DEXTER MEDICAL CLINIC
NPI 1669888681
Family Medicine in Dexter, MO

Active since July 10, 2014CLIA 26D0887547 · Waiver
610 N ONE MILE RD, DEXTER, MO 63841(573) 624-3600(573) 624-4702 Get Directions Write a Review

NPPES record last updated: July 29, 2014. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dexter Medical Clinic NPPES

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

DEXTER MEDICAL CLINIC (NPI 1669888681) is a healthcare organization registered as a family medicine in Dexter, Missouri and active in the NPI registry since July 2014. The organization holds a CLIA Waiver certificate valid through July 21, 2027 and lists James P Wright, Sr. Director, as its authorized official.

NPPES Registry Identity

NPI1669888681
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NamePOPLAR BLUFF REGIONAL MEDICAL CENTER, LLC
Location Address610 N ONE MILE RDDexter, MO 63841-2539
Mailing AddressPo Box 689022Franklin, TN 37068-9022 · (615) 465-7000 · Fax (615) 465-3007
Fax(573) 624-4702
Organization SubpartYes
Authorized OfficialJames P WrightSr. Director · (615) 465-7587
Enumeration DateJuly 10, 2014
Last NPPES UpdateJuly 29, 2014
✔ NPI 1669888681 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
610 N ONE MILE RD, Dexter, MO 63841

Other Names 1

Doing Business AsDexter Medical Clinic

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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dexter Medical Clinic is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

13

Medicare enrollment records show 13 clinicians reassign Medicare billing to Dexter Medical Clinic, which bills Medicare for the services they deliver. Of these, 4 practice within 10 miles. They are listed nearest first.

Clinicians by Medicare Specialty 4

Nurse Practitioner9
Family Practice2
Internal Medicine1
Pediatric Medicine1

Clinicians, nearest first (13)

Nurse Practitioner
NPI 1588968606
610 N ONE MILE RD
Dexter, MO 63841
(573) 624-3600
✔ PECOS✔ Accepts Medicare0.9 mi
Nurse Practitioner
NPI 1336404052
610 N ONE MILE RD
Dexter, MO 63841
(573) 624-3600
✔ PECOS0.9 mi
Family Practice
NPI 1013279918
1200 N ONE MILE RD
Dexter, MO 63841
(573) 624-7575
✔ PECOS✔ Accepts Medicare1.5 mi
Nurse Practitioner
NPI 1255696001
741 S WALNUT ST
Bernie, MO 63822
(573) 293-6836
✔ PECOS✔ Accepts Medicare8.7 mi
Nurse Practitioner
NPI 1992850457
130 E. HARBIN
Puxico, MO 63960
(573) 222-3556
✔ PECOS✔ Accepts Medicare15 mi
Internal Medicine
NPI 1144245523
130 E HARBIN AVE
Puxico, MO 63960
(573) 222-3556
✔ PECOS✔ Accepts Medicare15 mi
Pediatric Medicine
NPI 1457741332
806 N DOUGLASS ST
Malden, MO 63863
(573) 276-3873
✔ PECOS17 mi
Nurse Practitioner
NPI 1407692429
806 N DOUGLASS ST
Malden, MO 63863
(573) 276-3873
✔ PECOS✔ Accepts Medicare17 mi
Family Practice
NPI 1508881533
806 N DOUGLASS ST
Malden, MO 63863
(573) 276-3873
✔ PECOS✔ Accepts Medicare17 mi
Nurse Practitioner
NPI 1356061121
806 N DOUGLASS ST
Malden, MO 63863
(573) 276-3873
✔ PECOS✔ Accepts Medicare17 mi
Nurse Practitioner
NPI 1750496253
2400 LUCY LEE PKWY STE A
Poplar Bluff, MO 63901
(573) 686-1144
✔ PECOS✔ Accepts Medicare25 mi
Nurse Practitioner
NPI 1558157883
2588 N WESTWOOD BLVD
Poplar Bluff, MO 63901
(573) 778-1277
✔ PECOS✔ Accepts Medicare26 mi
Nurse Practitioner
NPI 1013262922
2588 N WESTWOOD BLVD
Poplar Bluff, MO 63901
(573) 778-1277
✔ PECOS✔ Accepts Medicare26 mi

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 26D0887547

Dexter Medical Clinic · Dexter, MO
Active · expires Jul 21, 2027
CLIA Number26D0887547
Laboratory TypeRural Health Clinic
Certificate Effective DateJuly 22, 2025
Certificate Expiration DateJuly 21, 2027
Laboratory DirectorJay D. Wilkerson
Laboratory Phone(573) 624-3082
Laboratory LocationDexter Medical Clinic610 North One Mile Road, Dexter, MO 63841
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

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 Poplar Bluff Regional Medical Center, LLC's NPI number?

The NPI number for Poplar Bluff Regional Medical Center, LLC is 1669888681. It was assigned to this organization in the NPPES registry on July 10, 2014. The provider is doing business as Dexter Medical Clinic.

Where is Poplar Bluff Regional Medical Center, LLC located?

Poplar Bluff Regional Medical Center, LLC is located at 610 N One Mile Rd, Dexter, MO 63841. The listed phone number is (573) 624-3600.

What is Poplar Bluff Regional Medical Center, LLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Poplar Bluff Regional Medical Center, LLC enrolled in Medicare?

Yes. Poplar Bluff Regional Medical Center, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Poplar Bluff Regional Medical Center, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 13 clinicians in 4 Medicare specialties reassign their Medicare billing to Poplar Bluff Regional Medical Center, LLC. 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 (2) and Internal Medicine (1). Of these, 4 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Poplar Bluff Regional Medical Center, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 26D0887547) is associated with this NPI, valid through July 21, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Poplar Bluff Regional Medical Center, LLC 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 Poplar Bluff Regional Medical Center, LLC 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 Poplar Bluff Regional Medical Center, LLC was last updated on July 29, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.