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PHELPS HEALTH MEDICAL GROUP ST JAMES
NPI 1457799520
Clinic/Center - Rural Health in St. James, MO

Active since June 11, 2013CLIA 26D0861908 · Waiver
1000 N JEFFERSON STREET, ST. JAMES, MO 65559(573) 265-8840(573) 265-8884 Get Directions Write a Review

NPPES record last updated: February 2, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Feb 2, 2023, Jan 17, 2019, Nov 22, 2017 (3 updates tracked since 2017).

About Phelps Health Medical Group St James NPPES

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

PHELPS HEALTH MEDICAL GROUP ST JAMES (NPI 1457799520) is a healthcare organization registered as a rural health in St. James, Missouri and active in the NPI registry since June 2013. The organization holds a CLIA Waiver certificate valid through December 31, 2027 and lists Jana Marie Cook, Cfo/sr. Vp, as its authorized official.

NPPES Registry Identity

NPI1457799520
Entity TypeOrganization
Primary Taxonomy261QR1300X
Legal Business NamePHELPS COUNTY REGIONAL MEDICAL CENTER
Location Address1000 N JEFFERSON STREETSt. James, MO 65559-1078
Mailing AddressPo Box 579Rolla, MO 65402 · (573) 426-2182 · Fax (573) 426-5341
Phone(573) 265-8840
Fax(573) 265-8884
Organization SubpartNo
Authorized OfficialJana Marie CookCfo/sr. Vp · (573) 458-7916
Enumeration DateJune 11, 2013
Last NPPES UpdateFebruary 2, 20233 updates tracked since enumeration
NPPES CertifiedFebruary 2, 2023
✔ NPI 1457799520 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities
Taxonomy Code261QR1300X
1000 N JEFFERSON STREET, St. James, MO 65559
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Other Names 1

Doing Business AsPhelps Health Medical Group St James

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.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)

Phelps Health Medical Group St James is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

195

Medicare enrollment records show 195 clinicians reassign Medicare billing to Phelps Health Medical Group St James, which bills Medicare for the services they deliver. Of these, 5 practice at this address and 98 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 29

Nurse Practitioner63
Emergency Medicine26
Certified Registered Nurse Anesthetist (CRNA)12
Family Practice11
Internal Medicine11
Pediatric Medicine10
Hospitalist8
Psychiatry8
21 other specialties46

Nearest to this location (20)

See all 195
Tiffany Bland
Family Practice
NPI 1447755848
1000 N JEFFERSON ST
Saint James, MO 65559
(573) 265-8840
✔ PECOS✔ Accepts MedicareSame address
Christine Durbin, FNP
Nurse Practitioner
NPI 1689735128
1000 N. JEFFERSON ST
Saint James, MO 65559
(573) 265-8840
✔ PECOS✔ Accepts MedicareSame address
Rachelle Gorrell, D.O.
Family Practice
NPI 1336114800
1000 N JEFFERSON ST
Saint James, MO 65559
(573) 265-8840
✔ PECOS✔ Accepts MedicareSame address
Megan Mcbride, FNP
Nurse Practitioner
NPI 1750158630
1000 N JEFFERSON ST
Saint James, MO 65559
(573) 265-8840
✔ PECOS✔ Accepts MedicareSame address
Jennifer O Malley, M.D,
Family Practice
NPI 1831458033
1000 N JEFFERSON ST
Saint James, MO 65559
(573) 265-8840
✔ PECOS✔ Accepts MedicareSame address
Gregory Maynard, D.O.
Family Practice
NPI 1063450187
1000 N JEFFERSON ST
Saint James, MO 65559
(573) 265-8840
✔ PECOS✔ Accepts Medicare1.8 mi
Brittany Freeman, CNM
Certified Nurse Midwife (CNM)
NPI 1376206367
1050 W 10TH ST
Rolla, MO 65401
(573) 364-9000
✔ PECOS✔ Accepts Medicare8.4 mi
Brittany Waterworth, NP-C
Nurse Practitioner
NPI 1447868005
1050 W 10TH ST
Rolla, MO 65401
(573) 364-9000
✔ PECOS✔ Accepts Medicare8.4 mi
Ryan Denney, D.O
Gastroenterology
NPI 1437496197
1050 W 10TH ST
Rolla, MO 65401
(573) 364-9000
✔ PECOS✔ Accepts Medicare8.5 mi
Emily Hahn-Wilson, DO
Obstetrics/Gynecology
NPI 1962152843
1050 W 10TH ST
Rolla, MO 65401
(573) 364-9000
✔ PECOS✔ Accepts Medicare8.5 mi
Yam Sharma
Pediatric Medicine
NPI 1003699885
1050 W 10TH ST
Rolla, MO 65401
(573) 364-9000
✔ PECOS8.5 mi
Jonathan Pulsipher, DO
General Surgery
NPI 1821679176
1060 W 10TH ST
Rolla, MO 65401
(855) 406-3324
✔ PECOS✔ Accepts Medicare8.5 mi
Julian Ategeka
Internal Medicine
NPI 1891427852
1000 W 10TH ST
Rolla, MO 65401
(573) 364-9000
✔ PECOS✔ Accepts Medicare8.9 mi
Steven Hogan, RN
Certified Registered Nurse Anesthetist (CRNA)
NPI 1861344517
1000 W 10TH ST
Rolla, MO 65401
(573) 458-8899
✔ Accepts Medicare8.9 mi
Joshua Miller, DO
Emergency Medicine
NPI 1578144200
1000 W 10TH ST
Rolla, MO 65401
(573) 458-8899
✔ PECOS✔ Accepts Medicare8.9 mi
Mylhan Myers, DO
Family Practice
NPI 1639699747
1000 W 10TH ST
Rolla, MO 65401
(573) 364-9000
✔ PECOS✔ Accepts Medicare8.9 mi
Ethan Porter, DO
Hospitalist
NPI 1194306126
1000 W 10TH ST
Rolla, MO 65401
(573) 364-9000
✔ PECOS✔ Accepts Medicare8.9 mi
William Knox, DO
Critical Care (Intensivists)
NPI 1205989084
1000 W 10TH ST
Rolla, MO 65401
(573) 458-7879
✔ PECOS✔ Accepts Medicare9.8 mi
Glenn Kunkel, MD
Pain Management
NPI 1598761231
1000 W 10TH ST
Rolla, MO 65401
(573) 458-8899
✔ PECOS✔ Accepts Medicare9.8 mi
Nurelign Abebe, M.D.
Nephrology
NPI 1154587038
1050 WEST 10TH STREET
Rolla, MO 65401
(573) 364-9000
✔ PECOS✔ Accepts Medicare9.8 mi
See all 195 clinicians

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 26D0861908

Phelps Health · Saint James, MO
Active · expires Dec 31, 2027
CLIA Number26D0861908
Laboratory TypeRural Health Clinic
Certificate Effective DateJanuary 1, 2026
Certificate Expiration DateDecember 31, 2027
Laboratory DirectorRachelle Gorrell
Laboratory Phone(573) 265-8840
Laboratory LocationPhelps Health1000 N Jefferson St, Saint James, MO 65559
CLIA data matches this NPI record on: Name 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 Phelps County Regional Medical Center's NPI number?

The NPI number for Phelps County Regional Medical Center is 1457799520. It was assigned to this organization in the NPPES registry on June 11, 2013. The provider is doing business as Phelps Health Medical Group St James.

Where is Phelps County Regional Medical Center located?

Phelps County Regional Medical Center is located at 1000 N Jefferson Street, St. James, MO 65559. The listed phone number is (573) 265-8840.

What is Phelps County Regional Medical Center's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rural Health, with taxonomy code 261QR1300X.

Is Phelps County Regional Medical Center enrolled in Medicare?

Yes. Phelps County Regional Medical Center is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Phelps County Regional Medical Center?

According to the CMS Revalidation Reassignment List (October 2026 release), 195 clinicians in 29 Medicare specialties reassign their Medicare billing to Phelps County Regional Medical Center. 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 (63), Emergency Medicine (26) and Certified Registered Nurse Anesthetist (CRNA) (12). Of these, 5 practice at this address and 98 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Phelps County Regional Medical Center hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 26D0861908) is associated with this NPI, valid through December 31, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Phelps County Regional Medical Center accept?

Health plans from Anthem Blue Cross and Blue Shield list Phelps County Regional Medical Center 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 Phelps County Regional Medical Center was last updated on February 2, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.