Joplin Ear, Nose and Throat – Clinic/Center, NPI 1568642452

Joplin Ear, Nose and Throat is a healthcare provider. based in Joplin, Missouri. specializing in Clinic/Center. The organization holds a License No. 104366 (MO). The NPI Number for Joplin Ear, Nose and Throat is 1568642452

Main info

Organization
Name
Joplin Ear, Nose and Throat
NPI
1568642452
Phone
(417) 781-4613
Address
1920 E 32ND ST.
Authorized Official
DR. RENEE A WALKER OTOLARYNGOLOGIST D.O.
Enumeration Date
7 November 2007
Last Update Date
24 March 2025
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience70
Completeness80
Years active:18State licenses:1Digital endpointsUpdated within 12 months

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Provider Addresses for Joplin Ear, Nose and Throat

  • 1920, East 32nd Street, Gateway Drive, Joplin, Newton County, Missouri, 64804, United States

    JOPLIN, MO 64804

    Phone: (417) 781-4613

    Fax: (417) 781-0805

    Type: Mailing

  • 1920 E. 32ND ST.

    JOPLIN, MO 64804

    Phone: (417) 781-4613

    Fax: (417) 781-0805

    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: 2005-11-17

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Past revalidation due date

Earliest CMS due date was 2024-05-31 (740 days ago).

Enrollment records

1

Earliest due date

2024-05-31

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
O20051117000987OClinic/Group PracticeMO2024-05-31

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.

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 64804)

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Reviews

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Frequently asked questions

How do payers reference Joplin Ear, Nose and Throat?
For Joplin Ear, Nose and Throat, use NPI 1568642452 as the unique 10-digit identifier.
Is there an active status for Joplin Ear, Nose and Throat?
For scheduling context, Joplin Ear, Nose and Throat is shown as active in the registry.
What area of care is associated with Joplin Ear, Nose and Throat?
Joplin Ear, Nose and Throat's record emphasizes Clinic/Center. Clinical services aligned with this taxonomy classification.
Where in Missouri is Joplin Ear, Nose and Throat registered?
Use Joplin, Missouri as the headline location for Joplin Ear, Nose and Throat here.
Does Joplin Ear, Nose and Throat accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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