Ssm Regional Health Services
NPI 1043450711ActiveOrganization· General Practice· Jefferson City, MO
General Practice in Jefferson City, Missouri, registered in NPPES in February 2009, part of Ssm Regional Health Services. The authorized official on file is Shasta Rene Manuel, Regional Vice President Finance/Cfo. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1043450711 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Ssm Regional Health Services |
| NPI issued | Feb 20, 2009 |
| Last updated in NPPES | Dec 16, 2025 |
| Certified by provider | Dec 16, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| General Practice Primary | 208D00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (MO) |
|---|
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