BURTON CREEK RURAL CLINIC, LLC
NPI 1720075161
Clinic/Center - Rural Health in West Plains, MO
About Burton Creek Rural Clinic, Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BURTON CREEK RURAL CLINIC, LLC (NPI 1720075161) is a healthcare organization registered as a rural health in West Plains, Missouri and active in the NPI registry since September 2005. The organization lists Theresa Christine Gregg, Administrator, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Other Identifiers 3
Group Practice 1
Accepted Insurance
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)
Burton Creek Rural Clinic, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by February 28, 2027
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
17Medicare enrollment records show 17 clinicians reassign Medicare billing to Burton Creek Rural Clinic, LLC, which bills Medicare for the services they deliver. Of these, 10 practice at this address and 14 within 10 miles. They are listed nearest first.
Clinicians by Medicare Specialty 5
Clinicians, nearest first (17)
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 Burton Creek Rural Clinic, LLC's NPI number?
The NPI number for Burton Creek Rural Clinic, LLC is 1720075161. It was assigned to this organization in the NPPES registry on September 30, 2005.
Where is Burton Creek Rural Clinic, LLC located?
Burton Creek Rural Clinic, LLC is located at 805 Kentucky Ave, West Plains, MO 65775. The listed phone number is (417) 256-2111.
What is Burton Creek Rural Clinic, LLC's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Rural Health, with taxonomy code 261QR1300X.
Is Burton Creek Rural Clinic, LLC enrolled in Medicare?
Yes. Burton Creek Rural Clinic, LLC is registered in the Medicare PECOS enrollment system.
When is Burton Creek Rural Clinic, LLC's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Part A enrollment for this organization (Missouri, Rural Health Clinic) is due for revalidation by February 28, 2027. 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 Burton Creek Rural Clinic, LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 17 clinicians in 5 Medicare specialties reassign their Medicare billing to Burton Creek Rural Clinic, 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 (7), Family Practice (6) and Clinical Social Worker (2). Of these, 10 practice at this address and 14 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Burton Creek Rural Clinic, 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 3 other insurers list Burton Creek Rural Clinic, 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 Burton Creek Rural Clinic, LLC was last updated on February 5, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months 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.
# Burton Creek Rural Clinic, Llc · NPI 1720075161
Rural Health organization in West Plains, Missouri. Organization record, active in the CMS NPPES registry since September 30, 2005.
## Identity
- **NPI:** 1720075161 (Entity type: Organization)
- **Enumerated:** September 30, 2005
- **Primary specialty:** Clinic/Center - Rural Health · taxonomy 261QR1300X
- **Organization subpart:** No
- **Authorized official:** Theresa Gregg, ADMINISTRATOR
## Practice location
- **Address:** 805 KENTUCKY AVE, West Plains, MO 65775
- **Phone:** (417) 256-2111 · **Fax:** (417) 256-4858
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** February 28, 2027 (Part A, Missouri, Rural Health Clinic) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 17 clinicians in 5 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (7), Family Practice (6), Clinical Social Worker (2); 10 practice at this address and 14 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** February 5, 2026
- **Other identifiers:** Other DC9179; Medicaid 599022308 (MO); Medicaid 509022307 (MO)
---
Source: [NPI Profile](https://npiprofile.com/npi/1720075161) · Data from the CMS NPPES public registry.