CAPE FAMILY MEDICAL CLINIC, LLC
NPI 1275260234
Clinic/Center in Altenburg, MO

Active since August 01, 2022CLIA 26D0924868 · Waiver
8516 MAIN STREET, ALTENBURG, MO 63732(573) 332-7992 Get Directions Write a Review

NPPES record last updated: September 27, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Sep 27, 2022, Aug 1, 2022 (2 updates tracked since 2022).

About Cape Family Medical Clinic, Llc NPPES

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

CAPE FAMILY MEDICAL CLINIC, LLC (NPI 1275260234) is a healthcare organization registered as a clinic/center in Altenburg, Missouri and active in the NPI registry since August 2022. The organization holds a CLIA Waiver certificate valid through February 9, 2027 and lists Amelia Doris Ledbetter, Director Of Operations, as its authorized official.

NPPES Registry Identity

NPI1275260234
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameCAPE FAMILY MEDICAL CLINIC, LLC
Location Address8516 MAIN STREETAltenburg, MO 63732
Mailing Address8504 Main StreetAltenburg, MO 63732 · (573) 332-7992
Organization SubpartNo
Authorized OfficialAmelia Doris LedbetterDirector Of Operations · (573) 335-4715
Enumeration DateAugust 1, 2022
Last NPPES UpdateSeptember 27, 20222 updates tracked since enumeration
NPPES CertifiedSeptember 21, 2022
✔ NPI 1275260234 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
8516 MAIN STREET, Altenburg, MO 63732

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Cape Family Medical Clinic, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

12

Medicare enrollment records show 12 clinicians reassign Medicare billing to Cape Family Medical Clinic, LLC, which bills Medicare for the services they deliver. They are listed nearest first.

Clinicians by Medicare Specialty 4

Nurse Practitioner7
Clinical Social Worker3
Chiropractic1
Mental Health Counselor1

Clinicians, nearest first (12)

Nurse Practitioner
NPI 1851765614
2130 E JACKSON BLVD
Jackson, MO 63755
(573) 243-8408
✔ PECOS✔ Accepts Medicare18 mi
Nurse Practitioner
NPI 1184211054
1701 LACEY ST
Cape Girardeau, MO 63701
(573) 334-4822
✔ PECOS✔ Accepts Medicare22 mi
Nurse Practitioner
NPI 1366497604
2441 MYRA DR
Cape Girardeau, MO 63703
(573) 803-0919
✔ PECOS✔ Accepts Medicare22 mi
Chiropractic
NPI 1528071842
125 S BROADVIEW ST STE 14
Cape Girardeau, MO 63703
(573) 335-7011
✔ Accepts Medicare23 mi
Nurse Practitioner
NPI 1033605183
150 S MOUNT AUBURN RD STE 418
Cape Girardeau, MO 63703
(573) 332-6000
✔ PECOS✔ Accepts Medicare23 mi
Mental Health Counselor
NPI 1326547092
24 N SPRIGG ST # 5526
Cape Girardeau, MO 63701
(573) 332-7992
✔ PECOS✔ Accepts Medicare23 mi
Nurse Practitioner
NPI 1154760031
24 N SPRIGG ST
Cape Girardeau, MO 63701
(573) 332-7992
✔ PECOS✔ Accepts Medicare23 mi
Nurse Practitioner
NPI 1144559246
37 DOCTORS PARK STE 1
Cape Girardeau, MO 63703
(573) 803-2941
✔ PECOS✔ Accepts Medicare23 mi
Clinical Social Worker
NPI 1770100257
5272 FLAT RIVER DR
Park Hills, MO 63601
(573) 431-0162
✔ PECOS✔ Accepts Medicare53 mi
Clinical Social Worker
NPI 1881672400
225 PHYSICIANS PARK STE 400
Poplar Bluff, MO 63901
(573) 727-5500
✔ PECOS✔ Accepts Medicare76 mi
Clinical Social Worker
NPI 1912110842
8 COUNTY ROAD 3691
Harviell, MO 63945
(573) 429-8445
✔ PECOS✔ Accepts Medicare82 mi
Nurse Practitioner
NPI 1699071837
1000 GW LN
Waynesville, MO 65583
(573) 774-2715
✔ PECOS144 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 26D0924868

Cape Family Medical Clinic LLC · Cape Girardeau, MO
Active · expires Feb 9, 2027
CLIA Number26D0924868
Laboratory TypeRural Health Clinic
Certificate Effective DateFebruary 10, 2025
Certificate Expiration DateFebruary 9, 2027
Laboratory DirectorCharles S. Pewitt
Laboratory Phone(573) 332-7992
Laboratory LocationCape Family Medical Clinic LLC24 North Sprigg Street, Cape Girardeau, MO 63701
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Cape Family Medical Clinic, LLC's NPI number?

The NPI number for Cape Family Medical Clinic, LLC is 1275260234. It was assigned to this organization in the NPPES registry on August 1, 2022.

Where is Cape Family Medical Clinic, LLC located?

Cape Family Medical Clinic, LLC is located at 8516 Main Street, Altenburg, MO 63732. The listed phone number is (573) 332-7992.

What is Cape Family Medical Clinic, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

Is Cape Family Medical Clinic, LLC enrolled in Medicare?

Yes. Cape Family Medical Clinic, LLC is registered in the Medicare PECOS enrollment system.

Does Cape Family Medical Clinic, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 26D0924868) is associated with this NPI, valid through February 9, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Cape Family Medical Clinic, LLC was last updated on September 27, 2022. 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.