Blue Medical LLC
NPI 1124818729 · General Practice Physician · Nixa, MO
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Blue Medical LLC is a General Practice Physician organization in Nixa, MO (NPI 1124818729).
Provider details
- NPI number
- 1124818729
- Entity type
- Organization
- Primary specialty
- General Practice PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Brian Shefulsky, Owner(417) 444-3501
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2025-05-08
- Last updated
- 2025-10-22
- Certified
- 2025-10-22
Frequently asked questions
- What is Blue Medical LLC's NPI number?
- Blue Medical LLC's National Provider Identifier (NPI) is 1124818729, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Blue Medical LLC?
- Blue Medical LLC is classified in the NPPES registry as General Practice Physician (Allopathic & Osteopathic Physicians).
- Where is Blue Medical LLC located?
- Blue Medical LLC's practice location on file with NPPES is 511 W Woodbine, Nixa, MO 65714.
- What is Blue Medical LLC's phone number?
- The practice phone number listed in the NPPES registry for Blue Medical LLC is (417) 444-3501.
- Does Blue Medical LLC accept Medicare?
- Blue Medical LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Blue Medical LLC?
- The authorized official listed on Blue Medical LLC's NPPES record is Brian Shefulsky, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Blue Medical LLC's NPI active?
- Yes — Blue Medical LLC's NPI (1124818729) is active in the NPPES registry as of the last update on 2025-10-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.