JOEL M MPOLESHA (PAC) – Physician Assistant, NPI 1588032106
Physician Assistant
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Profile Insights
NPPES metrics only — not quality of care.
1,853 PHYSICIAN ASSISTANT in MO
Provider Addresses for JOEL M MPOLESHA (PAC)
PO BOX 2917
PIKEVILLE, KY 415022917
Phone: (606) 218-3500
Fax: (606) 218-7502
Type: Mailing
2521 GLENN HENDREN DR STE 308
LIBERTY, MO 640683388
Phone: (816) 407-5490
Type: Location
3400 Ministry Pkwy
Weston, WI 544765220
Phone: (715) 393-1000
Type: Location
1000 N Oak Avenue
Marshfield, WI 544495703
Phone: (715) 387-5511
Type: Location
PO BOX 3755
OMAHA, NE 681030755
Phone: (402) 354-2100
Fax: (402) 354-2155
Type: Mailing
8303 DODGE ST
OMAHA, NE 681144108
Phone: (402) 354-2360
Fax: (402) 354-2440
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2025-09-04
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 4 Medicare enrollment records; no due dates published yet.
Enrollment records
4
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20180618001734 | I | Physician Assistant | MO | TBD |
| I20230906001327 | I | Physician Assistant | NE | TBD |
| I20240411001594 | I | Physician Assistant | WI | TBD |
| I20250904000803 | I | Physician Assistant | KS | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99223 | Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | 60 | 60 | $0 |
Insurance plans in this area (ZIP 41502)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | WI | |
| N E U R O L O G Y | NY | |
| Nurse Practitioner | WI | |
| Interventional Radiology, Diagnostic Radiology | WI | |
| - | WI | |
| P S Y C H I A T R Y | IL | |
| - | MI | |
| Internal Medicine | WI | |
| Nurse Practitioner | IL | |
| Cardiovascular Disease (Cardiology) | IL |
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