Ssm Regional Health Services
NPI 1396886065 · Family Medicine Physician · Jefferson City, MO
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Ssm Regional Health Services is a Family Medicine Physician organization in Jefferson City, MO (NPI 1396886065).
Provider details
- NPI number
- 1396886065
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Parent organization
- Ssm Regional Health Services
- Organization subpart
- Yes
- Authorized official
- Shasta Manuel, Regional Vice President Finance/Cfo(405) 272-7282
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
19 yrs 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
Other names (DBA / former)
- Doing business as
- Ssm Health Medical Group - Family Medicine
- Doing business as
- Ssm Health Medical Group - Family Medicine
Registry dates
- Enumerated
- 2007-02-08
- Last updated
- 2025-12-16
- Certified
- 2025-12-16
Frequently asked questions
- What is Ssm Regional Health Services's NPI number?
- Ssm Regional Health Services's National Provider Identifier (NPI) is 1396886065, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Ssm Regional Health Services?
- Ssm Regional Health Services is classified in the NPPES registry as Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Ssm Regional Health Services located?
- Ssm Regional Health Services's practice location on file with NPPES is 2511 W Edgewood Dr Ste G, Jefferson City, MO 65109-5869.
- What is Ssm Regional Health Services's phone number?
- The practice phone number listed in the NPPES registry for Ssm Regional Health Services is (573) 761-0458.
- Does Ssm Regional Health Services accept Medicare?
- Ssm Regional Health Services 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 Ssm Regional Health Services?
- The authorized official listed on Ssm Regional Health Services's NPPES record is Shasta Manuel, Regional Vice President Finance/Cfo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Ssm Regional Health Services's NPI active?
- Yes — Ssm Regional Health Services's NPI (1396886065) is active in the NPPES registry as of the last update on 2025-12-16.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.