Nevada Habilitation Center – General Practice Physician, NPI 1114971702

Nevada Habilitation Center is a healthcare provider. based in Jefferson city, Missouri. specializing in General Practice Physician. The NPI Number for Nevada Habilitation Center is 1114971702

Main info

Organization
Name
Nevada Habilitation Center
NPI
1114971702
Phone
(573) 751-3398
Address
1706 E ELM ST
Authorized Official
MOLLY JANE BOECKMANN DIRECTOR OF ADMINISTRATIVE SERVICES
Enumeration Date
19 May 2006
Last Update Date
26 August 2020
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience60
Completeness80
Years active:20State licenses:0Digital endpointsUpdated within 12 months

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Provider Addresses for Nevada Habilitation Center

  • 1706, East Elm Street, Jefferson City, Cole County, Missouri, 65101, United States

    JEFFERSON CITY, MO 651014130

    Phone: (573) 751-3398

    Fax: (573) 526-4560

    Type: Mailing

  • 2323, North Ash Street, Clark County, Nevada, 89021, United States

    NEVADA, MO 647721054

    Phone: (417) 667-7833

    Fax: (417) 448-1138

    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.

No Medicare enrollment or revalidation data available for this provider in our database.

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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 65101)

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Reviews

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Frequently asked questions

Can I use this page to confirm Nevada Habilitation Center's NPI?
Yes. Nevada Habilitation Center is listed with NPI 1114971702 in the public NPI dataset.
Does the file indicate Nevada Habilitation Center is practicing under active NPI?
Directory data currently reports Nevada Habilitation Center as active.
What is Nevada Habilitation Center best known for clinically?
Directory data describes Nevada Habilitation Center with General Practice Physician. Clinical services aligned with this taxonomy classification.
What area does Nevada Habilitation Center serve?
Nevada Habilitation Center's listing highlights Jefferson City, Missouri; more addresses can appear in NPPES.
Why does Nevada Habilitation Center have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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