JEFFERSON CITY MEDICAL GROUP, P.C.
NPI 1336189398
Clinic/Center - Multi-Specialty in Jefferson City, MO
About Jefferson City Medical Group, P.c. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JEFFERSON CITY MEDICAL GROUP, P.C. (NPI 1336189398) is a healthcare organization registered as a multi-specialty in Jefferson City, Missouri and active in the NPI registry since June 2006. The organization lists Jeffrey Patrick, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 5
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)
Jefferson City Medical Group, P.c. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by February 28, 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.
Clinicians Billing Medicare Through This Organization
154Medicare enrollment records show 154 clinicians reassign Medicare billing to Jefferson City Medical Group, P.C., which bills Medicare for the services they deliver. Of these, 34 practice at this address and 82 within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 29
Nearest to this location (20)
See all 154Source: 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 Jefferson City Medical Group, P.C.'s NPI number?
The NPI number for Jefferson City Medical Group, P.C. is 1336189398. It was assigned to this organization in the NPPES registry on June 7, 2006.
Where is Jefferson City Medical Group, P.C. located?
Jefferson City Medical Group, P.C. is located at 1241 W Stadium Blvd First Floor, Suite 1100, Jefferson City, MO 65109. The listed phone number is (573) 556-5747.
What is Jefferson City Medical Group, P.C.'s specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Multi-Specialty, with taxonomy code 261QM1300X.
Is Jefferson City Medical Group, P.C. enrolled in Medicare?
Yes. Jefferson City Medical Group, P.C. is registered in the Medicare PECOS enrollment system.
When is Jefferson City Medical Group, P.C.'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 February 28, 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 Jefferson City Medical Group, P.C.?
According to the CMS Revalidation Reassignment List (October 2026 release), 154 clinicians in 29 Medicare specialties reassign their Medicare billing to Jefferson City Medical Group, P.C.. 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 (41), Certified Registered Nurse Anesthetist (CRNA) (31) and Family Practice (18). Of these, 34 practice at this address and 82 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Jefferson City Medical Group, P.C. accept?
Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter Health of Delaware, Ambetter from Absolute Total Care and Ambetter from Arkansas Health & Wellness and 37 other insurers list Jefferson City Medical Group, P.C. 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 Jefferson City Medical Group, P.C. was last updated on June 8, 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.
# Jefferson City Medical Group, P.c. · NPI 1336189398
Multi-Specialty organization in Jefferson City, Missouri. Organization record, active in the CMS NPPES registry since June 7, 2006.
## Identity
- **NPI:** 1336189398 (Entity type: Organization)
- **Enumerated:** June 7, 2006
- **Primary specialty:** Clinic/Center - Multi-Specialty · taxonomy 261QM1300X
- **Organization subpart:** No
- **Authorized official:** Jeffrey Patrick, PRESIDENT
## Practice location
- **Address:** 1241 W STADIUM BLVD, FIRST FLOOR, SUITE 1100, Jefferson City, MO 65109
- **Phone:** (573) 556-5747 · **Fax:** (573) 636-9756
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** February 28, 2027 (Non-DME Part B, Missouri, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 154 clinicians in 29 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (41), Certified Registered Nurse Anesthetist (CRNA) (31), Family Practice (18); 34 practice at this address and 82 within 10 miles; [full list](https://npiprofile.com/npi/1336189398/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** June 8, 2023
- **Other identifiers:** Other CD6061 (MO); Other CC7852 (MO); Other CD6058 (MO); and 2 more
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Source: [NPI Profile](https://npiprofile.com/npi/1336189398) · Data from the CMS NPPES public registry.