Of Missouri?
According to the CMS Revalidation Reassignment List (October 2026 release), 17 clinicians in 4 Medicare specialties reassign their Medicare billing to State Of Missouri. 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 Psychiatry (8), Nurse Practitioner (7) and Emergency Medicine (1). Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for State Of Missouri was last updated on August 26, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.
# Nevada Habilitation Center · NPI 1114971702
General Practice organization in Nevada, Missouri. Organization record, active in the CMS NPPES registry since May 19, 2006.
## Identity
- **NPI:** 1114971702 (Entity type: Organization)
- **Enumerated:** May 19, 2006
- **Primary specialty:** General Practice · taxonomy 208D00000X
- **Legal business name:** State Of Missouri
- **Organization subpart:** Yes (part of State Of Missouri)
- **Authorized official:** Molly Boeckmann, DIRECTOR OF ADMINISTRATIVE SERVICES
## Practice location
- **Address:** 2323 N ASH ST, Nevada, MO 64772-1054
- **Phone:** (417) 667-7833 · **Fax:** (417) 448-1138
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 17 clinicians in 4 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Psychiatry (8), Nurse Practitioner (7), Emergency Medicine (1) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** August 26, 2020
- **Other identifiers:** Medicaid 501499917 (MO)
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Source: [NPI Profile](https://npiprofile.com/npi/1114971702) · Data from the CMS NPPES public registry.