MISSOURI BAPTIST HOSPITAL OF SULLIVAN
NPI 1235228222
Clinic/Center - Rural Health in Sullivan, MO

Active since October 11, 2006
751 SAPPINGTON BRIDGE RD, SULLIVAN, MO 63080(573) 468-4186 Get Directions Write a Review

NPPES record last updated: September 17, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Sep 17, 2025, Mar 23, 2021 (2 updates tracked since 2021).

About Missouri Baptist Hospital Of Sullivan NPPES

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

MISSOURI BAPTIST HOSPITAL OF SULLIVAN (NPI 1235228222), doing business as Sullivan Medical Office, is a healthcare organization registered as a rural health in Sullivan, Missouri and active in the NPI registry since October 2006. The organization maintains a secondary practice location in Sullivan and lists Lisa Lynne Lochner, President, as its authorized official.

NPPES Registry Identity

NPI1235228222
Entity TypeOrganization
Primary Taxonomy261QR1300X
Legal Business NameMISSOURI BAPTIST HOSPITAL OF SULLIVAN
Location Address751 SAPPINGTON BRIDGE RDSullivan, MO 63080-2354
Mailing Address670 Mason Ridge Center Dr Ste 300Saint Louis, MO 63141-8573 · (314) 996-7644 · Fax (314) 996-7658
Organization SubpartNo
Authorized OfficialLisa Lynne LochnerPresident · (573) 860-6000
Enumeration DateOctober 11, 2006
Last NPPES UpdateSeptember 17, 20252 updates tracked since enumeration
NPPES CertifiedSeptember 17, 2025
✔ NPI 1235228222 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities
Taxonomy Code261QR1300X
License✔ Licensed in MO · 355-24
751 SAPPINGTON BRIDGE RD, Sullivan, MO 63080

Other Names 1

Doing Business AsSullivan Medical Office

Secondary Practice Location 1

Location 1965 Mattox DrSullivan, MO 63080-2365 · Phone (573) 486-4186 · Fax (314) 996-3610

Other Identifiers 2

OtherCE7443MO · Medicare Railroad
OtherCG2664MO · Medicare Railroad

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Missouri Baptist Hospital Of Sullivan is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by March 31, 2027

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateMissouriEnrollment IDO20060410000616Non-DME Part B · Clinic/Group PracticeDue dateMarch 31, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

74

Medicare enrollment records show 74 clinicians reassign Medicare billing to Missouri Baptist Hospital Of Sullivan, which bills Medicare for the services they deliver. Of these, 11 practice at this address and 34 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 12

Nurse Practitioner25
Obstetrics/Gynecology13
Hospitalist10
Internal Medicine8
Family Practice4
Pediatric Medicine4
Certified Nurse Midwife (CNM)3
Gastroenterology2
4 other specialties5

Nearest to this location (20)

See all 74
Nurse Practitioner
NPI 1649708264
751 SAPPINGTON BRIDGE RD
Sullivan, MO 63080
(573) 468-4186
✔ PECOS✔ Accepts MedicareSame address
Hospitalist
NPI 1710263033
751 SAPPINGTON BRIDGE RD
Sullivan, MO 63080
(573) 468-4186
✔ PECOS✔ Accepts MedicareSame address
Hospitalist
NPI 1144509563
751 SAPPINGTON BRIDGE RD
Sullivan, MO 63080
(573) 468-4186
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1942841390
751 SAPPINGTON BRIDGE RD
Sullivan, MO 63080
(573) 468-4186
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1982495487
751 SAPPINGTON BRIDGE RD
Sullivan, MO 63080
(573) 468-4186
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1386414878
751 SAPPINGTON BRIDGE RD
Sullivan, MO 63080
(573) 468-4186
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1881059202
751 SAPPINGTON BRIDGE RD
Sullivan, MO 63080
(573) 468-1997
✔ PECOS✔ Accepts MedicareSame address
Hospitalist
NPI 1144239500
751 SAPPINGTON BRIDGE RD
Sullivan, MO 63080
(573) 468-4186
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1962391490
751 SAPPINGTON BRIDGE RD
Sullivan, MO 63080
(573) 468-4186
✔ PECOS✔ Accepts MedicareSame address
Podiatry
NPI 1669792099
751 SAPPINGTON BRIDGE RD
Sullivan, MO 63080
(573) 860-6000
✔ PECOS✔ Accepts MedicareSame address
Hospitalist
NPI 1912285446
751 SAPPINGTON BRIDGE RD
Sullivan, MO 63080
(573) 468-4186
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1013890029
965 MATTOX DR
Sullivan, MO 63080
(573) 860-6000
✔ PECOS✔ Accepts Medicare0.1 mi
Certified Nurse Midwife (CNM)
NPI 1790392991
965 MATTOX DR
Sullivan, MO 63080
(573) 860-6000
✔ PECOS✔ Accepts Medicare0.1 mi
Nurse Practitioner
NPI 1659857415
965 MATTOX DR
Sullivan, MO 63080
(573) 860-6000
✔ PECOS✔ Accepts Medicare0.1 mi
Family Practice
NPI 1548941842
965 MATTOX DR
Sullivan, MO 63080
(573) 860-6000
✔ PECOS0.1 mi
Internal Medicine
NPI 1023502358
965 MATTOX DR
Sullivan, MO 63080
(573) 860-6000
✔ PECOS✔ Accepts Medicare0.1 mi
Gastroenterology
NPI 1417982760
965 MATTOX DR
Sullivan, MO 63080
(573) 860-6000
✔ PECOS✔ Accepts Medicare0.1 mi
General Surgery
NPI 1922528330
965 MATTOX DR
Sullivan, MO 63080
(573) 860-6000
✔ PECOS✔ Accepts Medicare0.1 mi
Pediatric Medicine
NPI 1336626688
965 MATTOX DR
Sullivan, MO 63080
(573) 860-6000
✔ PECOS0.1 mi
Obstetrics/Gynecology
NPI 1396816880
965 MATTOX DR
Sullivan, MO 63080
(573) 860-6000
✔ PECOS✔ Accepts Medicare0.1 mi
See all 74 clinicians

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 Missouri Baptist Hospital Of Sullivan's NPI number?

The NPI number for Missouri Baptist Hospital Of Sullivan is 1235228222. It was assigned to this organization in the NPPES registry on October 11, 2006. The provider is doing business as Sullivan Medical Office.

Where is Missouri Baptist Hospital Of Sullivan located?

Missouri Baptist Hospital Of Sullivan is located at 751 Sappington Bridge Rd, Sullivan, MO 63080. The listed phone number is (573) 468-4186.

What is Missouri Baptist Hospital Of Sullivan's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rural Health, with taxonomy code 261QR1300X.

Is Missouri Baptist Hospital Of Sullivan enrolled in Medicare?

Yes. Missouri Baptist Hospital Of Sullivan is registered in the Medicare PECOS enrollment system.

When is Missouri Baptist Hospital Of Sullivan's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Missouri, Clinic/Group Practice) is due for revalidation by March 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Missouri Baptist Hospital Of Sullivan?

According to the CMS Revalidation Reassignment List (October 2026 release), 74 clinicians in 12 Medicare specialties reassign their Medicare billing to Missouri Baptist Hospital Of Sullivan. 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 (25), Obstetrics/Gynecology (13) and Hospitalist (10). Of these, 11 practice at this address and 34 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Missouri Baptist Hospital Of Sullivan accept?

Health plans from Anthem Blue Cross and Blue Shield list Missouri Baptist Hospital Of Sullivan 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 Missouri Baptist Hospital Of Sullivan was last updated on September 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.