MANFREDO FLORESCRUZ
NPI 1407673908
Psychologist in Fulton, MO
About Manfredo Florescruz NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MANFREDO FLORESCRUZ (NPI 1407673908) is an individual psychologist in Fulton, Missouri, licensed in Missouri (2023049778) and active in the NPI registry since September 2024. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Manfredo Florescruz is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Manfredo Florescruz reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Fulton, MO 65251
- Reassigned Medicare billing, Missouri enrollment
- 39 clinicians in this Medicare group
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 Manfredo Florescruz's NPI number?
The NPI number for Manfredo Florescruz is 1407673908. It was assigned to this individual provider in the NPPES registry on September 25, 2024.
Where is Manfredo Florescruz located?
Manfredo Florescruz practices at 600 East Fifith Street, Fulton, MO 65251. The listed phone number is (573) 592-2030.
What is Manfredo Florescruz's specialty?
The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.
Is Manfredo Florescruz enrolled in Medicare?
Yes. Manfredo Florescruz is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Manfredo Florescruz's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Manfredo Florescruz reassigns Medicare benefits to State Of Missouri (Fulton, 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 Manfredo Florescruz'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 Manfredo Florescruz was last updated on September 25, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.