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JUDITH MEDLEY MSN, RN, FNP, CPNP
NPI 1356368989
Nurse Practitioner in Pilot Knob, MO

Active since July 17, 2006PECOS Enrolled
315 W MULBERRY, PILOT KNOB, MO 63663(573) 546-0602(573) 546-0624 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jul 21, 2022, Aug 2, 2017 (2 updates tracked since 2017).

About Judith Medley Msn, Rn, Fnp, Cpnp NPPES

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

JUDITH MEDLEY MSN, RN, FNP, CPNP (NPI 1356368989) is an individual nurse practitioner in Pilot Knob, Missouri, licensed in Missouri (086052) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1356368989
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameJUDITH MEDLEYCredential: MSN, RN, FNP, CPNP
Location Address315 W MULBERRYPilot Knob, MO 63663
Mailing AddressPo Box 157Ellington, MO 63638-0157 · (573) 663-2313 · Fax (573) 663-2322
Phone(573) 546-0602
Fax(573) 546-0624
Sole ProprietorNo
Enumeration DateJuly 17, 2006
Last NPPES UpdateJuly 21, 20222 updates tracked since enumeration
✔ NPI 1356368989 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in MO · 086052
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
315 W MULBERRY, Pilot Knob, MO 63663
Open in Google Maps ↗

Other Identifiers 1

Medicaid423134865MO

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Judith Medley Msn, Rn, Fnp, Cpnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Judith Medley reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Big Springs Medical Association
Same address
Federally Qualified Health Center (FQHC)
315 W MULBERRY STE B
Pilot Knob, MO 63663
  • Reassigned Medicare billing, Missouri enrollment
  • 104 clinicians in this Medicare group
NPI 1154862449 (573) 546-1001

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 63663 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$81.64 typical visit price
range $52.28 – $161.24
Typical copayment $20.41 (range $13.07 – $40.31)
Most-billed visit code 99203
Established Patient
$93.24 typical visit price
range $16.30 – $131.05
Typical copayment $23.31 (range $4.07 – $32.76)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

Reported Quality Measures

Breast Cancer Screening
Percentage of women 50-74 years of age who had a mammogram to screen for breast cancer
54%67 patients3/55-star benchmark: 92%
Colorectal Cancer Screening
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
61%87 patients3/55-star benchmark: 85%
Diabetes: Eye Exam
Percentage of patients 18-75 years of age with diabetes who had a retinal or dilated eye exam by an eye care professional during the measurement period or a negative retinal exam (no evidence of retinopathy) in the 12 months prior to the measurement period
32%41 patients2/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 2

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

JAMI HEDRICK RDH
Dental Hygienist
315 W MULBERRY
PILOT KNOB, MO 63663
Iron County (573) 546-1001
CHELSEA L ISGRIG RDH
Dental Hygienist
315 W MULBERRY, SUITE B
PILOT KNOB, MO 63663
Iron County (573) 546-1001

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 Judith Medley's NPI number?

The NPI number for Judith Medley is 1356368989. It was assigned to this individual provider in the NPPES registry on July 17, 2006.

Where is Judith Medley located?

Judith Medley practices at 315 W Mulberry, Pilot Knob, MO 63663. The listed phone number is (573) 546-0602.

What is Judith Medley's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Judith Medley enrolled in Medicare?

Yes. Judith Medley is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Judith Medley's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Judith Medley reassigns Medicare benefits to Big Springs Medical Association (Pilot Knob, MO). The 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 Judith Medley's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Judith Medley was last updated on July 21, 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.