KATY TRAIL - PRAIRIE HILLS
NPI 1053694422
Clinic/Center - Federally Qualified Health Center (FQHC) in Versailles, MO
About Katy Trail - Prairie Hills NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KATY TRAIL - PRAIRIE HILLS (NPI 1053694422) is a healthcare organization registered as a federally qualified health center (fqhc) in Versailles, Missouri and active in the NPI registry since September 2011. The organization lists Michael Waller, Ceo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Katy Trail - Prairie Hills is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
49Medicare enrollment records show 49 clinicians reassign Medicare billing to Katy Trail - Prairie Hills, which bills Medicare for the services they deliver. Of these, 7 practice at this address and 8 within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 7
Nearest to this location (20)
See all 49Source: 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 Regional Health Care Clinic, Inc's NPI number?
The NPI number for Regional Health Care Clinic, Inc is 1053694422. It was assigned to this organization in the NPPES registry on September 22, 2011. The provider is doing business as Katy Trail - Prairie Hills.
Where is Regional Health Care Clinic, Inc located?
Regional Health Care Clinic, Inc is located at 1109 Clay Rd., Versailles, MO 65084. The listed phone number is (573) 378-2351.
What is Regional Health Care Clinic, Inc's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Federally Qualified Health Center (FQHC), with taxonomy code 261QF0400X.
Is Regional Health Care Clinic, Inc enrolled in Medicare?
Yes. Regional Health Care Clinic, Inc is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Regional Health Care Clinic, Inc?
According to the CMS Revalidation Reassignment List (October 2026 release), 49 clinicians in 7 Medicare specialties reassign their Medicare billing to Regional Health Care Clinic, Inc. 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. The largest specialties are Nurse Practitioner (24), Clinical Social Worker (10) and Family Practice (5). Of these, 7 practice at this address and 8 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Regional Health Care Clinic, Inc 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 2 other insurers list Regional Health Care Clinic, Inc 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 Regional Health Care Clinic, Inc was last updated on February 21, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Katy Trail - Prairie Hills · NPI 1053694422
Federally Qualified Health Center (FQHC) organization in Versailles, Missouri. Organization record, active in the CMS NPPES registry since September 22, 2011.
## Identity
- **NPI:** 1053694422 (Entity type: Organization)
- **Enumerated:** September 22, 2011
- **Primary specialty:** Clinic/Center - Federally Qualified Health Center (FQHC) · taxonomy 261QF0400X
- **Legal business name:** Regional Health Care Clinic, Inc
- **Organization subpart:** No
- **Authorized official:** Michael Waller, CEO
## Practice location
- **Address:** 1109 CLAY RD., Versailles, MO 65084
- **Phone:** (573) 378-2351
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 49 clinicians in 7 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (24), Clinical Social Worker (10), Family Practice (5); 7 practice at this address and 8 within 10 miles; [full list](https://npiprofile.com/npi/1053694422/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** February 21, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1053694422) · Data from the CMS NPPES public registry.