FCC MEDICAL CLINICS LLC
NPI 1043885254
Clinic/Center - Rural Health in Kennett, MO

Q: What is Fcc Medical Clinics LLC's NPI number?

The NPI number for Fcc Medical Clinics LLC is 1043885254. It was assigned to this organization in the NPPES registry on May 21, 2021. The provider is doing business as FCC Primary Care Clinic.

Q: What is Fcc Medical Clinics LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rural Health, with taxonomy code 261QR1300X.

Active since May 21, 2021

900 STATE ROUTE VV, KENNETT, MO 63857(573) 559-2365(573) 559-2357 Get Directions Write a Review

NPPES record last updated: May 21, 2021. Verified against the NPPES registry weekly; last sync: November 01, 2026.

On this page

About Fcc Medical Clinics Llc NPPES

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

FCC MEDICAL CLINICS LLC (NPI 1043885254), doing business as Fcc Primary Care Clinic, is a healthcare organization registered as a rural health in Kennett, Missouri and active in the NPI registry since May 2021. The organization lists Tracy Ellis, Cco, as its authorized official.

NPPES Registry Identity

NPI1043885254

Entity TypeOrganization

Primary Taxonomy261QR1300X

Legal Business NameFCC MEDICAL CLINICS LLC

Location Address900 STATE ROUTE VVKennett, MO 63857-3834

Mailing AddressPo Box 71Kennett, MO 63857-0071 · (573) 559-2365 · Fax (573) 559-2357

Phone(573) 559-2365

Fax(573) 559-2357

Organization SubpartYesParent: Family Counseling Center, Inc.

Authorized OfficialTracy EllisCco · (573) 888-5925

Enumeration DateMay 21, 2021

NPPES CertifiedMay 4, 2021

✔ NPI 1043885254 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities

Taxonomy Code261QR1300X

900 STATE ROUTE VV, Kennett, MO 63857

Open in Google Maps ↗

Other Names 1

Doing Business AsFcc Primary Care Clinic

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 and revalidation status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Fcc Medical Clinics Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by November 30, 2026

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 IDO20210714001505Part A · Rural Health ClinicDue dateNovember 30, 2026

Source: CMS Revalidation Due Date List, October 2026 release.

Other Providers at the Same Location NPPES 14

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. SHARON ANN PAYNE FNP-C

Nurse Practitioner (Family)