SSM REGIONAL HEALTH SERVICES
NPI 1396782587
Clinic/Center in Jefferson City, MO
About Ssm Regional Health Services NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SSM REGIONAL HEALTH SERVICES (NPI 1396782587), doing business as Ssm Health Medical Group - Pediatrics, is a healthcare organization registered as a clinic/center in Jefferson City, Missouri and active in the NPI registry since May 2006. The organization lists Shasta Rene Manuel, Regional Vice President Finance/cfo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Other Identifiers 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)
Ssm Regional Health Services is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
12Medicare enrollment records show 12 clinicians reassign Medicare billing to Ssm Regional Health Services, which bills Medicare for the services they deliver. Of these, 3 practice at this address and 4 within 10 miles. They are listed nearest first.
Clinicians by Medicare Specialty 2
Clinicians, nearest first (12)
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 Ssm Regional Health Services's NPI number?
The NPI number for Ssm Regional Health Services is 1396782587. It was assigned to this organization in the NPPES registry on May 31, 2006. The provider is doing business as SSM Health Medical Group - Pediatrics.
Where is Ssm Regional Health Services located?
Ssm Regional Health Services is located at 3348 American Ave, Jefferson City, MO 65109. The listed phone number is (573) 761-7210.
What is Ssm Regional Health Services's specialty?
The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.
Is Ssm Regional Health Services enrolled in Medicare?
Yes. Ssm Regional Health Services is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Ssm Regional Health Services?
According to the CMS Revalidation Reassignment List (October 2026 release), 12 clinicians in 2 Medicare specialties reassign their Medicare billing to Ssm Regional Health Services. 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 Pediatric Medicine (9) and Nurse Practitioner (3). Of these, 3 practice at this address and 4 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Ssm Regional Health Services accept?
Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Arkansas Health & Wellness, Ambetter from Sunflower Health Plan and Ambetter of Oklahoma and 2 other insurers list Ssm Regional Health Services 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 Ssm Regional Health Services was last updated on December 16, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months 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.
# Ssm Regional Health Services · NPI 1396782587
Clinic/Center organization in Jefferson City, Missouri. Organization record, active in the CMS NPPES registry since May 31, 2006.
## Identity
- **NPI:** 1396782587 (Entity type: Organization)
- **Enumerated:** May 31, 2006
- **Primary specialty:** Clinic/Center · taxonomy 261Q00000X
- **Also known as:** SSM Health Medical Group - Pediatrics (Doing Business As)
- **Organization subpart:** Yes (part of Ssm Regional Health Services)
- **Authorized official:** Shasta Manuel, REGIONAL VICE PRESIDENT FINANCE/CFO
## Practice location
- **Address:** 3348 AMERICAN AVE, Jefferson City, MO 65109-1079
- **Phone:** (573) 761-7210 · **Fax:** (573) 634-8802
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 12 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Pediatric Medicine (9), Nurse Practitioner (3); 3 practice at this address and 4 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** December 16, 2025
- **Other identifiers:** Medicaid 501283501 (MO)
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Source: [NPI Profile](https://npiprofile.com/npi/1396782587) · Data from the CMS NPPES public registry.