OZARK FAMILY MEDICAL CLINIC, LLC
NPI 1225810179
Family Medicine in Poplar Bluff, MO
About Ozark Family Medical Clinic, Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
OZARK FAMILY MEDICAL CLINIC, LLC (NPI 1225810179) is a healthcare organization registered as a family medicine in Poplar Bluff, Missouri and active in the NPI registry since October 2023. The organization maintains a secondary practice location in Van Buren and lists Ashley Tinsley, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Group Practice 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)
Ozark Family Medical Clinic, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
9Medicare enrollment records show 9 clinicians reassign Medicare billing to Ozark Family Medical Clinic, 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)
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 Ozark Family Medical Clinic, LLC's NPI number?
The NPI number for Ozark Family Medical Clinic, LLC is 1225810179. It was assigned to this organization in the NPPES registry on October 16, 2023.
Where is Ozark Family Medical Clinic, LLC located?
Ozark Family Medical Clinic, LLC is located at 2725 N Westwood Blvd Ste 17, Poplar Bluff, MO 63901. The listed phone number is (573) 686-5510.
What is Ozark Family Medical Clinic, LLC's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Ozark Family Medical Clinic, LLC enrolled in Medicare?
Yes. Ozark Family Medical Clinic, LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Ozark Family Medical Clinic, LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 9 clinicians in 4 Medicare specialties reassign their Medicare billing to Ozark Family Medical Clinic, 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 (5), Clinical Social Worker (2) and Family Practice (1). 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.
What insurance does Ozark Family Medical Clinic, LLC accept?
Health plans from Anthem Blue Cross and Blue Shield list Ozark Family Medical Clinic, 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 Ozark Family Medical Clinic, LLC was last updated on October 16, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Ozark Family Medical Clinic, Llc · NPI 1225810179
Family Medicine organization in Poplar Bluff, Missouri. Organization record, active in the CMS NPPES registry since October 16, 2023.
## Identity
- **NPI:** 1225810179 (Entity type: Organization)
- **Enumerated:** October 16, 2023
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Organization subpart:** No
- **Authorized official:** Ashley Tinsley, OWNER
## Practice location
- **Address:** 2725 N WESTWOOD BLVD STE 17, Poplar Bluff, MO 63901-2367
- **Phone:** (573) 686-5510
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 9 clinicians in 4 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (5), Clinical Social Worker (2), Family Practice (1); 4 practice at this address and 7 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 16, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1225810179) · Data from the CMS NPPES public registry.