VISITING NURSE ASSOCIATION OF SOUTHEAST MISSOURI INC
NPI 1295403202
Nurse Practitioner - Family in Kennett, MO
About Visiting Nurse Association Of Southeast Missouri Inc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
VISITING NURSE ASSOCIATION OF SOUTHEAST MISSOURI INC (NPI 1295403202) is a healthcare organization registered as a family in Kennett, Missouri and active in the NPI registry since September 2021. The organization maintains a secondary practice location in Dexter and lists Shonda Hollomon Young, Ceo, 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)
Visiting Nurse Association Of Southeast Missouri Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
7Medicare enrollment records show 7 clinicians reassign Medicare billing to Visiting Nurse Association Of Southeast Missouri Inc, which bills Medicare for the services they deliver. Of these, 2 practice within 10 miles. They are listed nearest first.
Clinicians, nearest first (7)
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 Visiting Nurse Association Of Southeast Missouri Inc's NPI number?
The NPI number for Visiting Nurse Association Of Southeast Missouri Inc is 1295403202. It was assigned to this organization in the NPPES registry on September 3, 2021.
Where is Visiting Nurse Association Of Southeast Missouri Inc located?
Visiting Nurse Association Of Southeast Missouri Inc is located at 1124 Independence Ave, Kennett, MO 63857. The listed phone number is (573) 888-5892.
What is Visiting Nurse Association Of Southeast Missouri Inc's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Visiting Nurse Association Of Southeast Missouri Inc enrolled in Medicare?
Yes. Visiting Nurse Association Of Southeast Missouri Inc is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Visiting Nurse Association Of Southeast Missouri Inc?
According to the CMS Revalidation Reassignment List (October 2026 release), 7 clinicians in 3 Medicare specialties reassign their Medicare billing to Visiting Nurse Association Of Southeast Missouri Inc. 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), Family Practice (1) and Internal Medicine (1). Of these, 2 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Visiting Nurse Association Of Southeast Missouri Inc accept?
Health plans from Anthem Blue Cross and Blue Shield list Visiting Nurse Association Of Southeast Missouri Inc 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 Visiting Nurse Association Of Southeast Missouri Inc was last updated on March 2, 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.
# Visiting Nurse Association Of Southeast Missouri Inc · NPI 1295403202
Family organization in Kennett, Missouri. Organization record, active in the CMS NPPES registry since September 3, 2021.
## Identity
- **NPI:** 1295403202 (Entity type: Organization)
- **Enumerated:** September 3, 2021
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **Organization subpart:** No
- **Authorized official:** Shonda Young, CEO
## Practice location
- **Address:** 1124 INDEPENDENCE AVE, Kennett, MO 63857-1314
- **Phone:** (573) 888-5892 · **Fax:** (573) 888-0538
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 7 clinicians in 3 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (5), Family Practice (1), Internal Medicine (1); 2 practice within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** March 2, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1295403202) · Data from the CMS NPPES public registry.