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RENU MEDICAL & SPA, LLC
NPI 1881050995
Family Medicine in Pittsburg, KS

Active since January 05, 2016
2425 BRADSHAW WAY, PITTSBURG, KS 66762(620) 308-6123(620) 308-6264 Get Directions Write a Review

NPPES record last updated: December 10, 2020. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Dec 10, 2020, Feb 10, 2017, Jan 22, 2016 and 1 more (4 updates tracked since 2016).

About Renu Medical & Spa, Llc NPPES

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

RENU MEDICAL & SPA, LLC (NPI 1881050995) is a healthcare organization registered as a family medicine in Pittsburg, Kansas and active in the NPI registry since January 2016. The organization lists Jacqueline M Youtsos, Owner, as its authorized official.

NPPES Registry Identity

NPI1881050995
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameRENU MEDICAL & SPA, LLC
Location Address2425 BRADSHAW WAYPittsburg, KS 66762-8756
Mailing Address2425 Bradshaw WayPittsburg, KS 66762-8756 · (620) 308-6123 · Fax (620) 308-6264
Phone(620) 308-6123
Fax(620) 308-6264
Organization SubpartNo
Authorized OfficialJacqueline M YoutsosOwner · (620) 308-6123
Enumeration DateJanuary 5, 2016
Last NPPES UpdateDecember 10, 20204 updates tracked since enumeration
NPPES CertifiedDecember 10, 2020
✔ NPI 1881050995 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in KS · 0438483
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 ListedDermatologyTaxonomy 207N00000X
2425 BRADSHAW WAY, Pittsburg, KS 66762
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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

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

Renu Medical & Spa, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

5

Medicare enrollment records show 5 clinicians reassign Medicare billing to Renu Medical & Spa, LLC, which bills Medicare for the services they deliver. Of these, 3 practice at this address. They are listed nearest first.

Clinicians, nearest first (5)

Kasi Hudson, APRN
Nurse Practitioner
NPI 1417333220
2425 BRADSHAW WAY
Pittsburg, KS 66762
(620) 308-6123
✔ PECOS✔ Accepts MedicareSame address
Cara Shouse, APRN
Nurse Practitioner
NPI 1629523493
2425 BRADSHAW WAY
Pittsburg, KS 66762
(620) 308-6123
✔ PECOS✔ Accepts MedicareSame address
Jacqueline Youtsos, MD
Dermatology
NPI 1780950352
2425 BRADSHAW WAY
Pittsburg, KS 66762
(620) 308-6123
✔ PECOS✔ Accepts MedicareSame address
Trina Larery, DNP, FNP-C
Nurse Practitioner
NPI 1124207667
4305 S PLEASANT CROSSING BLVD
Rogers, AR 72758
(479) 202-5048
✔ PECOS✔ Accepts Medicare81 mi
Molly Huey, NURSE PRACTITIONER
Nurse Practitioner
NPI 1356156988
708 MECHEM DR STE B
Ruidoso, NM 88345
(575) 215-3100
✔ PECOS✔ Accepts Medicare680 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 Renu Medical & Spa, LLC's NPI number?

The NPI number for Renu Medical & Spa, LLC is 1881050995. It was assigned to this organization in the NPPES registry on January 5, 2016.

Where is Renu Medical & Spa, LLC located?

Renu Medical & Spa, LLC is located at 2425 Bradshaw Way, Pittsburg, KS 66762. The listed phone number is (620) 308-6123.

What is Renu Medical & Spa, LLC's specialty?

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

Is Renu Medical & Spa, LLC enrolled in Medicare?

Yes. Renu Medical & Spa, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Renu Medical & Spa, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 5 clinicians in 2 Medicare specialties reassign their Medicare billing to Renu Medical & Spa, 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 (4) and Dermatology (1). Of these, 3 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Renu Medical & Spa, LLC accept?

Health plans from Blue Cross and Blue Shield of Kansas, Inc. list Renu Medical & Spa, 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 Renu Medical & Spa, LLC was last updated on December 10, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.