OLD TOWN PAABS
NPI 1316571656
Family Medicine in Monett, MO

Active since February 25, 2020CLIA 26D2188151 · Waiver
100 CHAPEL DR STE A, MONETT, MO 65708(417) 635-1100 Get Directions Write a Review

NPPES record last updated: March 9, 2020. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Mar 9, 2020, Feb 25, 2020 (2 updates tracked since 2020).

About Old Town Paabs NPPES

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

OLD TOWN PAABS (NPI 1316571656) is a healthcare organization registered as a family medicine in Monett, Missouri and active in the NPI registry since February 2020. The organization holds a CLIA Waiver certificate valid through July 12, 2028 and lists Shane Becker, Authorized Official / Director, as its authorized official.

NPPES Registry Identity

NPI1316571656
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NamePAABS LLC
Location Address100 CHAPEL DR STE AMonett, MO 65708-9378
Mailing Address100 Chapel Dr Ste AMonett, MO 65708-9378 · (417) 635-1100
Organization SubpartNo
Authorized OfficialShane BeckerAuthorized Official / Director · (417) 635-1100
Enumeration DateFebruary 25, 2020
Last NPPES UpdateMarch 9, 20202 updates tracked since enumeration
NPPES CertifiedMarch 9, 2020
NPI 1316571656 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
100 CHAPEL DR STE A, Monett, MO 65708

Other Names 1

Doing Business AsOld Town Paabs

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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 26D2188151

Old Town Paabs · Monett, MO
Active · expires Jul 12, 2028
CLIA Number26D2188151
Laboratory TypeMobile Laboratory
Certificate Effective DateJuly 13, 2026
Certificate Expiration DateJuly 12, 2028
Laboratory DirectorShane M. Becker
Laboratory Phone(413) 313-0500
Laboratory LocationOld Town Paabs100-A1 Chapel Drive, Monett, MO 65708
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Medical Equipment Supplier Medicare DMEPOS 27

Medicare supplier enrollment and the product categories Old Town Pharmacy carries, from the Medicare DMEPOS supplier directory.

Old Town Pharmacy

DMEPOS supplier · Monett, MOOperated by Old Town Pharmacy, LLC

Accepts Medicare assignment

Old Town Pharmacy agrees to accept the Medicare-approved amount as full payment for covered equipment and supplies. Medicare patients are not billed beyond the standard deductible and coinsurance.

PTAN (Medicare Supplier Number)20538281
Medicare Participant SinceOctober 1, 2010
Supplier Location100 Chapel Dr Ste AMonett, MO 65708
Supplier Specialties
Pharmacy

Medicare Product Categories

Epoetin
Epoetin is a man-made version of human erythropoietin (EPO)
Immunosuppressive Drugs
Immunosuppressive drugs require dosage, frequency, and route of administration to prevent or treat the rejection of an organ transplant
Infusion Drugs
Nebulizer Drugs
Albuterol, levalbuterol, and metaproterenol are all short-acting bronchodilators with beta-adrenergic stimulatory effect
Oral Anticancer Drugs
FDA anticancer drugs
Oral Antiemetic Drugs
FDA antiemetic drugs
Product categories are from the Medicare DMEPOS supplier directory. Contact the supplier to confirm current availability of specific items.

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Pharmacist
100 CHAPEL DR STE A
MONETT, MO 65708
Pharmacy (Long Term Care Pharmacy)
100 CHAPEL DR STE A
MONETT, MO 65708
Pharmacist
100 CHAPEL DR STE A
MONETT, MO 65708
Pharmacist
100 CHAPEL DR STE A
MONETT, MO 65708
Pharmacist
100 CHAPEL DR STE A
MONETT, MO 65708

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 Paabs LLC's NPI number?

The NPI number for Paabs LLC is 1316571656. It was assigned to this organization in the NPPES registry on February 25, 2020. The provider is doing business as Old Town Paabs.

Where is Paabs LLC located?

Paabs LLC is located at 100 Chapel Dr Ste A, Monett, MO 65708. The listed phone number is (417) 635-1100.

What is Paabs LLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Does Paabs LLC accept Medicare assignment for medical equipment?

Yes. As a Medicare medical equipment supplier, Old Town Pharmacy accepts Medicare assignment: the supplier accepts the Medicare-approved amount as payment in full for covered equipment and supplies.

Does Paabs LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 26D2188151) is associated with this NPI, valid through July 12, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Paabs LLC was last updated on March 9, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.