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MEDSTOP ONE INC
NPI 1417959149
Clinic/Center in Cape Girardeau, MO

Active since August 12, 2005CLIA 26D0936005 · Waiver
3065 WILLIAM ST, SUITE 209, CAPE GIRARDEAU, MO 63703(573) 335-4100(573) 339-7887 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Medstop One Inc NPPES

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

MEDSTOP ONE INC (NPI 1417959149) is a healthcare organization registered as a clinic/center in Cape Girardeau, Missouri and active in the NPI registry since August 2005. The organization holds a CLIA Waiver certificate valid through November 12, 2027 and lists David J. Cantrell, Business Manager, as its authorized official.

NPPES Registry Identity

NPI1417959149
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameMEDSTOP ONE INC
Location Address3065 WILLIAM ST, SUITE 209Cape Girardeau, MO 63703-6393
Mailing Address3065 William St, Ste 209Cape Girardeau, MO 63703-6393 · (573) 335-4100 · Fax (573) 339-7887
Phone(573) 335-4100
Fax(573) 339-7887
Organization SubpartNo
Authorized OfficialDavid J. CantrellBusiness Manager · (573) 335-4100
Enumeration DateAugust 12, 2005
Last NPPES UpdateJuly 21, 2022
✔ NPI 1417959149 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
3065 WILLIAM ST, Cape Girardeau, MO 63703
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Other Identifiers 3

Other175986MO · Healthlink
Other218453MO · Blue Cross
Medicaid593915200MO

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Sunflower Health Plan, Ambetter Health and more.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)

Medstop One Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

5

Medicare enrollment records show 5 clinicians reassign Medicare billing to Medstop One Inc, which bills Medicare for the services they deliver. Of these, 4 practice at this address and 5 within 10 miles. They are listed nearest first.

Clinicians, nearest first (5)

Lisa Kail, FNP
Nurse Practitioner
NPI 1427109115
3065 WILLIAM ST SUITE 209
Cape Girardeau, MO 63703
(573) 335-4100
✔ PECOSSame address
Carlos Rivas, MD
Family Practice
NPI 1942261052
3065 WILLIAM ST SUITE 209
Cape Girardeau, MO 63703
(573) 335-4100
✔ PECOS✔ Accepts MedicareSame address
Crystal Thomas, FNP-BC
Nurse Practitioner
NPI 1518592104
3065 WILLIAM ST STE 209
Cape Girardeau, MO 63703
(573) 335-4100
✔ PECOS✔ Accepts MedicareSame address
Crystal Heck, ARNP
Nurse Practitioner
NPI 1427302769
3065 WILLIAM ST STE 209
Cape Girardeau, MO 63703
(573) 335-4100
✔ PECOS✔ Accepts MedicareSame address
Charles Pewitt, DO
Family Practice
NPI 1740389980
2387 W JACKSON BLVD
Jackson, MO 63755
(573) 243-9288
✔ PECOS✔ Accepts Medicare6.0 mi

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

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 26D0936005

Med Stop One · Cape Girardeau, MO
Active · expires Nov 12, 2027
CLIA Number26D0936005
Laboratory TypePhysician Office
Certificate Effective DateNovember 13, 2025
Certificate Expiration DateNovember 12, 2027
Laboratory DirectorCrystal Thomas
Laboratory Phone(573) 335-4100
Laboratory LocationMed Stop One3065 William Street Suite 209, Cape Girardeau, MO 63703
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Medstop One Inc's NPI number?

The NPI number for Medstop One Inc is 1417959149. It was assigned to this organization in the NPPES registry on August 12, 2005.

Where is Medstop One Inc located?

Medstop One Inc is located at 3065 William St Suite 209, Cape Girardeau, MO 63703. The listed phone number is (573) 335-4100.

What is Medstop One Inc's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

Is Medstop One Inc enrolled in Medicare?

Yes. Medstop One Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Medstop One Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 5 clinicians in 2 Medicare specialties reassign their Medicare billing to Medstop One Inc. 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 (3) and Family Practice (2). Of these, 4 practice at this address and 5 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Medstop One Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 26D0936005) is associated with this NPI, valid through November 12, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Medstop One Inc 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 Medstop One Inc 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 Medstop One Inc 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.