MISSOURI MEDICAL PROVIDERS LLC
MISSOURI MEDICAL PROVIDERS LLC is an organization registered with the National Plan and Provider Enumeration System (NPPES) under NPI 1043817323, based in Cape Girardeau, MO. The organization lists 4 taxonomy classifications, with Family Nurse Practitioner recorded as primary.
Getting there
The practice address on file is 2215 BROADWAY ST, Cape Girardeau, MO 63701. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.
Credentials and Medicare
NPPES does not list a state licence number for this record. That is not unusual — organizations and some provider types are not required to file one. Verify current licensure with the relevant state board before care.
- Status
- Approved
- Provider type
- Part B Supplier - Clinic/group Practice
- PAC ID
- 2365855913
Enrolled in Medicare 2 times, across 2 states:
| State | Enrollment ID | Provider type |
|---|---|---|
| Missouri | O20201229000683 | Part B Supplier - Clinic/group Practice |
| Illinois | O20260127002916 | Part B Supplier - Clinic/group Practice |
Medicare enrolment is recorded as approved under the provider type Part B Supplier - Clinic/group Practice. There are 2 separate enrolment records across 2 states (MO, IL). Multiple enrolments usually mean the provider bills Medicare from more than one practice location, or has kept an earlier enrolment after moving. Each record carries its own enrolment ID, listed above. Being enrolled means the provider can bill Medicare; it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.
What Family covers
Definition to come... NUCC Health Care Provider Taxonomy, code 363LF0000X
All registered taxonomy codes
This provider registers 4 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.
| Code | Specialty | Licence | State | |
|---|---|---|---|---|
| 363LF0000X | Family Nurse Practitioner Family | — | — | primary |
| 363L00000X | Nurse Practitioner | — | — | |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner Psychiatric/Mental Health | — | — | |
| 163WW0000X | Wound Care Registered Nurse Wound Care | — | — |
The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.
Full NPPES record
An NPI-2 identifies an organization — a clinic, hospital, group practice, laboratory, or supplier. Individual clinicians working there hold their own NPI-1 numbers separately, so a bill may reference both.
| NPI | 1043817323 valid check digit |
|---|---|
| Entity type | Organization (NPI-2) |
| Enumeration date | Oct 8, 2020 |
| Last updated | Apr 13, 2026 |
| Status | Active |
| Practice address |
2215 BROADWAY ST Cape Girardeau, MO 63701 (636) 725-1255 Fax (573) 534-3131 |
| Other identifiers |
1043817323
· Other (MO) 500090302 · Medicaid (MO) |
Number check
How the check works, step by step
Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.
| Digit | 8 | 0 | 8 | 4 | 0 | 1 | 0 | 4 | 3 | 8 | 1 | 7 | 3 | 2 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Doubled? | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 |
| Value | 8 | 0 | 8 | 8 | 0 | 2 | 0 | 8 | 3 | 7 | 1 | 5 | 3 | 4 |
Sum = 57 · next multiple of 10 = 60 · check digit = 3 · actual last digit = 3
A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.