GREAT MINES HEALTH CENTER
NPI 1669654638
Family Medicine in De Soto, MO
About Great Mines Health Center NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
GREAT MINES HEALTH CENTER (NPI 1669654638) is a healthcare organization registered as a family medicine in De Soto, Missouri and active in the NPI registry since December 2007. The organization lists Donna L Blount, Office Manager, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Great Mines Health Center is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by November 30, 2026
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
35Medicare enrollment records show 35 clinicians reassign Medicare billing to Great Mines Health Center, which bills Medicare for the services they deliver. Of these, 2 practice within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 10
Nearest to this location (20)
See all 35Source: 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 Great Mines Health Center's NPI number?
The NPI number for Great Mines Health Center is 1669654638. It was assigned to this organization in the NPPES registry on December 3, 2007.
Where is Great Mines Health Center located?
Great Mines Health Center is located at 123 W Pratt St, De Soto, MO 63020. The listed phone number is (636) 586-2522.
What is Great Mines Health Center's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Great Mines Health Center enrolled in Medicare?
Yes. Great Mines Health Center is registered in the Medicare PECOS enrollment system.
When is Great Mines Health Center's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Missouri, Clinic/Group Practice) is due for revalidation by November 30, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Great Mines Health Center?
According to the CMS Revalidation Reassignment List (October 2026 release), 35 clinicians in 10 Medicare specialties reassign their Medicare billing to Great Mines Health Center. 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 (13), Clinical Social Worker (6) and Mental Health Counselor (5). Of these, 2 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Great Mines Health Center was last updated on February 4, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.
# Great Mines Health Center · NPI 1669654638
Family Medicine organization in De Soto, Missouri. Organization record, active in the CMS NPPES registry since December 3, 2007.
## Identity
- **NPI:** 1669654638 (Entity type: Organization)
- **Enumerated:** December 3, 2007
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Organization subpart:** No
- **Authorized official:** Donna Blount, OFFICE MANAGER
## Practice location
- **Address:** 123 W PRATT ST, De Soto, MO 63020-2107
- **Phone:** (636) 586-2522 · **Fax:** (636) 586-2546
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** November 30, 2026 (Non-DME Part B, Missouri, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 35 clinicians in 10 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (13), Clinical Social Worker (6), Mental Health Counselor (5); 2 practice within 10 miles; [full list](https://npiprofile.com/npi/1669654638/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** February 4, 2008
---
Source: [NPI Profile](https://npiprofile.com/npi/1669654638) · Data from the CMS NPPES public registry.