CITIZENS MEMORIAL HEALTHCARE
NPI 1568566131
Surgery in Bolivar, MO

Q: What is Citizens Memorial Healthcare's NPI number?

The NPI number for Citizens Memorial Healthcare is 1568566131. It was assigned to this organization in the NPPES registry on September 12, 2006.

Q: What is Citizens Memorial Healthcare's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Active since September 12, 2006

1500 N OAKLAND AVE, BOLIVAR, MO 65613(417) 326-6000(417) 328-6242 Get Directions Write a Review

NPPES record last updated: October 15, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Citizens Memorial Healthcare NPPES

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

CITIZENS MEMORIAL HEALTHCARE (NPI 1568566131) is a healthcare organization registered as a surgery in Bolivar, Missouri and active in the NPI registry since September 2006. The organization lists Renee Marie Meyer, Cfo, as its authorized official.

NPPES Registry Identity

NPI1568566131

Entity TypeOrganization

Primary Taxonomy208600000X

Legal Business NameCITIZENS MEMORIAL HEALTHCARE

Location Address1500 N OAKLAND AVEBolivar, MO 65613-3011

Mailing Address1500 N Oakland AveBolivar, MO 65613-3011 · (417) 328-6501 · Fax (417) 328-6338

Phone(417) 326-6000

Fax(417) 328-6242

Organization SubpartNo

Authorized OfficialRenee Marie MeyerCfo · (417) 328-6258

Enumeration DateSeptember 12, 2006

Last NPPES UpdateOctober 15, 2025

NPPES CertifiedOctober 15, 2025

✔ NPI 1568566131 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 15

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians

Taxonomy Code208600000X

Definition

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Also ListedPsychologist · CounselingTaxonomy 103TC1900X

Also ListedSocial WorkerTaxonomy 104100000X

Also ListedOptometristTaxonomy 152W00000X

Also ListedAnesthesiology · Pain MedicineTaxonomy 207LP2900X

Also ListedFamily MedicineTaxonomy 207Q00000X

Also ListedObstetrics & GynecologyTaxonomy 207V00000X

Also ListedOphthalmologyTaxonomy 207W00000X

Also ListedOrthopaedic SurgeryTaxonomy 207X00000X

Also ListedPediatricsTaxonomy 208000000X

Also ListedPhysical Medicine & Rehabilitation · Pain MedicineTaxonomy 2081P2900X

Also ListedPsychiatry & Neurology · PsychiatryTaxonomy 2084P0800X

Also ListedHospitalistTaxonomy 208M00000X

Also ListedPodiatristTaxonomy 213E00000X

Also ListedPhysician AssistantTaxonomy 363A00000X

1500 N OAKLAND AVE, Bolivar, MO 65613

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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

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

Citizens Memorial Healthcare is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

249

Medicare enrollment records show 249 clinicians reassign Medicare billing to Citizens Memorial Healthcare, which bills Medicare for the services they deliver. Of these, 21 practice at this address and 97 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 39

Nurse Practitioner82

Family Practice28

Internal Medicine13

Psychiatry13

Clinical Psychologist9

Interventional Cardiology9

Clinical Social Worker8

Cardiovascular Disease (Cardiology)7

31 other specialties80

Nearest to this location (20)

See all 249

Garrett Alderfer, MD

Internal Medicine

NPI 1932424603

1500 N OAKLAND AVE
Bolivar, MO 65613

(417) 328-6000

✔ PECOS✔ Accepts MedicareSame address

Ashley Batson

Clinical Social Worker

NPI 1184358947

1500 N OAKLAND AVE
Bolivar, MO 65613

(417) 328-7468

✔ PECOS✔ Accepts MedicareSame address

Tara Billingslea

Nurse Practitioner

NPI 1477275113

1500 N OAKLAND AVE
Bolivar, MO 65613

(417) 326-6000

✔ PECOS✔ Accepts MedicareSame address

Harley Domby, PMHNP-BC

Nurse Practitioner

NPI 1609767797

1500 N OAKLAND AVE
Bolivar, MO 65613

(417) 326-6000

✔ PECOS✔ Accepts MedicareSame address

Kimberly Doolin, RN, BSN, PMHNP-BC

Nurse Practitioner

NPI 1982171625

1500 N OAKLAND AVE
Bolivar, MO 65613

(417) 328-6305

✔ PECOS✔ Accepts MedicareSame address

Daniel Ferguson, FNP-C

Nurse Practitioner

NPI 1902315401

1500 N OAKLAND AVE
Bolivar, MO 65613

(417) 327-3530

✔ PECOS✔ Accepts MedicareSame address

Bryan Flueckiger, MD

Psychiatry

NPI 1992705305

1500 N OAKLAND AVE
Bolivar, MO 65613

(417) 326-6000

✔ PECOSSame address

Jonathan Gray, D.O

Orthopedic Surgery

NPI 1578798054

1500 N OAKLAND AVE
Bolivar, MO 65613

(417) 326-6000

✔ PECOS✔ Accepts MedicareSame address

Chad Law, D.O.

Family Practice

NPI 1417307083

1500 N OAKLAND AVE
Bolivar, MO 65613

(417) 326-6000

✔ PECOS✔ Accepts MedicareSame address

Coral Molina, DO

Family Practice

NPI 1407433360

1500 N OAKLAND AVE
Bolivar, MO 65613

(417) 326-6000

✔ PECOSSame address

Joseph Moore, MD

Cardiovascular Disease (Cardiology)

NPI 1790719417

1500 N OAKLAND AVE
Bolivar, MO 65613

(417) 328-6040

✔ PECOS✔ Accepts MedicareSame address

Juan Nix, M.D.

Emergency Medicine

NPI 1508939661

1500 N OAKLAND AVE
Bolivar, MO 65613

(417) 326-6000

✔ PECOS✔ Accepts MedicareSame address

Christina Otterness, DO

Pathology

NPI 1992091284

1500 N OAKLAND AVE
Bolivar, MO 65613

(417) 328-6036

✔ PECOS✔ Accepts MedicareSame address

Rachel Pruett

General Surgery

NPI 1710447461

1500 N OAKLAND AVE
Bolivar, MO 65613

(471) 326-6000

✔ PECOS✔ Accepts MedicareSame address

Haris Riaz, M.D.

Interventional Cardiology

NPI 1689081069

1500 N OAKLAND AVE
Bolivar, MO 65613

(417) 328-6040

✔ PECOS✔ Accepts MedicareSame address

Jennifer Bushre, APRN, NP

Nurse Practitioner

NPI 1811712623

1501 N OAKLAND AVE
Bolivar, MO 65613

(417) 326-7200

✔ PECOS✔ Accepts MedicareSame address

Penelope Harris, MD

Hematology/Oncology

NPI 1154389260

1501 N OAKLAND AVE
Bolivar, MO 65613

(173) 267-2004

✔ PECOS✔ Accepts MedicareSame address

Bethany Martin, FNP-C

Nurse Practitioner

NPI 1750999231

1501 N OAKLAND AVE
Bolivar, MO 65613

(417) 326-7200

✔ PECOS✔ Accepts MedicareSame address

Bailey Shunyakov, APRN, NP-C

Nurse Practitioner

NPI 1912560038

1501 N OAKLAND AVE
Bolivar, MO 65613

(417) 326-7200

✔ PECOS✔ Accepts MedicareSame address

Leonid Shunyakov, MD

Hematology/Oncology

NPI 1396709895

1501 N OAKLAND AVE
Bolivar, MO 65613

(417) 326-7200

✔ PECOS✔ Accepts MedicareSame address

See all 249 clinicians

Source: 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 Citizens Memorial Healthcare's NPI number?

The NPI number for Citizens Memorial Healthcare is 1568566131. It was assigned to this organization in the NPPES registry on September 12, 2006.

Where is Citizens Memorial Healthcare located?

Citizens Memorial Healthcare is located at 1500 N Oakland Ave, Bolivar, MO 65613. The listed phone number is (417) 326-6000.

What is Citizens Memorial Healthcare's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Citizens Memorial Healthcare enrolled in Medicare?

Yes. Citizens Memorial Healthcare is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Citizens Memorial Healthcare?

According to the CMS Revalidation Reassignment List (October 2026 release), 249 clinicians in 39 Medicare specialties reassign their Medicare billing to Citizens Memorial Healthcare. 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 (82), Family Practice (28) and Internal Medicine (13). Of these, 21 practice at this address and 97 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Citizens Memorial Healthcare accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and Ambetter from Sunflower Health Plan and 5 other insurers list Citizens Memorial Healthcare 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 Citizens Memorial Healthcare was last updated on October 15, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.