Central Missouri Healthcare Associates, LLC
NPI 1164790465ActiveOrganization· Nurse Practitioner, Family· Boonville, MO
Nurse Practitioner, Family in Boonville, Missouri, registered in NPPES in December 2011. The authorized official on file is Kathleen G. Lenz, DNP, President. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1164790465 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Dec 1, 2011 |
| Last updated in NPPES | Jan 14, 2025 |
| Certified by provider | Jan 14, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Family Primary | 363LF0000X | 116825 | MO |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 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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