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CENTRAL MISSOURI HEALTHCARE ASSOCIATES, LLC
NPI 1164790465
Nurse Practitioner - Family in Boonville, MO

Active since December 01, 2011CLIA 26D2043724 · Waiver
1417 BINGHAM RD, BOONVILLE, MO 65233(660) 882-8018(660) 882-3188 Get Directions Write a Review

NPPES record last updated: January 14, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Central Missouri Healthcare Associates, Llc NPPES

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

CENTRAL MISSOURI HEALTHCARE ASSOCIATES, LLC (NPI 1164790465) is a healthcare organization registered as a family in Boonville, Missouri and active in the NPI registry since December 2011. The organization holds a CLIA Waiver certificate valid through July 9, 2028 and lists Kathleen G Lenz, President, as its authorized official.

NPPES Registry Identity

NPI1164790465
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameCENTRAL MISSOURI HEALTHCARE ASSOCIATES, LLC
Location Address1417 BINGHAM RDBoonville, MO 65233-2229
Mailing Address1417 Bingham RdBoonville, MO 65233-2229 · (660) 882-8018 · Fax (660) 882-3188
Phone(660) 882-8018
Fax(660) 882-3188
Organization SubpartNo
Authorized OfficialKathleen G LenzPresident · (660) 882-8018
Enumeration DateDecember 1, 2011
Last NPPES UpdateJanuary 14, 2025
NPPES CertifiedJanuary 14, 2025
✔ NPI 1164790465 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in MO · 116825
1417 BINGHAM RD, Boonville, MO 65233
Open in Google Maps ↗

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

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 26D2043724

Central Missouri Healthcare Associates, LLC · Boonville, MO
Active · expires Jul 9, 2028
CLIA Number26D2043724
Laboratory TypePhysician Office
Certificate Effective DateJuly 10, 2026
Certificate Expiration DateJuly 9, 2028
Laboratory DirectorKathleen G. Lenz
Laboratory Phone(660) 882-8018
Laboratory LocationCentral Missouri Healthcare Associates, LLC1417 Bingham Road, Boonville, MO 65233
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ELISE WELSH DNP, LLC
Nurse Practitioner
1417 BINGHAM RD
BOONVILLE, MO 65233
Cooper County (660) 882-8018
KATHLEEN G LENZ DNP
Nurse Practitioner (Family)
1417 BINGHAM RD
BOONVILLE, MO 65233
Cooper County (660) 882-8018
ELISE CATHERINE PILGER AGNP-C
Nurse Practitioner
1417 BINGHAM RD
BOONVILLE, MO 65233
Cooper County (660) 882-8018
LEANN ELIZABETH WILLIAMS FNP-BC
Nurse Practitioner (Family)
1417 BINGHAM RD
BOONVILLE, MO 65233
Cooper County (660) 882-8018

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 Central Missouri Healthcare Associates, LLC's NPI number?

The NPI number for Central Missouri Healthcare Associates, LLC is 1164790465. It was assigned to this organization in the NPPES registry on December 1, 2011.

Where is Central Missouri Healthcare Associates, LLC located?

Central Missouri Healthcare Associates, LLC is located at 1417 Bingham Rd, Boonville, MO 65233. The listed phone number is (660) 882-8018.

What is Central Missouri Healthcare Associates, LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Does Central Missouri Healthcare Associates, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 26D2043724) is associated with this NPI, valid through July 9, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Central Missouri Healthcare Associates, LLC was last updated on January 14, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.