EMILY MCCULLOUGH FNP
NPI 1730829078
Nurse Practitioner - Family in Farmington, MO

Active since April 01, 2022PECOS EnrolledAccepts Medicare Assignment
1103 W LIBERTY ST, FARMINGTON, MO 63640(573) 756-6751(573) 756-6807 Get Directions Write a Review

NPPES record last updated: September 18, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 18, 2025, Mar 31, 2025 (2 updates tracked since 2025).

About Emily Mccullough Fnp NPPES

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

EMILY MCCULLOUGH FNP (NPI 1730829078) is an individual family provider in Farmington, Missouri, licensed in Missouri (2022008232) and active in the NPI registry since April 2022. She is enrolled in Medicare PECOS, maintains a secondary practice location in Potosi, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1730829078
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameEMILY MCCULLOUGHCredential: FNP
Location Address1103 W LIBERTY STFarmington, MO 63640-1921
Mailing AddressPo Box 957683Saint Louis, MO 63195-7683 · (573) 438-9355 · Fax (573) 756-6807
Fax(573) 756-6807
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateApril 1, 2022
Last NPPES UpdateSeptember 18, 20252 updates tracked since enumeration
NPPES CertifiedSeptember 18, 2025
NPI 1730829078 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in MO · 2022008232
Also ListedNurse PractitionerTaxonomy 363L00000X · License 2022008232 (MO)
1103 W LIBERTY ST, Farmington, MO 63640

Secondary Practice Location 1

Location 11 Southtowne DrPotosi, MO 63664-5729 · Phone (573) 438-9355

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Emily Mccullough Fnp 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 ID9335527191
PECOS Enrollment IDI20220607001217
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 63640 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$81.64 typical visit price
range $52.28 – $161.24
Typical copayment $20.41 (range $13.07 – $40.31)
Most-billed visit code 99203
Established Patient
$93.24 typical visit price
range $16.30 – $131.05
Typical copayment $23.31 (range $4.07 – $32.76)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

Podiatrist
1103 W LIBERTY ST
FARMINGTON, MO 63640
Family Medicine
1103 W LIBERTY ST
FARMINGTON, MO 63640
Obstetrics & Gynecology
1103 W LIBERTY ST
FARMINGTON, MO 63640
Physician Assistant
1103 W LIBERTY ST
FARMINGTON, MO 63640
Internal Medicine (Cardiovascular Disease)
1103 W LIBERTY ST
FARMINGTON, MO 63640
Surgery
1103 W LIBERTY ST
FARMINGTON, MO 63640
Obstetrics & Gynecology
1103 W LIBERTY ST
FARMINGTON, MO 63640
Internal Medicine
1103 W LIBERTY ST
FARMINGTON, MO 63640

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 Emily Mccullough's NPI number?

The NPI number for Emily Mccullough is 1730829078. It was assigned to this individual provider in the NPPES registry on April 1, 2022.

Where is Emily Mccullough located?

Emily Mccullough practices at 1103 W Liberty St, Farmington, MO 63640. The listed phone number is (573) 756-6751.

What is Emily Mccullough's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Emily Mccullough enrolled in Medicare?

Yes. Emily Mccullough 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.

When was this NPI record last updated?

The NPPES record for Emily Mccullough was last updated on September 18, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.