Excelsior Springs Physicians Clinic
NPI 1629491105 · Adolescent Medicine (Family Medicine) Physician · Excelsior Springs, MO
Excelsior Springs Physicians Clinic is a Adolescent Medicine (Family Medicine) Physician organization in Excelsior Springs, MO (NPI 1629491105).
Provider details
- NPI number
- 1629491105
- Entity type
- Organization
- Primary specialty
- Adolescent Medicine (Family Medicine) PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Jennifer Boomgarden, Physicians Practice Manager(816) 629-2623
- License
- R6J43 (MO)
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
12 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
- 2014-02-04
- Last updated
- 2014-02-04
Frequently asked questions
- What is Excelsior Springs Physicians Clinic's NPI number?
- Excelsior Springs Physicians Clinic's National Provider Identifier (NPI) is 1629491105, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Excelsior Springs Physicians Clinic?
- Excelsior Springs Physicians Clinic is classified in the NPPES registry as Adolescent Medicine (Family Medicine) Physician (Allopathic & Osteopathic Physicians).
- Where is Excelsior Springs Physicians Clinic located?
- Excelsior Springs Physicians Clinic's practice location on file with NPPES is 1700 Rainbow Blvd, Excelsior Springs, MO 64024-1182.
- What is Excelsior Springs Physicians Clinic's phone number?
- The practice phone number listed in the NPPES registry for Excelsior Springs Physicians Clinic is (816) 629-2623.
- Who is the authorized official for Excelsior Springs Physicians Clinic?
- The authorized official listed on Excelsior Springs Physicians Clinic's NPPES record is Jennifer Boomgarden, Physicians Practice Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Excelsior Springs Physicians Clinic's NPI active?
- Yes — Excelsior Springs Physicians Clinic's NPI (1629491105) is active in the NPPES registry as of the last update on 2014-02-04.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.