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: August 02, 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

Other Providers at the Same Location NPPES 3

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

Family Medicine
2511 W EDGEWOOD DR STE G
JEFFERSON CITY, MO 65109
Family Medicine
2511 W EDGEWOOD DR STE G
JEFFERSON CITY, MO 65109
Nurse Practitioner
2511 W EDGEWOOD DR STE G
JEFFERSON CITY, MO 65109

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.

What insurance does Ssm Regional Health Services accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health and Ambetter from Sunflower Health Plan and 3 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 7 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.