CYNTHIA G. DICUS (FNP) – Family Nurse Practitioner, NPI 1205110301
Family Nurse Practitioner
Main info
Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
7,017 NURSE PRACTITIONER in MO
Provider Addresses for CYNTHIA G. DICUS (FNP)
965 Mattox Dr
Sullivan, MO 630802365
Phone: (573) 860-6000
Type: Location
240 College St
Bourbon, MO 654418308
Phone: (573) 732-5140
Type: Location
PO Box 100
Bourbon, MO 654410100
Phone: (573) 732-5140
Type: Location
PO BOX 2580
SPRINGFIELD, MO 658012580
Phone: (417) 829-4620
Fax: (417) 829-4316
Type: Mailing
1605 MARTIN SPRINGS DR
STE 230
ROLLA, MO 654012931
Phone: (573) 458-6350
Fax: (573) 458-6764
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 14 Open Payments records for all available years, with a total value of $295.
Total Amount is formed as General ($295) + Research ($0) + Ownership ($0) = $295.
Last reported payment date: 2024-11-22 • Largest payer in this snapshot: Novartis Pharmaceuticals Corporation ($157).
Total Amount
$295
General + Research + Ownership
Payments
14
Total payment records
General Amount
$295
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-22
Latest reported date
Top Companies
Largest payers in this snapshot
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: 2012-01-05
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 |
|---|---|---|---|---|
| I20120105000138 | 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 63080)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| NURSE PRACTITIONER | MO | 81002 | Urinalysis, manual test | 24 | 20 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | MO | |
| Nurse Practitioner | MO | |
| Internal Medicine | MO | |
| General Surgery | MO | |
| - | MO | |
| Hospitalist, Internal Medicine | AR | |
| Nurse Practitioner | MO | |
| Physician Assistant | MO | |
| Nurse Practitioner | MO | |
| Nurse Practitioner | MO |
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