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COMMUNITY HEALTH CTR OF CENTRAL MISSOURI
NPI 1790922920
Clinic/Center - Federally Qualified Health Center (FQHC) in Jefferson City, MO

Active since January 09, 2009
1905 STADIUM BLVD, JEFFERSON CITY, MO 65109(573) 632-2777(573) 632-2769 Get Directions Write a Review

NPPES record last updated: March 10, 2016. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Community Health Ctr Of Central Missouri NPPES

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

COMMUNITY HEALTH CTR OF CENTRAL MISSOURI (NPI 1790922920) is a healthcare organization registered as a federally qualified health center (fqhc) in Jefferson City, Missouri and active in the NPI registry since January 2009. The organization lists Toby Barnett, Chief Fin Officer, as its authorized official.

NPPES Registry Identity

NPI1790922920
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameCOMMUNITY HEALTH CTR OF CENTRAL MISSOURI
Location Address1905 STADIUM BLVDJefferson City, MO 65109-1961
Mailing AddressPo Box 104780Jefferson City, MO 65110-4780 · (573) 632-0243 · Fax (573) 632-0248
Phone(573) 632-2777
Fax(573) 632-2769
Organization SubpartNo
Authorized OfficialToby BarnettChief Fin Officer · (573) 632-0243
Enumeration DateJanuary 9, 2009
Last NPPES UpdateMarch 10, 2016
✔ NPI 1790922920 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
Taxonomy Code261QF0400X
1905 STADIUM BLVD, Jefferson City, MO 65109
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.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)

Community Health Ctr Of Central Missouri is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

32

Medicare enrollment records show 32 clinicians reassign Medicare billing to Community Health Ctr Of Central Missouri, which bills Medicare for the services they deliver. Of these, 26 practice within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 10

Family Practice11
Obstetrics/Gynecology7
Nurse Practitioner6
Mental Health Counselor2
Clinical Social Worker1
Diagnostic Radiology1
Hospice/Palliative Care1
Internal Medicine1
2 other specialties2

Nearest to this location (20)

See all 32
Brandi Nichols, MD
Obstetrics/Gynecology
NPI 1578656674
1241 W STADIUM BLVD
Jefferson City, MO 65109
(573) 636-5248
✔ PECOS0.4 mi
Amanda Rodemann, DO
Obstetrics/Gynecology
NPI 1265639603
1241 W STADIUM BLVD SUITE 102
Jefferson City, MO 65109
(573) 636-5248
✔ PECOS✔ Accepts Medicare0.4 mi
Mary Faurot, MD
Obstetrics/Gynecology
NPI 1932726494
1241 W STADIUM BLVD
Jefferson City, MO 65109
(573) 632-5510
✔ PECOS✔ Accepts Medicare0.6 mi
Jodi Berendzen, M.D.
Obstetrics/Gynecology
NPI 1356509871
1241 W STADIUM BLVD SUITE 102
Jefferson City, MO 65109
(573) 636-5248
✔ PECOS✔ Accepts Medicare0.7 mi
Abigail Aguilar, FNP-C
Nurse Practitioner
NPI 1861032732
1511 CHRISTY DR
Jefferson City, MO 65101
(573) 632-2777
✔ PECOS0.8 mi
Kerrie Blair, UNDER LPC SUPERVISIO
Mental Health Counselor
NPI 1952624272
1511 CHRISTY DR
Jefferson City, MO 65101
(573) 632-2777
✔ PECOS0.8 mi
Sheryl Cade, FNP-BC
Nurse Practitioner
NPI 1649832833
1511 CHRISTY DR
Jefferson City, MO 65101
(573) 632-2777
✔ PECOS0.8 mi
Kimberly Foster, LPC
Mental Health Counselor
NPI 1508559006
1511 CHRISTY DR
Jefferson City, MO 65101
(573) 632-2777
✔ PECOS0.8 mi
Rebecca Hogg, M.D.
Family Practice
NPI 1316387814
1511 CHRISTY DR
Jefferson City, MO 65101
(573) 632-2777
✔ PECOS0.8 mi
Megan King, D.O.
Family Practice
NPI 1649597667
1511 CHRISTY DR
Jefferson City, MO 65101
(573) 632-2777
✔ PECOS0.8 mi
Crystal Sullivan, D.O.
Family Practice
NPI 1477864502
1511 CHRISTY DR
Jefferson City, MO 65101
(573) 632-2777
✔ PECOS0.8 mi
Kristine Wall, NP
Family Practice
NPI 1275380628
1511 CHRISTY DR
Jefferson City, MO 65101
(573) 632-2777
✔ PECOS0.8 mi
Erica White
Nurse Practitioner
NPI 1053081752
1125 MADISON ST
Jefferson City, MO 65101
(573) 632-5337
✔ PECOS1.1 mi
Sheila Carnett, DO
Obstetrics/Gynecology
NPI 1811902638
1125 MADISON ST
Jefferson City, MO 65101
(573) 632-5510
✔ PECOS1.1 mi
Teri Deffenbaugh, DO
Obstetrics/Gynecology
NPI 1427006071
1125 MADISON ST OB GYN ASSOCIATES
Jefferson City, MO 65101
(573) 632-5510
✔ PECOS✔ Accepts Medicare1.1 mi
Shelly Gudehus, FNP
Nurse Practitioner
NPI 1629043849
1125 MADISON ST
Jefferson City, MO 65101
(573) 632-5580
✔ PECOS1.1 mi
Adam Patterson, MD
Diagnostic Radiology
NPI 1912013582
1125 MADISON ST
Jefferson City, MO 65101
(573) 632-5000
✔ PECOS✔ Accepts Medicare1.1 mi
Craig Luetkemeyer, M.D.
Family Practice
NPI 1013279967
1014 MADISON ST
Jefferson City, MO 65101
(573) 644-6999
✔ PECOS✔ Accepts Medicare1.2 mi
Gaurav Kulkarni, M.D.
Psychiatry
NPI 1962714162
227 METRO DR
Jefferson City, MO 65109
(888) 403-1071
✔ PECOS2.1 mi
Jennifer Thomas, LMSW
Clinical Social Worker
NPI 1477072395
3400 W TRUMAN BLVD
Jefferson City, MO 65109
(573) 632-2777
✔ PECOS3.0 mi
See all 32 clinicians

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 Community Health Ctr Of Central Missouri's NPI number?

The NPI number for Community Health Ctr Of Central Missouri is 1790922920. It was assigned to this organization in the NPPES registry on January 9, 2009.

Where is Community Health Ctr Of Central Missouri located?

Community Health Ctr Of Central Missouri is located at 1905 Stadium Blvd, Jefferson City, MO 65109. The listed phone number is (573) 632-2777.

What is Community Health Ctr Of Central Missouri's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Federally Qualified Health Center (FQHC), with taxonomy code 261QF0400X.

Is Community Health Ctr Of Central Missouri enrolled in Medicare?

Yes. Community Health Ctr Of Central Missouri is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Community Health Ctr Of Central Missouri?

According to the CMS Revalidation Reassignment List (October 2026 release), 32 clinicians in 10 Medicare specialties reassign their Medicare billing to Community Health Ctr Of Central Missouri. 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 Family Practice (11), Obstetrics/Gynecology (7) and Nurse Practitioner (6). Of these, 26 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Community Health Ctr Of Central Missouri accept?

Health plans from Anthem Blue Cross and Blue Shield list Community Health Ctr Of Central Missouri 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 Community Health Ctr Of Central Missouri was last updated on March 10, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.