MISSOURI MSO LLC
NPI 1538041769
Family Medicine in Florissant, MO
About Missouri Mso Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MISSOURI MSO LLC (NPI 1538041769) is a healthcare organization registered as a family medicine in Florissant, Missouri and active in the NPI registry since July 2025. The organization lists Samuel Kohn, Manager, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Missouri Mso Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
22Medicare enrollment records show 22 clinicians reassign Medicare billing to Missouri Mso LLC, which bills Medicare for the services they deliver. Of these, 2 practice within 10 miles. Listed here are the 20 practicing nearest to this location.
Nearest to this location (20)
See all 22Source: 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 Missouri Mso LLC's NPI number?
The NPI number for Missouri Mso LLC is 1538041769. It was assigned to this organization in the NPPES registry on July 21, 2025.
Where is Missouri Mso LLC located?
Missouri Mso LLC is located at 1501 Charbonier Rd, Florissant, MO 63031. The listed phone number is (212) 734-6621.
What is Missouri Mso LLC's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Missouri Mso LLC enrolled in Medicare?
Yes. Missouri Mso LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Missouri Mso LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 22 clinicians, all in Nurse Practitioner, reassign their Medicare billing to Missouri Mso LLC. 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. Of these, 2 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Missouri Mso LLC was last updated on January 8, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.
# Missouri Mso Llc · NPI 1538041769
Family Medicine organization in Florissant, Missouri. Organization record, active in the CMS NPPES registry since July 21, 2025.
## Identity
- **NPI:** 1538041769 (Entity type: Organization)
- **Enumerated:** July 21, 2025
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Organization subpart:** No
- **Authorized official:** Samuel Kohn, MANAGER
## Practice location
- **Address:** 1501 CHARBONIER RD, Florissant, MO 63031-5308
- **Phone:** (212) 734-6621
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 22 clinicians (Nurse Practitioner) reassign Medicare billing to this organization (form CMS-855R); 2 practice within 10 miles; [full list](https://npiprofile.com/npi/1538041769/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** January 8, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1538041769) · Data from the CMS NPPES public registry.