JEFFERSON MEDICAL GROUP
NPI 1215030713
Family Medicine in Carrollton, MO
About Jefferson Medical Group NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JEFFERSON MEDICAL GROUP (NPI 1215030713) is a healthcare organization registered as a family medicine in Carrollton, Missouri and active in the NPI registry since September 2006. The organization lists Amy Danielle Ireland, Cfo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
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)
Jefferson Medical Group is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
12Medicare enrollment records show 12 clinicians reassign Medicare billing to Jefferson Medical Group, which bills Medicare for the services they deliver. Of these, 8 practice at this address and 9 within 10 miles. They are listed nearest first.
Clinicians by Medicare Specialty 3
Clinicians, nearest first (12)
Carrollton, MO 64633
Bonita Springs, FL 34135
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 Jefferson Medical Group's NPI number?
The NPI number for Jefferson Medical Group is 1215030713. It was assigned to this organization in the NPPES registry on September 7, 2006.
Where is Jefferson Medical Group located?
Jefferson Medical Group is located at 1502 N Jefferson St, Carrollton, MO 64633. The listed phone number is (660) 542-9998.
What is Jefferson Medical Group's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Jefferson Medical Group enrolled in Medicare?
Yes. Jefferson Medical Group is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Jefferson Medical Group?
According to the CMS Revalidation Reassignment List (October 2026 release), 12 clinicians in 3 Medicare specialties reassign their Medicare billing to Jefferson Medical Group. 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 (6), Family Practice (5) and Orthopedic Surgery (1). Of these, 8 practice at this address and 9 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Jefferson Medical Group 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 3 other insurers list Jefferson Medical Group 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 Jefferson Medical Group was last updated on October 29, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Jefferson Medical Group · NPI 1215030713
Family Medicine organization in Carrollton, Missouri. Organization record, active in the CMS NPPES registry since September 7, 2006.
## Identity
- **NPI:** 1215030713 (Entity type: Organization)
- **Enumerated:** September 7, 2006
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Organization subpart:** No
- **Authorized official:** Amy Ireland, CFO
## Practice location
- **Address:** 1502 N JEFFERSON ST, Carrollton, MO 64633-1948
- **Phone:** (660) 542-9998 · **Fax:** (660) 542-9880
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 12 clinicians in 3 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (6), Family Practice (5), Orthopedic Surgery (1); 8 practice at this address and 9 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 29, 2021
- **Other identifiers:** Medicaid 50899330 (MO)
---
Source: [NPI Profile](https://npiprofile.com/npi/1215030713) · Data from the CMS NPPES public registry.