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PREMISE HEALTH OF MISSOURI MEDICAL PC
NPI 1063239564
Clinic/Center - Multi-Specialty in Kansas City, MO

Active since September 25, 2024
8965 E. 38 TERRACE #100, KANSAS CITY, MO 64129(816) 884-9355(816) 817-3757 Get Directions Write a Review

NPPES record last updated: January 29, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jan 29, 2026, Sep 9, 2025, Sep 25, 2024 (3 updates tracked since 2024).

About Premise Health Of Missouri Medical Pc NPPES

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

PREMISE HEALTH OF MISSOURI MEDICAL PC (NPI 1063239564), doing business as Carpenters Wellness Center, is a healthcare organization registered as a multi-specialty in Kansas City, Missouri and active in the NPI registry since September 2024. The organization lists Edward William Schwartz, President, as its authorized official.

NPPES Registry Identity

NPI1063239564
Entity TypeOrganization
Primary Taxonomy261QM1300X
Legal Business NamePREMISE HEALTH OF MISSOURI MEDICAL PC
Location Address8965 E. 38 TERRACE #100Kansas City, MO 64129
Mailing Address5500 Maryland Way Ste 120Brentwood, TN 37027-4993
Phone(816) 884-9355
Fax(816) 817-3757
Organization SubpartNo
Authorized OfficialEdward William SchwartzPresident · (844) 407-7557
Enumeration DateSeptember 25, 2024
Last NPPES UpdateJanuary 29, 20263 updates tracked since enumeration
NPPES CertifiedJanuary 29, 2026
✔ NPI 1063239564 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Multi-SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM1300X

Other Names 1

Doing Business AsCarpenters Wellness Center

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Premise Health Of Missouri Medical Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to Premise Health Of Missouri Medical PC, which bills Medicare for the services they deliver. They are listed nearest first.

Clinicians, nearest first (3)

Jill Riaz, CRNP
Nurse Practitioner
NPI 1881064368
2 BALA PLZ STE IL27
Bala Cynwyd, PA 19004
(610) 668-9999
✔ PECOS✔ Accepts Medicare
Janelle Riley, M.D.
Family Practice
NPI 1235578964
818 N 7TH ST
Leavenworth, KS 66048
(913) 651-8860
✔ PECOS
Melanie Shockley
Nurse Practitioner
NPI 1770193161
1306 PLATTE FALLS RD STE C
Platte City, MO 64079
(816) 431-2150
✔ PECOS✔ Accepts Medicare

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 26D2312561

Premise Health Of Missouri Medical, PC · Kansas City, MO
Expired · Oct 14, 2026
CLIA Number26D2312561
Laboratory TypePhysician Office
Certificate Effective DateOctober 15, 2024
Certificate Expiration DateOctober 14, 2026
Laboratory DirectorJanelle Riley
Laboratory Phone(816) 884-9355
Laboratory LocationPremise Health Of Missouri Medical, PC8965 E 38 Terrace #100, Kansas City, MO 64129
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Premise Health Of Missouri Medical PC's NPI number?

The NPI number for Premise Health Of Missouri Medical PC is 1063239564. It was assigned to this organization in the NPPES registry on September 25, 2024. The provider is doing business as Carpenters Wellness Center.

Where is Premise Health Of Missouri Medical PC located?

Premise Health Of Missouri Medical PC is located at 8965 E. 38 Terrace #100, Kansas City, MO 64129. The listed phone number is (816) 884-9355.

What is Premise Health Of Missouri Medical PC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Multi-Specialty, with taxonomy code 261QM1300X.

Is Premise Health Of Missouri Medical PC enrolled in Medicare?

Yes. Premise Health Of Missouri Medical PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Premise Health Of Missouri Medical PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Premise Health Of Missouri Medical PC, in Family Practice and Nurse Practitioner. 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.

When was this NPI record last updated?

The NPPES record for Premise Health Of Missouri Medical PC was last updated on January 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months 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.