BIG TREE MEDICAL HOME
NPI 1740858562
Family Medicine in Columbia, MO

Active since June 17, 2021
200 CORPORATE LAKE DR, COLUMBIA, MO 65203(573) 814-1170 Get Directions Write a Review

NPPES record last updated: January 4, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jan 4, 2023, Jun 17, 2021 (2 updates tracked since 2021).

About Big Tree Medical Home NPPES

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

BIG TREE MEDICAL HOME (NPI 1740858562) is a healthcare organization registered as a family medicine in Columbia, Missouri and active in the NPI registry since June 2021. The organization lists Adam Wheeler, Ceo, as its authorized official.

NPPES Registry Identity

NPI1740858562
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameBIG TREE MEDICAL GROUP LLC
Location Address200 CORPORATE LAKE DRColumbia, MO 65203-7172
Mailing Address200 Corporate Lake DrColumbia, MO 65203-7172 · (573) 814-1170
Organization SubpartNo
Authorized OfficialAdam WheelerCeo · (573) 673-5770
Enumeration DateJune 17, 2021
Last NPPES UpdateJanuary 4, 20232 updates tracked since enumeration
NPPES CertifiedJanuary 4, 2023
✔ NPI 1740858562 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedBehavior AnalystTaxonomy 103K00000X
Also ListedAllergy & ImmunologyTaxonomy 207K00000X
Also ListedCommunity/Behavioral HealthTaxonomy 251S00000X
200 CORPORATE LAKE DR, Columbia, MO 65203

Other Names 1

Doing Business AsBig Tree Medical Home

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Big Tree Medical Home is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

12

Medicare enrollment records show 12 clinicians reassign Medicare billing to Big Tree Medical Home, which bills Medicare for the services they deliver. Of these, 3 practice at this address and 7 within 10 miles. They are listed nearest first.

Clinicians by Medicare Specialty 3

Nurse Practitioner9
Pediatric Medicine2
General Practice1

Clinicians, nearest first (12)

Nurse Practitioner
NPI 1871274654
200 CORPORATE LAKE DR
Columbia, MO 65203
(573) 814-1170
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1053191163
200 CORPORATE LAKE DR
Columbia, MO 65203
(573) 814-1170
✔ PECOS✔ Accepts MedicareSame address
Pediatric Medicine
NPI 1891803086
200 CORPORATE LAKE DR
Columbia, MO 65203
(573) 814-1170
✔ PECOS✔ Accepts MedicareSame address
General Practice
NPI 1144868019
5083 COMMERCIAL DR
Columbia, MO 65203
(573) 814-1170
✔ PECOS0.2 mi
Pediatric Medicine
NPI 1265720106
1 HOSPITAL DRIVE
Columbia, MO 65212
(573) 882-4438
✔ PECOS3.0 mi
Nurse Practitioner
NPI 1134604192
500 N KEENE ST STE 306
Columbia, MO 65201
(573) 817-3165
✔ PECOS✔ Accepts Medicare5.1 mi
Nurse Practitioner
NPI 1043066483
2616 LENTZ DR
Columbia, MO 65202
(573) 366-9939
✔ PECOS✔ Accepts Medicare7.3 mi
Nurse Practitioner
NPI 1013542109
1241 W STADIUM BLVD
Jefferson City, MO 65109
(573) 634-4878
✔ PECOS✔ Accepts Medicare24 mi
Nurse Practitioner
NPI 1629755871
1850 SOUTHRIDGE DR SUITE A
Jefferson City, MO 65109
(573) 814-1170
✔ PECOS✔ Accepts Medicare25 mi
Nurse Practitioner
NPI 1174271803
304A E 4TH ST
Eldon, MO 65026
(573) 552-5700
✔ PECOS40 mi
Nurse Practitioner
NPI 1669083382
2410 S LIMIT AVE
Sedalia, MO 65301
(573) 814-1170
✔ PECOS✔ Accepts Medicare51 mi
Nurse Practitioner
NPI 1861179129
7925 NW 110TH ST
Kansas City, MO 64153
(816) 858-2412
✔ PECOS✔ Accepts Medicare129 mi

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 Big Tree Medical Group LLC's NPI number?

The NPI number for Big Tree Medical Group LLC is 1740858562. It was assigned to this organization in the NPPES registry on June 17, 2021. The provider is doing business as Big Tree Medical Home.

Where is Big Tree Medical Group LLC located?

Big Tree Medical Group LLC is located at 200 Corporate Lake Dr, Columbia, MO 65203. The listed phone number is (573) 814-1170.

What is Big Tree Medical Group LLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Big Tree Medical Group LLC enrolled in Medicare?

Yes. Big Tree Medical Group LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Big Tree Medical Group LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 12 clinicians in 3 Medicare specialties reassign their Medicare billing to Big Tree Medical Group 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 (9), Pediatric Medicine (2) and General Practice (1). Of these, 3 practice at this address and 7 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Big Tree Medical Group LLC accept?

Health plans from Anthem Blue Cross and Blue Shield and Blue Cross and Blue Shield of Kansas, Inc. list Big Tree Medical Group 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 Big Tree Medical Group LLC was last updated on January 4, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.