DOUGLAS COUNTY PUBLIC HEALTH SERVICES GROUP, INC.
NPI 1588511133
Clinic/Center - Federally Qualified Health Center (FQHC) in Theodosia, MO

Active since March 12, 2026
4900 STATE HWY 160, THEODOSIA, MO 65761(417) 683-5739 Get Directions Write a Review

NPPES record last updated: March 12, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Douglas County Public Health Services Group, Inc. NPPES

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

DOUGLAS COUNTY PUBLIC HEALTH SERVICES GROUP, INC. (NPI 1588511133) is a healthcare organization registered as a federally qualified health center (fqhc) in Theodosia, Missouri and active in the NPI registry since March 2026. The organization lists Jennifer Heinlein, Coo, as its authorized official.

NPPES Registry Identity

NPI1588511133
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameDOUGLAS COUNTY PUBLIC HEALTH SERVICES GROUP, INC.
Location Address4900 STATE HWY 160Theodosia, MO 65761
Mailing AddressPo Box 1359Ava, MO 65608-1359 · (417) 683-5739
Organization SubpartNo
Authorized OfficialJennifer HeinleinCoo · (417) 683-5739
Enumeration DateMarch 12, 2026
NPPES CertifiedMarch 9, 2026
✔ NPI 1588511133 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
Taxonomy Code261QF0400X
4900 STATE HWY 160, Theodosia, MO 65761

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)

Douglas County Public Health Services Group, Inc. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

32

Medicare enrollment records show 32 clinicians reassign Medicare billing to Douglas County Public Health Services Group, Inc., which bills Medicare for the services they deliver. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 9

Nurse Practitioner18
Family Practice4
Mental Health Counselor3
Clinical Social Worker2
Clinical Psychologist1
General Practice1
Obstetrics/Gynecology1
Pediatric Medicine1
1 other specialty1

Nearest to this location (20)

See all 32
Nurse Practitioner
NPI 1285721043
87 ELM STREET
Gainesville, MO 65655
(417) 679-2775
✔ PECOS✔ Accepts Medicare14 mi
Nurse Practitioner
NPI 1508439456
624 HOSPITAL DR 6 SOUTH
Mountain Home, AR 72653
(870) 508-7820
✔ PECOS✔ Accepts Medicare23 mi
Clinical Social Worker
NPI 1750301784
603 SOUTH JEFFERSON STREET
Ava, MO 65608
(417) 683-3398
✔ PECOS✔ Accepts Medicare25 mi
Family Practice
NPI 1700986270
504 W. BROADWAY AVE.
Ava, MO 65608
(417) 683-5739
✔ PECOS25 mi
Nurse Practitioner
NPI 1093513087
504 W BROADWAY AVE
Ava, MO 65608
(417) 683-5739
✔ PECOS✔ Accepts Medicare25 mi
Clinical Social Worker
NPI 1083223101
504 W. BROADWAY AVE.
Ava, MO 65608
(417) 683-5739
✔ PECOS✔ Accepts Medicare25 mi
Mental Health Counselor
NPI 1558806844
504 W. BROADWAY AVE.
Ava, MO 65608
(417) 683-5739
✔ PECOS✔ Accepts Medicare25 mi
Family Practice
NPI 1700980174
504 NW 10TH AVE.
Ava, MO 65608
(417) 683-4831
✔ PECOS✔ Accepts Medicare26 mi
Nurse Practitioner
NPI 1487210969
504 NW 10TH AVE.
Ava, MO 65608
(417) 683-5739
✔ PECOS✔ Accepts Medicare26 mi
Nurse Practitioner
NPI 1265627970
504 NW 10TH AVE
Ava, MO 65608
(417) 683-4831
✔ PECOS✔ Accepts Medicare26 mi
Nurse Practitioner
NPI 1841283868
504 NW 10TH AVE.
Ava, MO 65608
(417) 683-5739
✔ PECOS✔ Accepts Medicare26 mi
General Practice
NPI 1649332545
504 NW 10TH AVE
Ava, MO 65608
(417) 683-5739
✔ PECOS✔ Accepts Medicare26 mi
Clinical Psychologist
NPI 1033245758
804 N HIGHWAY 5
Mansfield, MO 65704
(417) 924-8809
✔ PECOS✔ Accepts Medicare41 mi
Nurse Practitioner
NPI 1295414464
804 N HIGHWAY 5
Mansfield, MO 65704
(417) 924-8809
✔ PECOS✔ Accepts Medicare41 mi
Nurse Practitioner
NPI 1417350380
804 N HIGHWAY 5
Mansfield, MO 65704
(417) 924-8809
✔ PECOS✔ Accepts Medicare41 mi
Mental Health Counselor
NPI 1194927087
1604 C. N. MAIN STREET
Mountain Grove, MO 65711
(417) 683-5739
✔ PECOS✔ Accepts Medicare45 mi
Mental Health Counselor
NPI 1891076089
3411 DIVISION DR
West Plains, MO 65775
(417) 257-9152
✔ PECOS46 mi
Family Practice
NPI 1457616872
181 N KENTUCKY AVE STE 100
West Plains, MO 65775
(417) 257-5911
✔ PECOS✔ Accepts Medicare46 mi
Family Practice
NPI 1316262280
233 S MAIN ST
Licking, MO 65542
(573) 674-3011
✔ PECOS✔ Accepts Medicare78 mi
Pediatric Medicine
NPI 1629120506
1195 N OAKLAND AVE SUITE 2
Bolivar, MO 65613
(417) 777-2121
✔ PECOS81 mi
See all 32 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 Douglas County Public Health Services Group, Inc.'s NPI number?

The NPI number for Douglas County Public Health Services Group, Inc. is 1588511133. It was assigned to this organization in the NPPES registry on March 12, 2026.

Where is Douglas County Public Health Services Group, Inc. located?

Douglas County Public Health Services Group, Inc. is located at 4900 State Hwy 160, Theodosia, MO 65761. The listed phone number is (417) 683-5739.

What is Douglas County Public Health Services Group, Inc.'s specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Federally Qualified Health Center (FQHC), with taxonomy code 261QF0400X.

Is Douglas County Public Health Services Group, Inc. enrolled in Medicare?

Yes. Douglas County Public Health Services Group, Inc. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Douglas County Public Health Services Group, Inc.?

According to the CMS Revalidation Reassignment List (October 2026 release), 32 clinicians in 9 Medicare specialties reassign their Medicare billing to Douglas County Public Health Services Group, Inc.. 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 (18), Family Practice (4) and Mental Health Counselor (3). Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Douglas County Public Health Services Group, Inc. 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 2 other insurers list Douglas County Public Health Services Group, Inc. 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 Douglas County Public Health Services Group, Inc. was last updated on March 12, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.