COMMUNITY HEALTH CENTER OF SOUTHEAST KANSAS, INC.
NPI 1063997377
Clinic/Center - Federally Qualified Health Center (FQHC) in Pleasanton, KS
About Community Health Center Of Southeast Kansas, Inc. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
COMMUNITY HEALTH CENTER OF SOUTHEAST KANSAS, INC. (NPI 1063997377) is a healthcare organization registered as a federally qualified health center (fqhc) in Pleasanton, Kansas and active in the NPI registry since October 2018. The organization holds a CLIA Waiver certificate valid through June 16, 2028 and lists Daniel Spencer Creitz, General Counsel, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
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)
Community Health Center Of Southeast Kansas, Inc. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
177Medicare enrollment records show 177 clinicians reassign Medicare billing to Community Health Center Of Southeast Kansas, Inc., which bills Medicare for the services they deliver. Of these, 4 practice at this address and 7 within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 16
Nearest to this location (20)
See all 177Source: 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 17D2345758
Community Health Center Of Southeast Kansas · Fredonia, KSFrequently 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 Community Health Center Of Southeast Kansas, Inc.'s NPI number?
The NPI number for Community Health Center Of Southeast Kansas, Inc. is 1063997377. It was assigned to this organization in the NPPES registry on October 2, 2018.
Where is Community Health Center Of Southeast Kansas, Inc. located?
Community Health Center Of Southeast Kansas, Inc. is located at 11155 Tucker Rd, Pleasanton, KS 66075. The listed phone number is (620) 231-9873.
What is Community Health Center Of Southeast Kansas, 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 Community Health Center Of Southeast Kansas, Inc. enrolled in Medicare?
Yes. Community Health Center Of Southeast Kansas, Inc. is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Community Health Center Of Southeast Kansas, Inc.?
According to the CMS Revalidation Reassignment List (October 2026 release), 177 clinicians in 16 Medicare specialties reassign their Medicare billing to Community Health Center Of Southeast Kansas, 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 (99), Family Practice (16) and Clinical Social Worker (15). Of these, 4 practice at this address and 7 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Community Health Center Of Southeast Kansas, Inc. hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 17D2345758) is associated with this NPI, valid through June 16, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Community Health Center Of Southeast Kansas, Inc. accept?
Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Sunflower Health Plan, Ambetter of Oklahoma and Blue Cross and Blue Shield of Kansas, Inc. list Community Health Center Of Southeast Kansas, 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 Community Health Center Of Southeast Kansas, Inc. was last updated on October 2, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.
# Community Health Center Of Southeast Kansas, Inc. · NPI 1063997377
Federally Qualified Health Center (FQHC) organization in Pleasanton, Kansas. Organization record, active in the CMS NPPES registry since October 2, 2018.
## Identity
- **NPI:** 1063997377 (Entity type: Organization)
- **Enumerated:** October 2, 2018
- **Primary specialty:** Clinic/Center - Federally Qualified Health Center (FQHC) · taxonomy 261QF0400X
- **Organization subpart:** No
- **Authorized official:** Daniel Creitz, GENERAL COUNSEL
## Practice location
- **Address:** 11155 TUCKER RD, Pleasanton, KS 66075-8401
- **Phone:** (620) 231-9873
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 177 clinicians in 16 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (99), Family Practice (16), Clinical Social Worker (15); 4 practice at this address and 7 within 10 miles; [full list](https://npiprofile.com/npi/1063997377/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 2, 2018
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1063997377) · Data from the CMS NPPES public registry.