CLAY PLATTE FAMILY MEDICINE CLINIC
NPI 1073570487
Family Medicine in Kansas City, MO
About Clay Platte Family Medicine Clinic NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CLAY PLATTE FAMILY MEDICINE CLINIC (NPI 1073570487) is a healthcare organization registered as a family medicine in Kansas City, Missouri and active in the NPI registry since April 2006. The organization holds an CLIA Accreditation certificate valid through December 13, 2027 and lists Scott H Kuennen, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Other Identifiers 1
Accepted 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)
Clay Platte Family Medicine Clinic 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.
Clinicians Billing Medicare Through This Organization
22Medicare enrollment records show 22 clinicians reassign Medicare billing to Clay Platte Family Medicine Clinic, which bills Medicare for the services they deliver. Of these, 11 practice at this address and 17 within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 3
Nearest to this location (20)
See all 22Source: 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 Accreditation 26D0898415
Clay-Platte Family Medicine Clinic PC · Kansas City, MOFrequently 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 Clay Platte Family Medicine Clinic's NPI number?
The NPI number for Clay Platte Family Medicine Clinic is 1073570487. It was assigned to this organization in the NPPES registry on April 28, 2006.
Where is Clay Platte Family Medicine Clinic located?
Clay Platte Family Medicine Clinic is located at 5501 NW 62nd Ter Ste 100, Kansas City, MO 64151. The listed phone number is (816) 842-4440.
What is Clay Platte Family Medicine Clinic's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Clay Platte Family Medicine Clinic enrolled in Medicare?
Yes. Clay Platte Family Medicine Clinic is registered in the Medicare PECOS enrollment system.
When is Clay Platte Family Medicine Clinic'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 Clay Platte Family Medicine Clinic?
According to the CMS Revalidation Reassignment List (October 2026 release), 22 clinicians in 3 Medicare specialties reassign their Medicare billing to Clay Platte Family Medicine Clinic. 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 Family Practice (12), Nurse Practitioner (6) and Internal Medicine (4). Of these, 11 practice at this address and 17 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Clay Platte Family Medicine Clinic hold a CLIA laboratory certificate?
Yes. A Certificate of Accreditation (number 26D0898415) is associated with this NPI, valid through December 13, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Clay Platte Family Medicine Clinic 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 Clay Platte Family Medicine Clinic 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 Clay Platte Family Medicine Clinic was last updated on October 25, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Clay Platte Family Medicine Clinic · NPI 1073570487
Family Medicine organization in Kansas City, Missouri. Organization record, active in the CMS NPPES registry since April 28, 2006.
## Identity
- **NPI:** 1073570487 (Entity type: Organization)
- **Enumerated:** April 28, 2006
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Organization subpart:** No
- **Authorized official:** Scott Kuennen, PRESIDENT
## Practice location
- **Address:** 5501 NW 62ND TER STE 100, Kansas City, MO 64151-2412
- **Phone:** (816) 842-4440 · **Fax:** (816) 842-1974
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** January 31, 2027 (Non-DME Part B, Missouri, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 22 clinicians in 3 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Family Practice (12), Nurse Practitioner (6), Internal Medicine (4); 11 practice at this address and 17 within 10 miles; [full list](https://npiprofile.com/npi/1073570487/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 25, 2022
- **Other identifiers:** Medicaid 505360107 (MO)
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1073570487) · Data from the CMS NPPES public registry.