WELLSPRING FAMILY CLINIC
NPI 1033526611
Clinic/Center in Broken Arrow, OK
About Wellspring Family Clinic NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
WELLSPRING FAMILY CLINIC (NPI 1033526611) is a healthcare organization registered as a clinic/center in Broken Arrow, Oklahoma and active in the NPI registry since July 2014. The organization lists Kristi Gene Sager, Nurse Practitioner/owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Wellspring Family Clinic is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
3Medicare enrollment records show 3 clinicians reassign Medicare billing to Wellspring Family Clinic, which bills Medicare for the services they deliver. Of these, 2 practice within 10 miles. They are listed nearest first.
Clinicians, nearest first (3)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Wellspring Family Clinic's NPI number?
The NPI number for Wellspring Family Clinic is 1033526611. It was assigned to this organization in the NPPES registry on July 16, 2014.
Where is Wellspring Family Clinic located?
Wellspring Family Clinic is located at 1081 N. Birch Ave, Broken Arrow, OK 74012. The listed phone number is (918) 461-0422.
What is Wellspring Family Clinic's specialty?
The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.
Is Wellspring Family Clinic enrolled in Medicare?
Yes. Wellspring Family Clinic is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Wellspring Family Clinic?
According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians, all in Nurse Practitioner, reassign their Medicare billing to Wellspring Family Clinic. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 2 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Wellspring Family Clinic was last updated on July 24, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Wellspring Family Clinic · NPI 1033526611
Clinic/Center organization in Broken Arrow, Oklahoma. Organization record, active in the CMS NPPES registry since July 16, 2014.
## Identity
- **NPI:** 1033526611 (Entity type: Organization)
- **Enumerated:** July 16, 2014
- **Primary specialty:** Clinic/Center · taxonomy 261Q00000X
- **Organization subpart:** No
- **Authorized official:** Kristi Sager, NURSE PRACTITIONER/OWNER
## Practice location
- **Address:** 1081 N. BIRCH AVE, Broken Arrow, OK 74012-0000
- **Phone:** (918) 461-0422 · **Fax:** (918) 461-0428
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 3 clinicians (Nurse Practitioner) reassign Medicare billing to this organization (form CMS-855R); 2 practice within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 24, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1033526611) · Data from the CMS NPPES public registry.