SSM REGIONAL HEALTH SERVICES
NPI 1952357352
Clinic/Center in Holts Summit, MO

Active since May 26, 2006
140 NORTHSTAR DR, HOLTS SUMMIT, MO 65043(573) 896-8301(573) 896-8589 Get Directions Write a Review

NPPES record last updated: December 16, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Dec 16, 2025, May 13, 2025, Sep 15, 2020 (3 updates tracked since 2020).

About Ssm Regional Health Services NPPES

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

SSM REGIONAL HEALTH SERVICES (NPI 1952357352), doing business as Ssm Health Medical Group - Family Medicine, is a healthcare organization registered as a clinic/center in Holts Summit, Missouri and active in the NPI registry since May 2006. The organization lists Shasta Rene Manuel, Regional Vice President-finance/cfo, as its authorized official.

NPPES Registry Identity

NPI1952357352
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameSSM REGIONAL HEALTH SERVICES
Location Address140 NORTHSTAR DRHolts Summit, MO 65043-1123
Mailing Address7655 Solutions CtrChicago, IL 60677-7006 · (557) 203-1551 · Fax (314) 989-6721
Fax(573) 896-8589
Organization SubpartYes
Authorized OfficialShasta Rene ManuelRegional Vice President-finance/cfo · (405) 272-7282
Enumeration DateMay 26, 2006
Last NPPES UpdateDecember 16, 20253 updates tracked since enumeration
NPPES CertifiedDecember 16, 2025
✔ NPI 1952357352 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
140 NORTHSTAR DR, Holts Summit, MO 65043

Other Names 1

Doing Business AsSsm Health Medical Group - Family Medicine

Other Identifiers 1

Medicaid502624307MO

Accepted 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)

Ssm Regional Health Services is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

14

Medicare enrollment records show 14 clinicians reassign Medicare billing to Ssm Regional Health Services, which bills Medicare for the services they deliver. Of these, 6 practice within 10 miles. They are listed nearest first.

Clinicians by Medicare Specialty 3

Nurse Practitioner9
Family Practice4
Internal Medicine1

Clinicians, nearest first (14)

Family Practice
NPI 1316329154
140 NORTHSTAR DR
Holts Summit, MO 65043
(573) 896-8301
✔ PECOS✔ Accepts Medicare0.3 mi
Nurse Practitioner
NPI 1104376326
1241 W STADIUM BLVD
Jefferson City, MO 65109
(573) 635-5264
✔ PECOS✔ Accepts Medicare8.0 mi
Nurse Practitioner
NPI 1629946546
2511 W EDGEWOOD DR STE G
Jefferson City, MO 65109
(573) 761-0458
✔ PECOS✔ Accepts Medicare8.2 mi
Family Practice
NPI 1114278124
2511 W EDGEWOOD DR STE G
Jefferson City, MO 65109
(573) 761-0458
✔ PECOS✔ Accepts Medicare8.2 mi
Family Practice
NPI 1629011812
2511 W EDGEWOOD DR SUITE F
Jefferson City, MO 65109
(573) 761-2130
✔ PECOS✔ Accepts Medicare8.2 mi
Nurse Practitioner
NPI 1295140432
2511 W EDGEWOOD DR SUITE D
Jefferson City, MO 65109
(573) 761-0304
✔ PECOS✔ Accepts Medicare8.2 mi
Internal Medicine
NPI 1245594266
5100 FORUM BLVD
Columbia, MO 65203
(573) 619-3292
✔ PECOS✔ Accepts Medicare21 mi
Family Practice
NPI 1760749428
875 STATE ROUTE 5
Tipton, MO 65081
(660) 433-5541
✔ PECOS✔ Accepts Medicare33 mi
Nurse Practitioner
NPI 1326735481
875 MO-5 HWY
Tipton, MO 65081
(660) 433-5541
✔ PECOS✔ Accepts Medicare36 mi
Nurse Practitioner
NPI 1679045595
875 S HIGHWAY 5
Tipton, MO 65081
(660) 433-5541
✔ PECOS✔ Accepts Medicare36 mi
Nurse Practitioner
NPI 1699957597
600 W MORRISON ST SUITE 5
Fayette, MO 65248
(660) 248-2900
✔ PECOS✔ Accepts Medicare46 mi
Nurse Practitioner
NPI 1124614052
2305 S HIGHWAY 65 BLDG A
Marshall, MO 65340
(660) 886-7800
✔ PECOS✔ Accepts Medicare70 mi
Nurse Practitioner
NPI 1750387163
1201 N RUTHERFORD ST
Macon, MO 63552
(660) 385-8900
✔ PECOS✔ Accepts Medicare78 mi
Nurse Practitioner
NPI 1699100255
500 E 19TH ST
Mountain Grove, MO 65711
(417) 926-6563
✔ PECOS✔ Accepts Medicare104 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 Ssm Regional Health Services's NPI number?

The NPI number for Ssm Regional Health Services is 1952357352. It was assigned to this organization in the NPPES registry on May 26, 2006. The provider is doing business as SSM Health Medical Group - Family Medicine.

Where is Ssm Regional Health Services located?

Ssm Regional Health Services is located at 140 Northstar Dr, Holts Summit, MO 65043. The listed phone number is (573) 896-8301.

What is Ssm Regional Health Services's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

Is Ssm Regional Health Services enrolled in Medicare?

Yes. Ssm Regional Health Services is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Ssm Regional Health Services?

According to the CMS Revalidation Reassignment List (October 2026 release), 14 clinicians in 3 Medicare specialties reassign their Medicare billing to Ssm Regional Health Services. 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 (9), Family Practice (4) and Internal Medicine (1). Of these, 6 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Ssm Regional Health Services accept?

Health plans from Anthem Blue Cross and Blue Shield list Ssm Regional Health Services 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 Ssm Regional Health Services was last updated on December 16, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months 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.