Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

KELLEY N SQUIRES MD
NPI 1871279661
Pediatrics in Columbia, MO

Q: What is Kelley Squires's NPI number?

The NPI number for Kelley Squires is 1871279661. It was assigned to this individual provider in the NPPES registry on June 26, 2023.

Q: What is Kelley Squires's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Q: When was this NPI record last updated?

The NPPES record for Kelley Squires was last updated on August 10, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 days 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 June 26, 2023PECOS Enrolled

1 HOSPITAL DRIVE DCO58.00, COLUMBIA, MO 65212(573) 882-4438 Get Directions Write a Review

NPPES record last updated: August 10, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 10, 2026, Apr 29, 2026 (2 updates tracked since 2026).

On this page

About Kelley N Squires Md NPPES

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

KELLEY N SQUIRES MD (NPI 1871279661) is an individual pediatrics provider in Columbia, Missouri, licensed in Missouri (2023023785) and active in the NPI registry since June 2023. She is enrolled in Medicare PECOS and maintains a secondary practice location in Springfield.

NPPES Registry Identity

NPI1871279661

Entity TypeIndividualFemale

Primary Taxonomy208000000X

Provider Legal NameKELLEY N SQUIRESCredential: MD

Location Address1 HOSPITAL DRIVE DCO58.00Columbia, MO 65212

Mailing AddressPo Box 7411626Chicago, IL 60674-5626

Phone(573) 882-4438

Sole ProprietorYes

Enumeration DateJune 26, 2023

Last NPPES UpdateAugust 10, 20262 updates tracked since enumeration

NPPES CertifiedAugust 10, 2026

✔ NPI 1871279661 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

License✔ Licensed in MO · 2023023785

Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

1 HOSPITAL DRIVE DCO58.00, Columbia, MO 65212

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Secondary Practice Location 1

Location 11000 E Primrose St Ste 300Springfield, MO 65807-5178 · Phone (000) 000-0000

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kelley N Squires Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 65212 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

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

JESSEE DANIELLE KRUSE MD

Internal Medicine

1 HOSPITAL DRIVE DCO58.00
COLUMBIA, MO 65212

Boone County (573) 882-4438

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 Kelley Squires's NPI number?

The NPI number for Kelley Squires is 1871279661. It was assigned to this individual provider in the NPPES registry on June 26, 2023.

Where is Kelley Squires located?

Kelley Squires practices at 1 Hospital Drive Dco58.00, Columbia, MO 65212. The listed phone number is (573) 882-4438.

What is Kelley Squires's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Kelley Squires enrolled in Medicare?

Yes. Kelley Squires is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Kelley Squires was last updated on August 10, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 days 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.