SSM REGIONAL HEALTH SERVICES
NPI 1396886065
Family Medicine in Jefferson City, MO

Active since February 08, 2007
2511 W EDGEWOOD DR STE G, JEFFERSON CITY, MO 65109(573) 761-0458(573) 634-3137 Get Directions Write a Review

NPPES record last updated: December 16, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Dec 16, 2025, May 13, 2025, Sep 15, 2020 and 1 more (4 updates tracked since 2017).

About Ssm Regional Health Services NPPES

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

SSM REGIONAL HEALTH SERVICES (NPI 1396886065), doing business as Ssm Health Medical Group - Family Medicine, is a healthcare organization registered as a family medicine in Jefferson City, Missouri and active in the NPI registry since February 2007. The organization lists Shasta Rene Manuel, Regional Vice President Finance/cfo, as its authorized official.

NPPES Registry Identity

NPI1396886065
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameSSM REGIONAL HEALTH SERVICES
Location Address2511 W EDGEWOOD DR STE GJefferson City, MO 65109-5869
Mailing Address7655 Solutions CtrChicago, IL 60677-7006 · (557) 203-1551 · Fax (314) 989-6721
Fax(573) 634-3137
Organization SubpartYes
Authorized OfficialShasta Rene ManuelRegional Vice President Finance/cfo · (405) 272-7282
Enumeration DateFebruary 8, 2007
Last NPPES UpdateDecember 16, 20254 updates tracked since enumeration
NPPES CertifiedDecember 16, 2025
✔ NPI 1396886065 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.
2511 W EDGEWOOD DR STE G, Jefferson City, MO 65109

Other Names 1

Doing Business AsSsm Health Medical Group - Family Medicine

Other Identifiers 1

Medicaid507008803MO

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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

17

Medicare enrollment records show 17 clinicians reassign Medicare billing to Ssm Regional Health Services, which bills Medicare for the services they deliver. Of these, 5 practice at this address and 9 within 10 miles. They are listed nearest first.

Clinicians by Medicare Specialty 3

Nurse Practitioner9
Family Practice7
Internal Medicine1

Clinicians, nearest first (17)

Nurse Practitioner
NPI 1629946546
2511 W EDGEWOOD DR STE G
Jefferson City, MO 65109
(573) 761-0458
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1104494673
2511 W EDGEWOOD DR STE G
Jefferson City, MO 65109
(573) 761-0458
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1114278124
2511 W EDGEWOOD DR STE G
Jefferson City, MO 65109
(573) 761-0458
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1629011812
2511 W EDGEWOOD DR SUITE F
Jefferson City, MO 65109
(573) 761-2130
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1295140432
2511 W EDGEWOOD DR SUITE D
Jefferson City, MO 65109
(573) 761-0304
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1104376326
1241 W STADIUM BLVD
Jefferson City, MO 65109
(573) 635-5264
✔ PECOS✔ Accepts Medicare0.3 mi
Nurse Practitioner
NPI 1164519963
2505 MISSION DR STE 210
Jefferson City, MO 65109
(573) 681-3187
✔ PECOS✔ Accepts Medicare0.8 mi
Family Practice
NPI 1508836115
3605 COUNTRY CLUB DR
Jefferson City, MO 65109
(573) 635-5264
✔ PECOS✔ Accepts Medicare2.1 mi
Nurse Practitioner
NPI 1023448172
180 NORTHSTAR DR
Holts Summit, MO 65043
(573) 469-7046
✔ PECOS✔ Accepts Medicare8.3 mi
Internal Medicine
NPI 1245594266
5100 FORUM BLVD
Columbia, MO 65203
(573) 619-3292
✔ PECOS✔ Accepts Medicare24 mi
Family Practice
NPI 1760749428
875 STATE ROUTE 5
Tipton, MO 65081
(660) 433-5541
✔ PECOS✔ Accepts Medicare27 mi
Nurse Practitioner
NPI 1326735481
875 MO-5 HWY
Tipton, MO 65081
(660) 433-5541
✔ PECOS✔ Accepts Medicare31 mi
Nurse Practitioner
NPI 1699957597
600 W MORRISON ST SUITE 5
Fayette, MO 65248
(660) 248-2900
✔ PECOS✔ Accepts Medicare47 mi
Nurse Practitioner
NPI 1124614052
2305 S HIGHWAY 65 BLDG A
Marshall, MO 65340
(660) 886-7800
✔ PECOS✔ Accepts Medicare69 mi
Nurse Practitioner
NPI 1750387163
1201 N RUTHERFORD ST
Macon, MO 63552
(660) 385-8900
✔ PECOS✔ Accepts Medicare82 mi
Family Practice
NPI 1801424643
5275 OH-122
Franklin, OH 45005
(513) 424-7291
✔ PECOS✔ Accepts Medicare431 mi
Family Practice
NPI 1023490901
300 LACKAWANNA AVE
Scranton, PA 18503
(570) 961-3823
✔ PECOS✔ Accepts Medicare898 mi

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 1396886065. It was assigned to this organization in the NPPES registry on February 8, 2007. The provider is doing business as SSM Health Medical Group - Family Medicine.

Where is Ssm Regional Health Services located?

Ssm Regional Health Services is located at 2511 W Edgewood Dr Ste G, Jefferson City, MO 65109. The listed phone number is (573) 761-0458.

What is Ssm Regional Health Services's specialty?

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

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), 17 clinicians in 3 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 Nurse Practitioner (9), Family Practice (7) and Internal Medicine (1). Of these, 5 practice at this address and 9 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.