ARCHWELL HEALTH PROFESSIONAL SERVICES OF KANSAS, P.A.
NPI 1083289086
Internal Medicine in Ferguson, MO
About Archwell Health Professional Services Of Kansas, P.a. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ARCHWELL HEALTH PROFESSIONAL SERVICES OF KANSAS, P.A. (NPI 1083289086) is a healthcare organization registered as an internal medicine in Ferguson, Missouri and active in the NPI registry since May 2021. The organization holds a CLIA Waiver certificate valid through June 28, 2027, maintains 6 additional practice locations, and lists Lisa Lucas, Chief Administrative Officer, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 3
Secondary Practice Locations 6
Group Practice 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)
Archwell Health Professional Services Of Kansas, P.a. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by October 31, 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.
Clinicians Billing Medicare Through This Organization
67Medicare enrollment records show 67 clinicians reassign Medicare billing to Archwell Health Professional Services Of Kansas, P.A., which bills Medicare for the services they deliver. Of these, 6 practice at this address and 25 within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 5
Nearest to this location (20)
See all 67Source: 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 26D2228656
Archwell Health Professional Services Of Kansas, PA Dba Archwell Health- North Kingshighway · Saint Louis, 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 Archwell Health Professional Services Of Kansas, P.A.'s NPI number?
The NPI number for Archwell Health Professional Services Of Kansas, P.A. is 1083289086. It was assigned to this organization in the NPPES registry on May 21, 2021.
Where is Archwell Health Professional Services Of Kansas, P.A. located?
Archwell Health Professional Services Of Kansas, P.A. is located at 199 N Florissant Rd, Ferguson, MO 63135. The listed phone number is (888) 987-1151.
What is Archwell Health Professional Services Of Kansas, P.A.'s specialty?
The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.
Is Archwell Health Professional Services Of Kansas, P.A. enrolled in Medicare?
Yes. Archwell Health Professional Services Of Kansas, P.A. is registered in the Medicare PECOS enrollment system.
When is Archwell Health Professional Services Of Kansas, P.A.'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 (Kansas, Clinic/Group Practice) is due for revalidation by October 31, 2026. 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 Archwell Health Professional Services Of Kansas, P.A.?
According to the CMS Revalidation Reassignment List (October 2026 release), 67 clinicians in 5 Medicare specialties reassign their Medicare billing to Archwell Health Professional Services Of Kansas, P.A.. 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 (27), Family Practice (18) and Internal Medicine (16). Of these, 6 practice at this address and 25 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Archwell Health Professional Services Of Kansas, P.A. hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 26D2228656) is associated with this NPI, valid through June 28, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Archwell Health Professional Services Of Kansas, P.A. accept?
Health plans from Anthem Blue Cross and Blue Shield list Archwell Health Professional Services Of Kansas, P.A. 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 Archwell Health Professional Services Of Kansas, P.A. was last updated on April 5, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Archwell Health Professional Services Of Kansas, P.a. · NPI 1083289086
Internal Medicine organization in Ferguson, Missouri. Organization record, active in the CMS NPPES registry since May 21, 2021.
## Identity
- **NPI:** 1083289086 (Entity type: Organization)
- **Enumerated:** May 21, 2021
- **Primary specialty:** Internal Medicine · taxonomy 207R00000X
- **Organization subpart:** No
- **Authorized official:** Lisa Lucas, CHIEF ADMINISTRATIVE OFFICER
## Practice location
- **Address:** 199 N FLORISSANT RD, Ferguson, MO 63135-1976
- **Phone:** (888) 987-1151
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** October 31, 2026 (Non-DME Part B, Kansas, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 67 clinicians in 5 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (27), Family Practice (18), Internal Medicine (16); 6 practice at this address and 25 within 10 miles; [full list](https://npiprofile.com/npi/1083289086/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** April 5, 2023
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1083289086) · Data from the CMS NPPES public registry.