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Excelsior Springs Physicians Clinic

Adolescent Medicine (Family Medicine) Physician in Excelsior Springs, MO · enumerated 2014 · authorized official Jennifer Boomgarden, Physicians Practice Manager.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1629491105

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Registry record

Entity type Organization (Type 2)
Legal business name Excelsior Springs Physicians Clinic
Practice address 1700 Rainbow Blvd, Excelsior Springs, MO, 64024
Phone (816) 629-2623
Fax (816) 629-2722
Enumeration date Feb 4, 2014
Last updated in NPPES Feb 4, 2014

Taxonomy & classification

207QA0000X Adolescent Medicine (Family Medicine) Physician Allopathic & Osteopathic Physicians · License R6J43 (MO) Primary

Authorized official

Name Jennifer Boomgarden
Title Physicians Practice Manager
Phone (816) 629-2623

Other identifiers

Identifier Type State Issuer
MA 4388 Other MO MEDICARE ID#

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Who is the authorized official for Excelsior Springs Physicians Clinic?
NPPES lists Jennifer Boomgarden (Physicians Practice Manager) as the authorized official for this organization.
What is the NPI number for Excelsior Springs Physicians Clinic?
The NPI for Excelsior Springs Physicians Clinic is 1629491105, a Type 2 (organization) record in the CMS NPPES registry.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2014-02-04.