BONNE TERRE HEALTHCARE CLINIC LLC
NPI 1962043802
Nurse Practitioner - Family in Bonne Terre, MO
About Bonne Terre Healthcare Clinic Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BONNE TERRE HEALTHCARE CLINIC LLC (NPI 1962043802) is a healthcare organization registered as a family in Bonne Terre, Missouri and active in the NPI registry since October 2019. The organization lists Mary Elizabeth Chandler, Owner/provider, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 6
Group Practice 1
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)
Bonne Terre Healthcare Clinic Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
8Medicare enrollment records show 8 clinicians reassign Medicare billing to Bonne Terre Healthcare Clinic LLC, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 3 within 10 miles. They are listed nearest first.
Clinicians, nearest first (8)
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 Bonne Terre Healthcare Clinic LLC's NPI number?
The NPI number for Bonne Terre Healthcare Clinic LLC is 1962043802. It was assigned to this organization in the NPPES registry on October 2, 2019.
Where is Bonne Terre Healthcare Clinic LLC located?
Bonne Terre Healthcare Clinic LLC is located at 11 S Division St Ste A, Bonne Terre, MO 63628. The listed phone number is (573) 723-1100.
What is Bonne Terre Healthcare Clinic LLC's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Bonne Terre Healthcare Clinic LLC enrolled in Medicare?
Yes. Bonne Terre Healthcare Clinic LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Bonne Terre Healthcare Clinic LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 8 clinicians in 3 Medicare specialties reassign their Medicare billing to Bonne Terre Healthcare Clinic 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 Clinical Social Worker (5), Nurse Practitioner (2) and Mental Health Counselor (1). Of these, 2 practice at this address and 3 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Bonne Terre Healthcare Clinic LLC 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 Bonne Terre Healthcare Clinic 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 Bonne Terre Healthcare Clinic LLC was last updated on February 25, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Bonne Terre Healthcare Clinic Llc · NPI 1962043802
Family organization in Bonne Terre, Missouri. Organization record, active in the CMS NPPES registry since October 2, 2019.
## Identity
- **NPI:** 1962043802 (Entity type: Organization)
- **Enumerated:** October 2, 2019
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **Organization subpart:** No
- **Authorized official:** Mary Chandler, OWNER/PROVIDER
## Practice location
- **Address:** 11 S DIVISION ST STE A, Bonne Terre, MO 63628-1701
- **Phone:** (573) 723-1100 · **Fax:** (573) 723-1130
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 8 clinicians in 3 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Clinical Social Worker (5), Nurse Practitioner (2), Mental Health Counselor (1); 2 practice at this address and 3 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** February 25, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1962043802) · Data from the CMS NPPES public registry.