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MCPHERSON MEDICAL AND DIAGNOSTIC, LLC
NPI 1679706956
Family Medicine in Kennett, MO

Active since September 02, 2009
901 W COMMERCIAL ST, KENNETT, MO 63857(573) 717-1072(573) 717-1529 Get Directions Write a Review

NPPES record last updated: June 12, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jun 12, 2023, Oct 1, 2019, Aug 28, 2019 (3 updates tracked since 2019).

About Mcpherson Medical And Diagnostic, Llc NPPES

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

MCPHERSON MEDICAL AND DIAGNOSTIC, LLC (NPI 1679706956) is a healthcare organization registered as a family medicine in Kennett, Missouri and active in the NPI registry since September 2009. The organization lists Timothy W Mcpherson, Owner, as its authorized official.

NPPES Registry Identity

NPI1679706956
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameMCPHERSON MEDICAL & DIAGNOSTIC, LLC
Location Address901 W COMMERCIAL STKennett, MO 63857-1100
Mailing AddressPo Box 12545Belfast, ME 04915-4016 · (573) 717-1072 · Fax (573) 717-1529
Phone(573) 717-1072
Fax(573) 717-1529
Organization SubpartYes
Authorized OfficialTimothy W McphersonOwner · (573) 695-2181
Enumeration DateSeptember 2, 2009
Last NPPES UpdateJune 12, 20233 updates tracked since enumeration
NPPES CertifiedJune 12, 2023
✔ NPI 1679706956 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.
901 W COMMERCIAL ST, Kennett, MO 63857
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Other Names 1

Doing Business AsMcpherson Medical And Diagnostic, Llc

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Sunflower Health Plan, Ambetter Health and more.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)

Mcpherson Medical And Diagnostic, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

116

Medicare enrollment records show 116 clinicians reassign Medicare billing to Mcpherson Medical And Diagnostic, LLC, which bills Medicare for the services they deliver. Of these, 3 practice at this address and 15 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 20

Nurse Practitioner77
Family Practice12
Internal Medicine5
Obstetrics/Gynecology4
Clinical Social Worker2
General Surgery2
Anesthesiology1
Cardiovascular Disease (Cardiology)1
12 other specialties12

Nearest to this location (20)

See all 116
James Edgington, DO
Family Practice
NPI 1497497432
901 W COMMERCIAL ST
Kennett, MO 63857
(573) 717-1072
✔ PECOS✔ Accepts MedicareSame address
Shelby Likes, FNP
Nurse Practitioner
NPI 1710560628
901 W COMMERCIAL ST
Kennett, MO 63857
(573) 717-1072
✔ PECOS✔ Accepts MedicareSame address
Sophia Mazhou
Nurse Practitioner
NPI 1801657853
901 W COMMERCIAL ST
Kennett, MO 63857
(870) 489-8633
✔ PECOS✔ Accepts MedicareSame address
Tiffany Leeker, LCSW
Clinical Social Worker
NPI 1669562591
103 S MAIN ST STE 3
Kennett, MO 63857
(573) 840-0440
✔ PECOS✔ Accepts Medicare0.6 mi
Connie Gurley, APRN-BC, FNP
Nurse Practitioner
NPI 1104115153
1231 1ST ST SUITE 5
Kennett, MO 63857
(573) 888-8690
✔ PECOS✔ Accepts Medicare1.1 mi
Jeremy Hughes
Nurse Practitioner
NPI 1699200477
1231 1ST ST STE 5
Kennett, MO 63857
(573) 888-8606
✔ PECOS✔ Accepts Medicare1.1 mi
Lori Parker, CNP
Nurse Practitioner
NPI 1801224407
211 TEACO RD
Kennett, MO 63857
(573) 888-0004
✔ PECOS✔ Accepts Medicare1.1 mi
Carolyn Herbert
Nurse Practitioner
NPI 1386315778
304 TEACO RD
Kennett, MO 63857
(573) 888-0001
✔ PECOS✔ Accepts Medicare1.2 mi
Shellee Flora, FNP
Nurse Practitioner
NPI 1871276667
304 TEACO RD
Kennett, MO 63857
(573) 559-3591
✔ PECOS✔ Accepts Medicare1.2 mi
Candace Sipes, NP
Nurse Practitioner
NPI 1013883297
304 TEACO RD
Kennett, MO 63857
(573) 559-3591
✔ PECOS✔ Accepts Medicare1.2 mi
Suzanne Steele, LCSW
Clinical Social Worker
NPI 1205712262
304 TEACO RD
Kennett, MO 63857
(573) 559-3591
✔ PECOS✔ Accepts Medicare1.2 mi
Kristina Wadley, FNP-C
Nurse Practitioner
NPI 1124741715
304 TEACO RD
Kennett, MO 63857
(573) 559-3591
✔ PECOS✔ Accepts Medicare1.2 mi
Tabitha Chu
Nurse Practitioner
NPI 1720629561
304 TEACO RD
Kennett, MO 63857
(573) 559-3591
✔ PECOS✔ Accepts Medicare1.2 mi
Heather Key, APRN
Nurse Practitioner
NPI 1780099598
304 TEACO RD
Kennett, MO 63857
(573) 559-3591
✔ PECOS✔ Accepts Medicare1.2 mi
Scott Williams, PMHNP-BC
Nurse Practitioner
NPI 1578458907
1231 1ST ST
Kennett, MO 63857
(314) 662-3495
✔ PECOS✔ Accepts Medicare2.0 mi
Abdullah Arshad, MD
Internal Medicine
NPI 1477660637
223 S 3RD ST
Hayti, MO 63851
(573) 559-3591
✔ PECOS✔ Accepts Medicare13 mi
Katherine Joseph
Nurse Practitioner
NPI 1902343247
100 N MAIN ST
Gideon, MO 63848
(573) 448-3800
✔ PECOS✔ Accepts Medicare15 mi
Timothy Mcpherson, D.O.
Family Practice
NPI 1245264696
216 W MAIN ST
Steele, MO 63877
(573) 695-2181
✔ PECOS✔ Accepts Medicare17 mi
Ajay Suman, M.D.
Pain Management
NPI 1295761542
907 E REED ST
Hayti, MO 63851
(786) 774-7143
✔ PECOS✔ Accepts Medicare18 mi
Babatunde Oladiran, MD
General Surgery
NPI 1972610905
907 E REED ST
Hayti, MO 63851
(573) 359-3660
✔ PECOS✔ Accepts Medicare18 mi
See all 116 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 Mcpherson Medical & Diagnostic, LLC's NPI number?

The NPI number for Mcpherson Medical & Diagnostic, LLC is 1679706956. It was assigned to this organization in the NPPES registry on September 2, 2009. The provider is doing business as Mcpherson Medical And Diagnostic, LLC.

Where is Mcpherson Medical & Diagnostic, LLC located?

Mcpherson Medical & Diagnostic, LLC is located at 901 W Commercial St, Kennett, MO 63857. The listed phone number is (573) 717-1072.

What is Mcpherson Medical & Diagnostic, LLC's specialty?

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

Is Mcpherson Medical & Diagnostic, LLC enrolled in Medicare?

Yes. Mcpherson Medical & Diagnostic, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Mcpherson Medical & Diagnostic, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 116 clinicians in 20 Medicare specialties reassign their Medicare billing to Mcpherson Medical & Diagnostic, 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 (77), Family Practice (12) and Internal Medicine (5). Of these, 3 practice at this address and 15 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Mcpherson Medical & Diagnostic, 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 Mcpherson Medical & Diagnostic, 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 Mcpherson Medical & Diagnostic, LLC was last updated on June 12, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.