MR. CEPHAS PANIAMOGAN (FNP-C) – Family Nurse Practitioner, NPI 1053601716
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
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
| Company | Amount |
|---|---|
| ABBVIE INC. | $135 |
| Mylan Specialty L.P. | $33 |
| Novo Nordisk Inc | $33 |
| AstraZeneca Pharmaceuticals LP | $14 |
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20120626000664 | I | Nurse Practitioner | MO | 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.
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
- 1
- 2
| Name | Specialty | State |
|---|---|---|
| Family Practice | NM | |
| Family Practice | MO | |
| Nurse Practitioner | MO | |
| Clinical Social Worker | MO | |
| Emergency Medicine | TX | |
| Physician Assistant | MO | |
| Emergency Medicine | OK | |
| Hospitalist, Internal Medicine | FL | |
| Family Practice | MO | |
| - | MO |
Reviews
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