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CAREY DIANA VAUGHAN DO
NPI 1821352857
General Practice in Jefferson City, MO

Active since June 25, 2012Opted out of Medicare · through Oct 1, 2027
1014 MADISON ST, JEFFERSON CITY, MO 65101(573) 644-6999(573) 644-7880 Get Directions Write a Review

NPPES record last updated: February 11, 2016. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Carey Diana Vaughan Do NPPES

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

CAREY DIANA VAUGHAN DO (NPI 1821352857) is an individual general practice provider in Jefferson City, Missouri, licensed in Missouri (2011022512) and active in the NPI registry since June 2012. She has opted out of Medicare through October 1, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1821352857
Entity TypeIndividualFemale
Primary Taxonomy208D00000X
Provider Legal NameCAREY DIANA VAUGHANCredential: DO
Location Address1014 MADISON STJefferson City, MO 65101-3458
Mailing Address1014 Madison StJefferson City, MO 65101-3458 · (573) 644-6999 · Fax (573) 644-7880
Phone(573) 644-6999
Fax(573) 644-7880
Sole ProprietorNo
Enumeration DateJune 25, 2012
Last NPPES UpdateFebruary 11, 2016
✔ NPI 1821352857 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License✔ Licensed in MO · 2011022512
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
1014 MADISON ST, Jefferson City, MO 65101
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Carey Diana Vaughan Do has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from October 1, 2017 through October 1, 2027.

Opt-Out Effective DateOctober 1, 2017
Opt-Out In Effect ThroughOctober 1, 2027Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Other Providers at the Same Location NPPES 12

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MAKENZIE LYNN ABBOTT PA-C
Physician Assistant
1014 MADISON ST
JEFFERSON CITY, MO 65101
Cole County (573) 644-6999
CRAIG ALAN LUETKEMEYER M.D.
Family Medicine
1014 MADISON ST
JEFFERSON CITY, MO 65101
Cole County (573) 644-6999
LORRIE L CAMPBELL DO
Family Medicine
1014 MADISON ST
JEFFERSON CITY, MO 65101
Cole County (573) 644-6999
TARAN ELYSE BURGESS MURPHY DNP, APRN, FNP-BC
Nurse Practitioner (Primary Care)
1014 MADISON ST
JEFFERSON CITY, MO 65101
Cole County (573) 644-6999
CAPITAL REGION MEDICAL CENTER
Obstetrics & Gynecology
1014 MADISON ST, SUITE B
JEFFERSON CITY, MO 65101
Cole County (573) 634-3496
ANIQA JOBEDA RAHMAN MD
Family Medicine
1014 MADISON ST
JEFFERSON CITY, MO 65101
Cole County (573) 644-6999
DR. JAMES PATRICK NEWMAN II MD
Family Medicine
1014 MADISON ST
JEFFERSON CITY, MO 65101
Cole County (573) 644-6999
JARED JAMES M.D.
Family Medicine
1014 MADISON ST
JEFFERSON CITY, MO 65101
Cole County (573) 644-6999

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 Carey Vaughan's NPI number?

The NPI number for Carey Vaughan is 1821352857. It was assigned to this individual provider in the NPPES registry on June 25, 2012.

Where is Carey Vaughan located?

Carey Vaughan practices at 1014 Madison St, Jefferson City, MO 65101. The listed phone number is (573) 644-6999.

What is Carey Vaughan's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Is Carey Vaughan enrolled in Medicare?

No. Carey Vaughan has opted out of Medicare through October 1, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Carey Vaughan was last updated on February 11, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.