ELITE OBSTETRICS AND GYNECOLOGY LLC
NPI 1538915210
Obstetrics & Gynecology in Poplar Bluff, MO
About Elite Obstetrics And Gynecology Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ELITE OBSTETRICS AND GYNECOLOGY LLC (NPI 1538915210) is a healthcare organization registered as an obstetrics & gynecology in Poplar Bluff, Missouri and active in the NPI registry since April 2024. The organization holds a CLIA Waiver certificate valid through February 23, 2027 and lists Tracy Gibbs, Managing Director, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Group Practice 1
Accepted 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)
Elite Obstetrics And Gynecology Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
2Medicare enrollment records show 2 clinicians reassign Medicare billing to Elite Obstetrics And Gynecology LLC, which bills Medicare for the services they deliver. Of these, 1 practice within 10 miles. They are listed nearest first.
Clinicians, nearest first (2)
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 26D2319095
Elite Obstetrics & Gynecology, LLC · Poplar Bluff, MOFrequently 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 Elite Obstetrics And Gynecology LLC's NPI number?
The NPI number for Elite Obstetrics And Gynecology LLC is 1538915210. It was assigned to this organization in the NPPES registry on April 24, 2024.
Where is Elite Obstetrics And Gynecology LLC located?
Elite Obstetrics And Gynecology LLC is located at 225 Physicians Park Ste 305, Poplar Bluff, MO 63901. The listed phone number is (573) 772-4340.
What is Elite Obstetrics And Gynecology LLC's specialty?
The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.
Is Elite Obstetrics And Gynecology LLC enrolled in Medicare?
Yes. Elite Obstetrics And Gynecology LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Elite Obstetrics And Gynecology LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Elite Obstetrics And Gynecology LLC, in Nurse Practitioner and Obstetrics/Gynecology. 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, 1 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Elite Obstetrics And Gynecology LLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 26D2319095) is associated with this NPI, valid through February 23, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Elite Obstetrics And Gynecology LLC accept?
Health plans from Anthem Blue Cross and Blue Shield list Elite Obstetrics And Gynecology LLC 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 Elite Obstetrics And Gynecology LLC was last updated on May 6, 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.
# Elite Obstetrics And Gynecology Llc · NPI 1538915210
Obstetrics & Gynecology organization in Poplar Bluff, Missouri. Organization record, active in the CMS NPPES registry since April 24, 2024.
## Identity
- **NPI:** 1538915210 (Entity type: Organization)
- **Enumerated:** April 24, 2024
- **Primary specialty:** Obstetrics & Gynecology · taxonomy 207V00000X
- **Organization subpart:** No
- **Authorized official:** Tracy Gibbs, MANAGING DIRECTOR
## Practice location
- **Address:** 225 PHYSICIANS PARK STE 305, Poplar Bluff, MO 63901-3935
- **Phone:** (573) 772-4340
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 2 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (1), Obstetrics/Gynecology (1); 1 practice within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** May 6, 2024
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1538915210) · Data from the CMS NPPES public registry.