C. TUCKER JOUSTRA FAMILY PRACTICE, INC.
NPI 1609108240
Clinic/Center - Primary Care in Lamar, MO
About C. Tucker Joustra Family Practice, Inc. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
C. TUCKER JOUSTRA FAMILY PRACTICE, INC. (NPI 1609108240) is a healthcare organization registered as a primary care in Lamar, Missouri and active in the NPI registry since February 2010. The organization holds a CLIA Waiver certificate valid through December 14, 2026 and lists Clarence Tucker Joustra, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 3
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)
C. Tucker Joustra Family Practice, Inc. 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 C. Tucker Joustra Family Practice, Inc., which bills Medicare for the services they deliver. Of these, 2 practice at this address. 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 26D0955004
C Tucker Joustra Family Practice Inc · Lamar, 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 C. Tucker Joustra Family Practice, Inc.'s NPI number?
The NPI number for C. Tucker Joustra Family Practice, Inc. is 1609108240. It was assigned to this organization in the NPPES registry on February 8, 2010.
Where is C. Tucker Joustra Family Practice, Inc. located?
C. Tucker Joustra Family Practice, Inc. is located at 805 Gulf St, Lamar, MO 64759. The listed phone number is (417) 682-5508.
What is C. Tucker Joustra Family Practice, Inc.'s specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.
Is C. Tucker Joustra Family Practice, Inc. enrolled in Medicare?
Yes. C. Tucker Joustra Family Practice, Inc. is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through C. Tucker Joustra Family Practice, Inc.?
According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to C. Tucker Joustra Family Practice, Inc., in Family Practice and Nurse Practitioner. 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 at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does C. Tucker Joustra Family Practice, Inc. hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 26D0955004) is associated with this NPI, valid through December 14, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does C. Tucker Joustra Family Practice, 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 C. Tucker Joustra Family Practice, 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 C. Tucker Joustra Family Practice, Inc. was last updated on February 8, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.
# C. Tucker Joustra Family Practice, Inc. · NPI 1609108240
Primary Care organization in Lamar, Missouri. Organization record, active in the CMS NPPES registry since February 8, 2010.
## Identity
- **NPI:** 1609108240 (Entity type: Organization)
- **Enumerated:** February 8, 2010
- **Primary specialty:** Clinic/Center - Primary Care · taxonomy 261QP2300X
- **Organization subpart:** No
- **Authorized official:** Clarence Joustra, PRESIDENT
## Practice location
- **Address:** 805 GULF ST, Lamar, MO 64759-1238
- **Phone:** (417) 682-5508 · **Fax:** (417) 682-5594
## 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: Family Practice (1), Nurse Practitioner (1); 2 practice at this address · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** February 8, 2010
- **Other identifiers:** Medicare PIN 000094186 (MO); Medicare UPIN E08373 (MO); Medicaid 242426534 (MO)
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1609108240) · Data from the CMS NPPES public registry.