417 Health Care
NPI 1689321218 · Family Medicine Physician · Nixa, MO
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
417 Health Care is a Family Medicine Physician organization in Nixa, MO (NPI 1689321218).
Provider details
- NPI number
- 1689321218
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Daina Kays, Owner(417) 374-4141
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
4 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
- 2022-03-03
- Last updated
- 2022-03-03
- Certified
- 2022-02-03
Frequently asked questions
- What is 417 Health Care's NPI number?
- 417 Health Care's National Provider Identifier (NPI) is 1689321218, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is 417 Health Care?
- 417 Health Care is classified in the NPPES registry as Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is 417 Health Care located?
- 417 Health Care's practice location on file with NPPES is 830 W Mount Vernon St Ste 10, Nixa, MO 65714-9615.
- What is 417 Health Care's phone number?
- The practice phone number listed in the NPPES registry for 417 Health Care is (417) 374-4141.
- Does 417 Health Care accept Medicare?
- 417 Health Care 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 417 Health Care?
- The authorized official listed on 417 Health Care's NPPES record is Daina Kays, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is 417 Health Care's NPI active?
- Yes — 417 Health Care's NPI (1689321218) is active in the NPPES registry as of the last update on 2022-03-03.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.