GREAT MINES HEALTH CENTER
NPI 1891341665
Clinic/Center - Federally Qualified Health Center (FQHC) in Mineral Point, MO

Active since August 16, 2019
512 STATE ST RM 101, MINERAL POINT, MO 63660(573) 438-9355(573) 438-7892 Get Directions Write a Review

NPPES record last updated: August 16, 2019. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Great Mines Health Center NPPES

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

GREAT MINES HEALTH CENTER (NPI 1891341665) is a healthcare organization registered as a federally qualified health center (fqhc) in Mineral Point, Missouri and active in the NPI registry since August 2019. The organization lists Gregory Roeback, Ceo, as its authorized official.

NPPES Registry Identity

NPI1891341665
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameGREAT MINES HEALTH CENTER
Location Address512 STATE ST RM 101Mineral Point, MO 63660-8208
Mailing AddressPo Box 761Potosi, MO 63664-0761 · (573) 438-9355 · Fax (573) 438-7892
Fax(573) 438-7892
Organization SubpartNo
Authorized OfficialGregory RoebackCeo · (573) 438-9355
Enumeration DateAugust 16, 2019
✔ NPI 1891341665 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
512 STATE ST RM 101, Mineral Point, MO 63660

Other Identifiers 1

OtherH80CS06870-13-02Hrsa

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Great Mines Health Center is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by November 30, 2026

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateMissouriEnrollment IDO20041004000035Non-DME Part B · Clinic/Group PracticeDue dateNovember 30, 2026
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

35

Medicare enrollment records show 35 clinicians reassign Medicare billing to Great Mines Health Center, which bills Medicare for the services they deliver. Of these, 21 practice within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 10

Nurse Practitioner13
Clinical Social Worker6
Mental Health Counselor5
Dentist3
Family Practice3
Chiropractic1
Internal Medicine1
Nephrology1
2 other specialties2

Nearest to this location (20)

See all 35
Nurse Practitioner
NPI 1922542943
10273 OTTO RD
Mineral Point, MO 63660
(573) 366-4851
✔ PECOS✔ Accepts Medicare1.7 mi
Nurse Practitioner
NPI 1225260532
200 HEALTH WAY DR
Potosi, MO 63664
(573) 438-2977
✔ PECOS✔ Accepts Medicare2.8 mi
Chiropractic
NPI 1003981895
912 N MISSOURI ST
Potosi, MO 63664
(573) 438-7200
✔ Accepts Medicare3.0 mi
Family Practice
NPI 1639215478
1 SOUTHTOWNE DR
Potosi, MO 63664
(573) 438-8309
✔ PECOS3.1 mi
Family Practice
NPI 1861465627
24 SOUTHTOWNE DR
Potosi, MO 63664
(573) 438-3737
✔ PECOS✔ Accepts Medicare3.1 mi
Nurse Practitioner
NPI 1639931355
1 SOUTHTOWNE DR
Potosi, MO 63664
(573) 438-9355
✔ PECOS✔ Accepts Medicare5.9 mi
Clinical Social Worker
NPI 1689275992
1 SOUTHTOWNE DR
Potosi, MO 63664
(573) 438-9355
✔ PECOS5.9 mi
Family Practice
NPI 1760914980
1 SOUTHTOWNE DR
Potosi, MO 63664
(573) 438-9355
✔ PECOS✔ Accepts Medicare5.9 mi
Nurse Practitioner
NPI 1609726504
1 SOUTHTOWNE DR
Potosi, MO 63664
(573) 438-9355
✔ PECOS✔ Accepts Medicare5.9 mi
Mental Health Counselor
NPI 1427303940
1 SOUTHTOWNE DR
Potosi, MO 63664
(573) 438-9355
✔ PECOS5.9 mi
Nurse Practitioner
NPI 1164213773
1 SOUTHTOWNE DR
Potosi, MO 63664
(573) 438-9355
✔ PECOS✔ Accepts Medicare5.9 mi
Nurse Practitioner
NPI 1952277741
1 SOUTHTOWNE DR
Potosi, MO 63664
(573) 438-9355
✔ PECOS✔ Accepts Medicare5.9 mi
1 SOUTHTOWNE DR
Potosi, MO 63664
(573) 438-9355
✔ PECOS5.9 mi
Clinical Social Worker
NPI 1518859644
1 SOUTHTOWNE DR
Potosi, MO 63664
(573) 438-9355
✔ PECOS5.9 mi
Nurse Practitioner
NPI 1184108920
1 SOUTHTOWNE DR
Potosi, MO 63664
(572) 438-9355
✔ PECOS✔ Accepts Medicare5.9 mi
Clinical Social Worker
NPI 1881089324
1 SOUTHTOWNE DR
Potosi, MO 63664
(573) 438-9355
✔ PECOS5.9 mi
Mental Health Counselor
NPI 1902676810
1 SOUTHTOWNE DR
Potosi, MO 63664
(573) 438-9355
✔ PECOS✔ Accepts Medicare5.9 mi
Mental Health Counselor
NPI 1235724949
1 SOUTHTOWNE DR
Potosi, MO 63664
(573) 438-9355
✔ PECOS✔ Accepts Medicare5.9 mi
Clinical Social Worker
NPI 1770352882
1 SOUTHTOWNE DR
Potosi, MO 63664
(573) 705-6407
✔ PECOS5.9 mi
Mental Health Counselor
NPI 1588061980
220 TWIN ST
Bonne Terre, MO 63628
(573) 631-2350
✔ PECOS9.5 mi
See all 35 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 Great Mines Health Center's NPI number?

The NPI number for Great Mines Health Center is 1891341665. It was assigned to this organization in the NPPES registry on August 16, 2019.

Where is Great Mines Health Center located?

Great Mines Health Center is located at 512 State St Rm 101, Mineral Point, MO 63660. The listed phone number is (573) 438-9355.

What is Great Mines Health Center's specialty?

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

Is Great Mines Health Center enrolled in Medicare?

Yes. Great Mines Health Center is registered in the Medicare PECOS enrollment system.

When is Great Mines Health Center's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Missouri, Clinic/Group Practice) is due for revalidation by November 30, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Great Mines Health Center?

According to the CMS Revalidation Reassignment List (October 2026 release), 35 clinicians in 10 Medicare specialties reassign their Medicare billing to Great Mines Health Center. 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 (13), Clinical Social Worker (6) and Mental Health Counselor (5). Of these, 21 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Great Mines Health Center accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Arkansas Health & Wellness, Ambetter from Sunflower Health Plan and Ambetter of Oklahoma and 2 other insurers list Great Mines Health Center 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 Great Mines Health Center was last updated on August 16, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.