MADISON MEDICAL CENTER STOCKHOFF MEMORIAL NURSING HOME
Medicare Clinicians for NPI 1720163025
General Acute Care Hospital - Critical Access in Fredericktown, MO

Active since October 26, 2006
611 W MAIN ST, FREDERICKTOWN, MO 63645(573) 783-3341(573) 783-1096 Get Directions

NPPES record last updated: June 25, 2008. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Clinicians Billing Medicare Through This Organization CMS

Clinicians who reassign their Medicare billing to this organization, per CMS enrollment records.

Madison Medical Center Stockhoff Memorial Nursing Home in Fredericktown, MO bills Medicare for 35 clinicians across 14 Medicare specialties. The largest specialties are Nurse Practitioner with 11, Family Practice with 5 and Emergency Medicine with 4. Of these, 1 practice at this address and 10 within 10 miles. Search by name or filter by specialty; each name links to that clinician's NPI profile.

35Clinicians
14Medicare specialties
33PECOS enrolled
31Accept Medicare
35 clinicians in 14 specialties

Nurse Practitioner (11)

Nurse Practitioner
NPI 1043490857
611 WEST MAIN STREET SUITE E
Fredericktown, MO 63645
(573) 783-3341
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1639718984
611 W MAIN ST
Fredericktown, MO 63645
(573) 783-3341
✔ PECOS✔ Accepts Medicare1.2 mi
Nurse Practitioner
NPI 1558545871
611 W MAIN ST
Fredericktown, MO 63645
(573) 783-3341
✔ PECOS✔ Accepts Medicare1.2 mi
Nurse Practitioner
NPI 1083782395
611 W MAIN ST
Fredericktown, MO 63645
(573) 783-4111
✔ PECOS✔ Accepts Medicare1.2 mi
Nurse Practitioner
NPI 1306402680
611 W MAIN ST
Fredericktown, MO 63645
(573) 783-3341
✔ PECOS✔ Accepts Medicare1.2 mi
Nurse Practitioner
NPI 1619081593
611 W MAIN ST
Fredericktown, MO 63645
(573) 783-4111
✔ PECOS✔ Accepts Medicare1.2 mi
Nurse Practitioner
NPI 1225487143
501 W PINE ST
Farmington, MO 63640
(573) 756-8888
✔ PECOS✔ Accepts Medicare17 mi
Nurse Practitioner
NPI 1467639278
534 MAPLE VALLEY DR
Farmington, MO 63640
(573) 760-8253
✔ PECOS✔ Accepts Medicare17 mi
Nurse Practitioner
NPI 1417353608
2865 JAMES BLVD
Poplar Bluff, MO 63901
(573) 776-1100
✔ PECOS✔ Accepts Medicare54 mi
Nurse Practitioner
NPI 1154654416
605 OLD BALLAS RD STE 200
St. Louis, MO 63141
(314) 872-8740
✔ PECOS✔ Accepts Medicare77 mi
Nurse Practitioner
NPI 1275955494
1312 1ST ST
Kennett, MO 63857
(573) 717-1080
✔ PECOS✔ Accepts Medicare93 mi

Family Practice (5)

Family Practice
NPI 1932277498
611 W MAIN ST
Fredericktown, MO 63645
(573) 783-4111
✔ PECOS✔ Accepts Medicare1.2 mi
Family Practice
NPI 1508972233
611 W MAIN ST
Fredericktown, MO 63645
(573) 783-3341
✔ PECOS✔ Accepts Medicare1.2 mi
Family Practice
NPI 1225022718
800 STE GENEVIEVE DR
Ste Genevieve, MO 63670
(573) 883-4438
✔ PECOS✔ Accepts Medicare32 mi
Family Practice
NPI 1144251679
5058 ROMAINE SPRING DR
Fenton, MO 63026
(636) 326-2517
✔ PECOS✔ Accepts Medicare63 mi
Family Practice
NPI 1528257508
2103 FM 2920 RD STE A
Spring, TX 77388
(346) 646-3429
✔ PECOS✔ Accepts Medicare595 mi

Emergency Medicine (4)

Emergency Medicine
NPI 1891759221
434 N WEST ST
Perryville, MO 63775
(573) 547-2536
✔ PECOS✔ Accepts Medicare37 mi
Emergency Medicine
NPI 1386685071
2620 N WESTWOOD BLVD
Poplar Bluff, MO 63901
(573) 785-7721
✔ PECOS✔ Accepts Medicare57 mi
Emergency Medicine
NPI 1457338493
11123 S TOWNE SQ STE. #E
Saint Louis, MO 63123
(314) 487-4537
✔ PECOS✔ Accepts Medicare66 mi
Emergency Medicine
NPI 1760435648
300 1ST CAPITOL DR
Saint Charles, MO 63301
(636) 947-5000
✔ PECOS✔ Accepts Medicare85 mi

Orthopedic Surgery (3)

Orthopedic Surgery
NPI 1598140014
1103 W LIBERTY ST
Farmington, MO 63640
(573) 760-8090
✔ PECOS✔ Accepts Medicare17 mi
Orthopedic Surgery
NPI 1295983567
606 MAPLE VALLEY DR
Farmington, MO 63640
(573) 756-7779
✔ PECOS✔ Accepts Medicare17 mi
Orthopedic Surgery
NPI 1861685463
206 HOSPITAL LN SUTIE 202
Perryville, MO 63775
(573) 768-3396
✔ PECOS✔ Accepts Medicare27 mi

Certified Registered Nurse Anesthetist (CRNA) (2)

Certified Registered Nurse Anesthetist (CRNA)
NPI 1659325942
400 PARKLAND DR
Farmington, MO 63640
(573) 756-8000
17 mi
Certified Registered Nurse Anesthetist (CRNA)
NPI 1093760688
1212 WEBER RD
Farmington, MO 63640
(573) 756-4581
18 mi

Internal Medicine (2)

Internal Medicine
NPI 1548235419
611 W MAIN ST
Fredericktown, MO 63645
(573) 783-3341
✔ PECOS1.2 mi
Internal Medicine
NPI 1356305684
3100 OAK GROVE RD
Poplar Bluff, MO 63901
(573) 776-9290
✔ PECOS✔ Accepts Medicare54 mi

Anesthesiology (1)

Anesthesiology
NPI 1083729941
4122 KEATON CROSSING BLVD SUITE 102
O Fallon, MO 63368
(636) 329-9077
✔ PECOS✔ Accepts Medicare83 mi

Gastroenterology (1)

Gastroenterology
NPI 1336247915
1723 BROADWAY ST SUITE 220
Cape Girardeau, MO 63701
(573) 331-7910
✔ PECOS✔ Accepts Medicare45 mi

General Surgery (1)

General Surgery
NPI 1609934728
209 WEST MAIN STREET
Waverly, TN 37185
(931) 296-9830
✔ PECOS✔ Accepts Medicare172 mi

Pediatric Medicine (1)

Pediatric Medicine
NPI 1104973858
611 W MAIN ST
Fredericktown, MO 63645
(573) 783-3341
✔ PECOS1.2 mi

Podiatry (1)

Podiatry
NPI 1790719128
1216 W MAIN ST LOWR LEVEL
Festus, MO 63028
(636) 933-4100
✔ PECOS✔ Accepts Medicare46 mi

Pulmonary Disease (1)

Pulmonary Disease
NPI 1194144303
11133 DUNN RD STE 2335
Saint Louis, MO 63136
(314) 653-5007
✔ PECOS✔ Accepts Medicare84 mi

Rheumatology (1)

Rheumatology
NPI 1477565893
5000 CEDAR PLAZA PKWY STE 220
Saint Louis, MO 63128
(314) 845-9010
✔ PECOS✔ Accepts Medicare64 mi

Urology (1)

Urology
NPI 1528047974
105 N KEENE ST STE 201
Columbia, MO 65201
(573) 499-4990
✔ PECOS✔ Accepts Medicare145 mi
No clinicians match the current filters.

About this data

Medicare reassignment. A clinician who works for a hospital, clinic or medical group usually signs a Medicare reassignment (form CMS-855R). It lets the organization bill Medicare for the clinician's services and receive the payment. This page lists the clinicians whose reassignment to Madison Medical Center Stockhoff Memorial Nursing Home appears in the CMS Revalidation Reassignment List.

Who is included. Clinicians who bill Medicare under their own NPI through this organization. A clinician can reassign to more than one organization, so the same name may also appear under other groups.

✔ PECOS
Enrolled in Medicare through PECOS, CMS's enrollment system, and eligible to order and refer for Medicare patients.
✔ Accepts Medicare
Accepts Medicare assignment, which means taking the Medicare-approved amount as full payment for covered services.
Same address 4.2 mi
Straight-line distance from this NPI's practice location to the clinician's practice address.

Addresses and phone numbers come from each clinician's own NPPES record, so they may point to another office or to the clinician's own practice.

Source: CMS Revalidation Reassignment List, October 2026 release; addresses, phone numbers and Medicare status from NPPES and PECOS. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.