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

Q: 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.

Q: What is Emily Mccullough's specialty?

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

Q: 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 13 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.

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: November 01, 2026.

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

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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

Phone(573) 756-6751

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

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Secondary Practice Location 1

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

Accepted Insurance

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

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.

Medicare Billing Reassignment

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

Parkland Health Center

Same address

General Practice

1101 W LIBERTY ST
Farmington, MO 63640

Reassigned Medicare billing, Missouri enrollment
71 clinicians in this Medicare group

NPI 1922016112 (573) 756-6451

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

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.

DR. THOMAS J KIRISITS DPM

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