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ROBERT R VANDERMYDE
NPI 1689345951
Counselor - Professional in Farmington, MO

Active since September 25, 2021PECOS EnrolledAccepts Medicare Assignment
1085 MAPLE ST, FARMINGTON, MO 63640(573) 482-5334 Get Directions Write a Review

NPPES record last updated: May 8, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: May 8, 2024, Sep 25, 2021 (2 updates tracked since 2021).

About Robert R Vandermyde NPPES

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

ROBERT R VANDERMYDE (NPI 1689345951) is an individual professional provider in Farmington, Missouri and active in the NPI registry since September 2021. He is enrolled in Medicare PECOS, maintains a secondary practice location in Farmington, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1689345951
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameROBERT R VANDERMYDE
Location Address1085 MAPLE STFarmington, MO 63640-1955
Mailing Address400 N Washington St Ste 229Farmington, MO 63640-1716 · (573) 218-9699 · Fax (573) 803-1405
Phone(573) 482-5334
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateSeptember 25, 2021
Last NPPES UpdateMay 8, 20242 updates tracked since enumeration
NPPES CertifiedMay 8, 2024
✔ NPI 1689345951 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
Also ListedCounselorTaxonomy 101Y00000X
1085 MAPLE ST, Farmington, MO 63640
Open in Google Maps ↗

Secondary Practice Location 1

Location 1400 N Washington St Ste 229Farmington, MO 63640-1716 · Phone (573) 218-9699 · Fax (573) 803-1405

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Medica, Oscar Insurance Company.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Robert R Vandermyde is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7113468406
PECOS Enrollment IDI20240926002836
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Robert Vandermyde reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Bjc Behavioral Health
Same address
Mental Health (Including Community Mental Health Center)
1085 MAPLE ST
Farmington, MO 63640
  • Reassigned Medicare billing, Missouri enrollment
  • Also billed through NPI 1669485868 (Missouri)
  • 88 clinicians in this Medicare group
NPI 1801807847 (573) 756-5353

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

RON ALFRED PARKER B.S.
Social Worker
1085 MAPLE ST
FARMINGTON, MO 63640
St. Francois County (573) 747-2427
KATHRYN BEARD
Case Manager/Care Coordinator
1085 MAPLE ST
FARMINGTON, MO 63640
St. Francois County (573) 756-5353
TRENTON NATHANIEL JONES
Social Worker
1085 MAPLE ST
FARMINGTON, MO 63640
St. Francois County (573) 756-5353
BETHANY DAWN ZARCONE
Case Manager/Care Coordinator
1085 MAPLE ST
FARMINGTON, MO 63640
St. Francois County (573) 756-5353
MRS. WENONA H MICKAN MSW
Social Worker (Clinical)
1085 MAPLE ST
FARMINGTON, MO 63640
St. Francois County (573) 747-2438
RACHAEL CHRISTINE HOLLOWAY
Social Worker (Clinical)
1085 MAPLE ST
FARMINGTON, MO 63640
St. Francois County (573) 756-5353
WILLIAM JEFFREY JONES
Social Worker (Clinical)
1085 MAPLE ST
FARMINGTON, MO 63640
St. Francois County (573) 756-5353
REBECCA JEAN BLOOM B.S.ED.
Case Manager/Care Coordinator
1085 MAPLE ST
FARMINGTON, MO 63640
St. Francois County (573) 756-5353

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 Robert Vandermyde's NPI number?

The NPI number for Robert Vandermyde is 1689345951. It was assigned to this individual provider in the NPPES registry on September 25, 2021.

Where is Robert Vandermyde located?

Robert Vandermyde practices at 1085 Maple St, Farmington, MO 63640. The listed phone number is (573) 482-5334.

What is Robert Vandermyde's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Robert Vandermyde enrolled in Medicare?

Yes. Robert Vandermyde is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Robert Vandermyde's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Robert Vandermyde reassigns Medicare benefits to Bjc Behavioral Health (Farmington, MO). The 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 Robert Vandermyde's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Robert Vandermyde accept?

Health plans from Medica and Oscar Insurance Company list Robert Vandermyde 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 Robert Vandermyde was last updated on May 8, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.