Nevada Medical Clinic – Rural Health Clinic/Center, NPI 1730805136

Nevada Medical Clinic is a healthcare provider. based in Nevada, Missouri. specializing in Rural Health Clinic/Center. The NPI Number for Nevada Medical Clinic is 1730805136

Main info

Organization
Name
Nevada Medical Clinic
NPI
1730805136
Phone
(417) 667-3355
Address
800 S ASH ST
Authorized Official
JASON ANGLIN CEO/AUTHORIZED OFFICIAL
Enumeration Date
17 October 2022
Last Update Date
4 January 2023
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience21
Completeness80
Years active:3State licenses:0Digital endpointsUpdated within 12 months

Provider Addresses for Nevada Medical Clinic

  • 800 S ASH ST

    NEVADA, MO 647723224

    Phone: (417) 667-3355

    Fax: (417) 448-3848

    Type: Mailing

  • 900 S ADAMS ST

    NEVADA, MO 647723210

    Phone: (417) 667-6015

    Fax: (417) 667-4234

    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.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2022-11-08

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
O20221108003271ORural Health ClinicMOTBD

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.

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 64772)

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Reviews

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Frequently asked questions

Can I cross-check Nevada Medical Clinic using NPI 1730805136?
NPI 1730805136 belongs to Nevada Medical Clinic; compare other details if you need extra assurance.
Active or inactive — what applies to Nevada Medical Clinic?
You should see Nevada Medical Clinic as active in CMS-hosted NPPES data.
What kind of doctor is Nevada Medical Clinic?
Nevada Medical Clinic is associated with Rural Health Clinic/Center in the directory — Clinical services aligned with this taxonomy classification.
Is Nevada Medical Clinic located near Nevada?
Nevada Medical Clinic currently maps to Nevada, Missouri in this extract.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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