Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mr. Cephas Paniamogan, FNP-C

Individual provider Family Nurse Practitioner · NPI 1053601716

Mr. Cephas Paniamogan, FNP-C is a Nurse Practitioner in Bethany, Missouri. Qualified in 2010, 16 years ago. Practices with Harrison County Community Hospital District, a 21-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Missouri.

Years since qualifying
16
Licensed in
MO
In the registry since
2011
What do these letters mean?
FNP-C — Family Nurse Practitioner, Certified
A family nurse practitioner certified by the AANP.

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Practice location Address checks out

3202 Miller St
Bethany, MO 64424-2713
Phone: (660) 425-3154
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 16027 Locust St, Eagleville, MO 64442-7130 — (660) 867-5111

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 2011007027 (MO)

Record details

NPI number1053601716
Entity typeIndividual (Type 1)
GenderMale
Credentials FNP-C
Sole proprietorNo
NPI enumeratedApril 15, 2011
Last updated in NPPESJune 24, 2026
Certification dateJune 24, 2026
Mailing address16027 Locust St, Apt 5, Eagleville, MO 64442-7130

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2010 (16 years in practice)
Group practice Harrison County Community Hospital District — 21 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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