SULLIVAN COUNTY MEMORIAL HOSPITAL MILAN FAMILY PRACTICE
NPI 1619065828
Clinic/Center - Rural Health in Milan, MO
About Sullivan County Memorial Hospital Milan Family Practice NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SULLIVAN COUNTY MEMORIAL HOSPITAL MILAN FAMILY PRACTICE (NPI 1619065828) is a healthcare organization registered as a rural health in Milan, Missouri and active in the NPI registry since October 2006. The organization lists Amy Michael, Chief Operating Officer, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
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)
Sullivan County Memorial Hospital Milan Family Practice is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
20Medicare enrollment records show 20 clinicians reassign Medicare billing to Sullivan County Memorial Hospital Milan Family Practice, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 6 within 10 miles. They are listed nearest first.
Clinicians by Medicare Specialty 8
Clinicians, nearest first (20)
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 Sullivan County Memorial Hospital's NPI number?
The NPI number for Sullivan County Memorial Hospital is 1619065828. It was assigned to this organization in the NPPES registry on October 11, 2006. The provider is doing business as Sullivan County Memorial Hospital Milan Family Practice.
Where is Sullivan County Memorial Hospital located?
Sullivan County Memorial Hospital is located at 210 N Market St, Milan, MO 63556. The listed phone number is (660) 265-4456.
What is Sullivan County Memorial Hospital's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Rural Health, with taxonomy code 261QR1300X.
Is Sullivan County Memorial Hospital enrolled in Medicare?
Yes. Sullivan County Memorial Hospital is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Sullivan County Memorial Hospital?
According to the CMS Revalidation Reassignment List (October 2026 release), 20 clinicians in 8 Medicare specialties reassign their Medicare billing to Sullivan County Memorial Hospital. 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 (9), Family Practice (5) and Cardiovascular Disease (Cardiology) (1). Of these, 2 practice at this address and 6 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Sullivan County Memorial Hospital 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 Sullivan County Memorial Hospital 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 Sullivan County Memorial Hospital was last updated on November 30, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.
# Sullivan County Memorial Hospital Milan Family Practice · NPI 1619065828
Rural Health organization in Milan, Missouri. Organization record, active in the CMS NPPES registry since October 11, 2006.
## Identity
- **NPI:** 1619065828 (Entity type: Organization)
- **Enumerated:** October 11, 2006
- **Primary specialty:** Clinic/Center - Rural Health · taxonomy 261QR1300X
- **Legal business name:** Sullivan County Memorial Hospital
- **Organization subpart:** Yes (part of Sullivan County Memorial Hospital)
- **Authorized official:** Amy Michael, CHIEF OPERATING OFFICER
## Practice location
- **Address:** 210 N MARKET ST, Milan, MO 63556-1316
- **Phone:** (660) 265-4456
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 20 clinicians in 8 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (9), Family Practice (5), Cardiovascular Disease (Cardiology) (1); 2 practice at this address and 6 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** November 30, 2015
- **Other identifiers:** Medicaid 591720800 (MO); Medicaid 501720809 (MO); Medicare OSCAR/certification 268729 (MO)
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Source: [NPI Profile](https://npiprofile.com/npi/1619065828) · Data from the CMS NPPES public registry.