Jefferson City Renal Services LLC
NPI 1568975886 · End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Jefferson City, MO
Enrolled with Medicare as Part a Provider - End-Stage Renal Disease Facility (esrd) · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Jefferson City Renal Services LLC is a End-Stage Renal Disease (ESRD) Treatment Clinic/Center organization in Jefferson City, MO (NPI 1568975886).
Provider details
- NPI number
- 1568975886
- Entity type
- Organization
- Primary specialty
- End-Stage Renal Disease (ESRD) Treatment Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Donovan Schultz, President of Member(615) 327-3061
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 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
Registry dates
- Enumerated
- 2017-11-08
- Last updated
- 2024-04-03
- Certified
- 2024-04-03
Frequently asked questions
- What is Jefferson City Renal Services LLC's NPI number?
- Jefferson City Renal Services LLC's National Provider Identifier (NPI) is 1568975886, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Jefferson City Renal Services LLC?
- Jefferson City Renal Services LLC is classified in the NPPES registry as End-Stage Renal Disease (ESRD) Treatment Clinic/Center (Ambulatory Health Care Facilities).
- Where is Jefferson City Renal Services LLC located?
- Jefferson City Renal Services LLC's practice location on file with NPPES is 1241 W Stadium Blvd # Ll1, Jefferson City, MO 65109-6023.
- What is Jefferson City Renal Services LLC's phone number?
- The practice phone number listed in the NPPES registry for Jefferson City Renal Services LLC is (573) 632-2633.
- Does Jefferson City Renal Services LLC accept Medicare?
- Jefferson City Renal Services 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 Jefferson City Renal Services LLC?
- The authorized official listed on Jefferson City Renal Services LLC's NPPES record is Donovan Schultz, President of Member. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Jefferson City Renal Services LLC's NPI active?
- Yes — Jefferson City Renal Services LLC's NPI (1568975886) is active in the NPPES registry as of the last update on 2024-04-03.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.