NICOLE RENEE CLOUTIER – Emergency Medicine Physician, NPI 1114241668
Emergency Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for NICOLE RENEE CLOUTIER
5325 Faraon St
Saint Joseph, MO 645063488
Phone: (816) 271-6122
Fax: (816) 271-6019
Type: Location
1102, West 32nd Street, Joplin, Newton County, Missouri, 64804, United States
JOPLIN, MO 648043503
Phone: (417) 347-4616
Fax: (417) 347-0288
Type: Location
1336, Northeast Parvin Road, Walnut Creek Apartments, Kansas City, Clay County, Missouri, 64116, United States
APT #202
KANSAS CITY, MO 641165002
Phone: (303) 489-1096
Type: Mailing
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: 2012-08-15
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Past revalidation due date
Earliest CMS due date was 2023-08-31 (1013 days ago).
Enrollment records
1
Earliest due date
2023-08-31
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 |
|---|---|---|---|---|
| I20120815000611 | I | Emergency Medicine | MO | 2023-08-31 |
What to do next
- Verify current status on the CMS Revalidation Lookup Tool immediately.
- Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
- Overdue revalidation can lead to deactivation of Medicare billing privileges.
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 |
|---|---|---|---|---|
| 99285 | Emergency department visit with high level of medical decision making | 249 | 245 | $0 |
| 99284 | Emergency department visit with moderate level of medical decision making | 90 | 89 | $0 |
| 99291 | Critical care, first 30-74 minutes | 49 | 48 | $0 |
| 99283 | Emergency department visit with low level of medical decision making | 12 | 12 | $0 |
Insurance plans in this area (ZIP 64506)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | MI | |
| - | MO | |
| Emergency Medicine | IL | |
| - | TX | |
| - | KS | |
| - | KS | |
| - | MO | |
| - | MO |
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