MR. CEPHAS PANIAMOGAN (FNP-C) – Family Nurse Practitioner, NPI 1053601716

MR. CEPHAS PANIAMOGAN (FNP-C) is a healthcare provider. based in Eagleville, Missouri. specializing in NURSE PRACTITIONER. They hold the professional credentials FNP-C. They hold a License No. 2011007027 (MO). The NPI Number for MR. CEPHAS PANIAMOGAN (FNP-C) is 1053601716

Main info

Male
16 Years Of Experience
Accepts Medicare Assignment
Name
MR. CEPHAS PANIAMOGAN (FNP-C)
NPI
1053601716
Phone
(660) 867-5111
Address
16027 LOCUST ST
Enumeration Date
15 April 2011
Last Update Date
22 March 2017

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6604253154
Graduation Year
2010 (16 years ago)
PAC ID
8022273994
Group Practice PAC ID
4587630926
Professional Enrollment ID
I20120626000664
Address ID
MO644242713BE3202XSTXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience44
Completeness75
Years active:15State licenses:1Digital endpointsOther names

7,017 NURSE PRACTITIONER in MO

Provider Addresses for MR. CEPHAS PANIAMOGAN (FNP-C)

  • 16027 LOCUST ST

    APT 5

    EAGLEVILLE, MO 644427130

    Phone: (660) 867-5111

    Fax: (660) 425-2366

    Type: Mailing

  • 3202 MILLER ST

    BETHANY, MO 644242713

    Phone: (660) 425-3154

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 12 Open Payments records for all available years, with a total value of $216.

Total Amount is formed as General ($216) + Research ($0) + Ownership ($0) = $216.

Last reported payment date: 2024-11-06 • Largest payer in this snapshot: ABBVIE INC. ($135).

Total Amount

$216

General + Research + Ownership

Payments

12

Total payment records

General Amount

$216

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-06

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2012-06-26

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20120626000664INurse PractitionerMOTBD

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.

Verify on CMS Revalidation Lookup Tool

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 64442)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 4587630926View full group profile
NameSpecialtyState
Family PracticeNM
Family PracticeMO
Nurse PractitionerMO
Clinical Social WorkerMO
Emergency MedicineTX
Physician AssistantMO
Emergency MedicineOK
Hospitalist, Internal MedicineFL
Family PracticeMO
-MO

Reviews

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Frequently asked questions

Can I verify MR. CEPHAS PANIAMOGAN (FNP-C) with an NPI only?
You can start verification with NPI 1053601716 for MR. CEPHAS PANIAMOGAN (FNP-C), then check state licensing separately.
Is MR. CEPHAS PANIAMOGAN (FNP-C) listed as active for patients and plans?
The listing shows MR. CEPHAS PANIAMOGAN (FNP-C) as active in the NPI system.
What is MR. CEPHAS PANIAMOGAN (FNP-C)'s specialty?
The listing groups MR. CEPHAS PANIAMOGAN (FNP-C) with Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What area does MR. CEPHAS PANIAMOGAN (FNP-C) serve?
MR. CEPHAS PANIAMOGAN (FNP-C)'s listing highlights Eagleville, Missouri; more addresses can appear in NPPES.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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