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CARROLL COUNTY MEMORIAL HOSPITAL
NPI 1528067113
General Acute Care Hospital - Critical Access in Carrollton, MO

Active since July 18, 2005
1502 N JEFFERSON ST, CARROLLTON, MO 64633(660) 542-1695(660) 542-0363 Get Directions Write a Review

NPPES record last updated: October 29, 2021. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Carroll County Memorial Hospital NPPES

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

CARROLL COUNTY MEMORIAL HOSPITAL (NPI 1528067113) is a healthcare organization registered as a critical access in Carrollton, Missouri and active in the NPI registry since July 2005. The organization lists Amy Danielle Ireland, Cfo, as its authorized official.

NPPES Registry Identity

NPI1528067113
Entity TypeOrganization
Primary Taxonomy282NC0060X
Legal Business NameCARROLL COUNTY MEMORIAL HOSPITAL
Location Address1502 N JEFFERSON STCarrollton, MO 64633-1948
Mailing Address1502 N JeffersonCarrollton, MO 64633-1948 · (660) 542-1695 · Fax (660) 542-0363
Phone(660) 542-1695
Fax(660) 542-0363
Organization SubpartNo
Authorized OfficialAmy Danielle IrelandCfo · (660) 329-6005
Enumeration DateJuly 18, 2005
Last NPPES UpdateOctober 29, 2021
NPPES CertifiedOctober 29, 2021
✔ NPI 1528067113 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyGeneral Acute Care Hospital · Critical AccessHospitals
Taxonomy Code282NC0060X
License✔ Licensed in MO · 210-45
Also ListedMedicare Defined Swing Bed UnitTaxonomy 275N00000X · License 26Z332 (MO)
1502 N JEFFERSON ST, Carrollton, MO 64633
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Other Names 1

Doing Business AsCarroll County Memorial Hospital

Other Identifiers 2

Medicaid010157907MO
Other90017016MO · Bcbs

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, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Carroll County Memorial Hospital is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date 2

Next revalidation due by January 31, 2027

This provider holds 2 Medicare enrollments with upcoming revalidation dates. Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateMissouriEnrollment IDO20061104000585Part A · Critical Access HospitalDue dateJanuary 31, 2027
StateMissouriEnrollment IDO20120419000092Part A · Critical Access HospitalDue dateFebruary 28, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

95

Medicare enrollment records show 95 clinicians reassign Medicare billing to Carroll County Memorial Hospital, which bills Medicare for the services they deliver. Of these, 9 practice at this address. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 23

Diagnostic Radiology31
Certified Registered Nurse Anesthetist (CRNA)14
Family Practice7
Nurse Practitioner7
Gastroenterology5
Hospitalist4
Internal Medicine4
Cardiovascular Disease (Cardiology)3
15 other specialties20

Nearest to this location (20)

See all 95
Cynthia Cauble, LCSW
Clinical Social Worker
NPI 1255224697
1502 N JEFFERSON ST
Carrollton, MO 64633
(660) 542-1695
✔ PECOS✔ Accepts MedicareSame address
Andrew Horine, D.O.
Family Practice
NPI 1720342629
1502 N JEFFERSON ST
Carrollton, MO 64633
(660) 542-1695
✔ PECOS✔ Accepts MedicareSame address
Gregory Hubbard, D.O.
Orthopedic Surgery
NPI 1932105673
1502 N JEFFERSON ST
Carrollton, MO 64633
(660) 542-1695
✔ PECOS✔ Accepts MedicareSame address
Heidi Leimkuehler, APRN, FNP-C
Nurse Practitioner
NPI 1750043725
1502 N JEFFERSON ST
Carrollton, MO 64633
(660) 542-1695
✔ PECOS✔ Accepts MedicareSame address
Pamela Ralls, M.D.
Family Practice
NPI 1023252541
1502 N.JEFFERSON STREET CCMH MEDICAL PLAZA
Carrollton, MO 64633
(660) 542-1695
✔ PECOS✔ Accepts MedicareSame address
Jonna Rechterman, APRN FNP
Nurse Practitioner
NPI 1700253812
1502 N JEFFERSON ST
Carrollton, MO 64633
(660) 542-1695
✔ PECOS✔ Accepts MedicareSame address
Timothy Reid, MD
Family Practice
NPI 1811090780
1502 N JEFFERSON ST
Carrollton, MO 64633
(660) 542-1695
✔ PECOS✔ Accepts MedicareSame address
Richard Smith, M.D.
Family Practice
NPI 1861448664
1502 N JEFFERSON ST
Carrollton, MO 64633
(660) 542-9998
✔ PECOS✔ Accepts MedicareSame address
Courtney Pitt, RN FNP
Nurse Practitioner
NPI 1073806758
1401 NORTH JEFFERSON
Carrollton, MO 64633
(660) 542-3900
✔ PECOS✔ Accepts MedicareSame address
Joanie Defibaugh, LCSW
Clinical Social Worker
NPI 1417011313
107 E HARRISON ST
Brunswick, MO 65236
(573) 548-3033
✔ PECOS✔ Accepts Medicare20 mi
Trent Link, FNP
Nurse Practitioner
NPI 1154779866
807 E BROADWAY ST
Brunswick, MO 65236
(660) 548-2012
✔ PECOS✔ Accepts Medicare20 mi
Darin Ward, C.R.N.A.
Certified Registered Nurse Anesthetist (CRNA)
NPI 1972546588
100 CENTRAL ST
Chillicothe, MO 64601
(660) 707-4442
✔ Accepts Medicare29 mi
Arihant Jain, M.D.
Family Practice
NPI 1396910469
1 CROSS ST
Hamilton, MO 64644
(816) 583-2151
✔ PECOS✔ Accepts Medicare37 mi
Ryan Frank, D.P.M.
Podiatry
NPI 1528062130
2406 E R D MIZE RD STE B
Independence, MO 64057
(816) 478-3338
✔ PECOS✔ Accepts Medicare50 mi
Calvin Madrigal, MD
Cardiovascular Disease (Cardiology)
NPI 1619264256
2521 GLENN HENDREN DR STE 306
Liberty, MO 64068
(168) 407-5430
✔ PECOS✔ Accepts Medicare50 mi
Jared Smith, MD
General Surgery
NPI 1710033493
19550 E 39TH ST S STE 325
Independence, MO 64057
(816) 373-4646
✔ PECOS✔ Accepts Medicare51 mi
John Ellis, M.D.
Otolaryngology
NPI 1477527877
4880 NE GOODVIEW CIRCLE
Lees Summit, MO 64064
(816) 478-4200
✔ PECOS✔ Accepts Medicare53 mi
Jonathan Wilson, D.O.
Vascular Surgery
NPI 1649479916
112 NW HACKBERRY ST
Lees Summit, MO 64064
(816) 944-8464
✔ PECOS✔ Accepts Medicare54 mi
Dennis Smith, D.O.
Emergency Medicine
NPI 1952331910
1600 N MORLEY ST STE A120
Moberly, MO 65270
(660) 372-9595
✔ PECOS✔ Accepts Medicare57 mi
Melissa Fletcher, LCSW
Clinical Social Worker
NPI 1447417613
3100 NE 83RD ST STE 1001
Kansas City, MO 64119
(816) 468-0400
✔ PECOS57 mi
See all 95 clinicians

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

Hospital Quality Ratings CMS Care Compare

Quality and patient-experience ratings for Carroll County Memorial Hospital (CMS certification number 261332), from CMS Care Compare.

Carroll County Memorial Hospital

Critical Access Hospitals · Carrollton, MO
OwnershipVoluntary non-profit - Private
CMS Certification Number261332
Location1502 North JeffersonCarrollton, MO 64633 · Carroll County · (660) 542-1695
Emergency services Meaningful use of EHRs

Complications & Deaths 6

Rate of complications for hip/knee replacement patients
Cases too small to report
Death rate for heart attack patients
Cases too small to report
Death rate for COPD patients
Cases too small to report
Death rate for heart failure patients
Cases too small to report
Death rate for pneumonia patients
15.4% No different than national
Death rate for stroke patients
Cases too small to report

Unplanned Hospital Visits 11

Hospital return days for heart failure patients
Cases too small to report
Hospital return days for pneumonia patients
35 days per 100 discharges
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)
132 No different than national
Rate of inpatient admissions for patients receiving outpatient chemotherapy
Cases too small to report
Rate of emergency department (ED) visits for patients receiving outpatient chemotherapy
Cases too small to report
Ratio of unplanned hospital visits after hospital outpatient surgery
48 No different than national

Timely & Effective Care 13

Emergency department volume
Low
Admit Decision Time to ED Departure Time for Admitted Patients - non psychiatric/mental health disorders
22 minutes
Percentage of healthcare personnel who are up to date with COVID-19 vaccinations
0%
Healthcare workers given influenza vaccination
93%
Average (median) time patients spent in the emergency department before leaving from the visit A lower number of minutes is better
100 minutes
Average (median) time patients spent in the emergency department before leaving from the visit- Psychiatric/Mental Health Patients. A lower number of minutes is better
167 minutes

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 Carroll County Memorial Hospital's NPI number?

The NPI number for Carroll County Memorial Hospital is 1528067113. It was assigned to this organization in the NPPES registry on July 18, 2005.

Where is Carroll County Memorial Hospital located?

Carroll County Memorial Hospital is located at 1502 N Jefferson St, Carrollton, MO 64633. The listed phone number is (660) 542-1695.

What is Carroll County Memorial Hospital's specialty?

The primary specialty registered for this NPI is General Acute Care Hospital, specializing in Critical Access, with taxonomy code 282NC0060X.

Is Carroll County Memorial Hospital enrolled in Medicare?

Yes. Carroll County Memorial Hospital is registered in the Medicare PECOS enrollment system.

When is Carroll County Memorial Hospital's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), Carroll County Memorial Hospital holds 2 Medicare enrollments with upcoming revalidation dates. The next is due by January 31, 2027 (Part A, Missouri, Critical Access Hospital). Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Carroll County Memorial Hospital?

According to the CMS Revalidation Reassignment List (October 2026 release), 95 clinicians in 23 Medicare specialties reassign their Medicare billing to Carroll County Memorial Hospital. 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 Diagnostic Radiology (31), Certified Registered Nurse Anesthetist (CRNA) (14) and Family Practice (7). Of these, 9 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Is Carroll County Memorial Hospital a Medicare-certified hospital?

Yes. Carroll County Memorial Hospital is a Medicare-certified hospital (Critical Access Hospitals). The hospital provides emergency services.

What insurance does Carroll County Memorial Hospital 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 4 other insurers list Carroll County Memorial Hospital 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 Carroll County Memorial Hospital was last updated on October 29, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.