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LIAISON HEALTH GROUP, LLC
NPI 1033874888
Clinic/Center in Overland, MO

Active since November 06, 2021
9628 MIDLAND BLVD, OVERLAND, MO 63114(314) 779-6022 Get Directions Write a Review

NPPES record last updated: January 13, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jan 13, 2023, Nov 6, 2021 (2 updates tracked since 2021).

About Liaison Health Group, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LIAISON HEALTH GROUP, LLC (NPI 1033874888) is a healthcare organization registered as a clinic/center in Overland, Missouri and active in the NPI registry since November 2021. The organization lists Wogene Amsalu, Nurse Practitioner, as its authorized official.

NPPES Registry Identity

NPI1033874888
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameLIAISON HEALTH GROUP, LLC
Location Address9628 MIDLAND BLVDOverland, MO 63114-3357
Mailing Address9628 Midland BlvdOverland, MO 63114-3357 · (314) 779-6022
Phone(314) 779-6022
Organization SubpartNo
Authorized OfficialWogene AmsaluNurse Practitioner · (314) 779-6022
Enumeration DateNovember 6, 2021
Last NPPES UpdateJanuary 13, 20232 updates tracked since enumeration
NPPES CertifiedJanuary 13, 2023
✔ NPI 1033874888 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
9628 MIDLAND BLVD, Overland, MO 63114
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Other Identifiers 1

Other2018001284MO · Board Of Nursing

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Sunflower Health Plan, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Liaison Health Group, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by January 31, 2027

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateMissouriEnrollment IDO20220118002422Non-DME Part B · Clinic/Group PracticeDue dateJanuary 31, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Liaison Health Group, LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Wogene Amsalu
Nurse Practitioner
NPI 1184091431
9628 MIDLAND BLVD
Overland, MO 63114
(314) 779-6022
✔ PECOSSame address

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 Liaison Health Group, LLC's NPI number?

The NPI number for Liaison Health Group, LLC is 1033874888. It was assigned to this organization in the NPPES registry on November 6, 2021.

Where is Liaison Health Group, LLC located?

Liaison Health Group, LLC is located at 9628 Midland Blvd, Overland, MO 63114. The listed phone number is (314) 779-6022.

What is Liaison Health Group, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

Is Liaison Health Group, LLC enrolled in Medicare?

Yes. Liaison Health Group, LLC is registered in the Medicare PECOS enrollment system.

When is Liaison Health Group, LLC's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Missouri, Clinic/Group Practice) is due for revalidation by January 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Liaison Health Group, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Liaison Health Group, LLC. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Liaison Health Group, LLC accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Arkansas Health & Wellness, Ambetter from Sunflower Health Plan and Ambetter of Oklahoma and 1 other insurer list Liaison Health Group, LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Liaison Health Group, LLC was last updated on January 13, 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.