PREMONITION HEALTH LLC
NPI 1164292090
Internal Medicine in Wichita, KS

Q: What is Premonition Health LLC's NPI number?

The NPI number for Premonition Health LLC is 1164292090. It was assigned to this organization in the NPPES registry on January 2, 2024. The provider is doing business as Premonition Health.

Q: What is Premonition Health LLC's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Active since January 02, 2024CLIA 17D2048879 · Waiver

1431 S BLUFFVIEW DR STE 210, WICHITA, KS 67218(316) 789-6049(316) 867-6365 Get Directions Write a Review

NPPES record last updated: January 7, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jan 7, 2026, Dec 18, 2025, Dec 19, 2024 and 2 more (5 updates tracked since 2024).

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About Premonition Health Llc NPPES

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

PREMONITION HEALTH LLC (NPI 1164292090), doing business as Premonition Health, is a healthcare organization registered as an internal medicine in Wichita, Kansas and active in the NPI registry since January 2024. The organization holds a CLIA Waiver certificate valid through July 15, 2028, maintains a secondary practice location in Peabody, and lists Matthew L Bezzant, President, as its authorized official.

NPPES Registry Identity

NPI1164292090

Entity TypeOrganization

Primary Taxonomy207R00000X

Legal Business NamePREMONITION HEALTH LLC

Location Address1431 S BLUFFVIEW DR STE 210Wichita, KS 67218-3039

Mailing Address1431 S Bluffview Dr Ste 210Wichita, KS 67218-3039 · (316) 789-6049 · Fax (316) 867-6365

Phone(316) 789-6049

Fax(316) 867-6365

Organization SubpartNo

Authorized OfficialMatthew L BezzantPresident · (316) 789-6049

Enumeration DateJanuary 2, 2024

Last NPPES UpdateJanuary 7, 20265 updates tracked since enumeration

NPPES CertifiedJanuary 7, 2026

✔ NPI 1164292090 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Also ListedPhysician AssistantTaxonomy 363A00000X

Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X

1431 S BLUFFVIEW DR STE 210, Wichita, KS 67218

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Other Names 1

Doing Business AsPremonition Health

Secondary Practice Location 1

Location 1500 W 4th StPeabody, KS 66866-1103 · Phone (484) 464-3820 · Fax (316) 867-6365

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Kansas, Inc..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)

Premonition Health Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 2 clinicians reassign Medicare billing to Premonition Health LLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.

Clinicians, nearest first (2)

Matthew Bezzant, MD

Internal Medicine

NPI 1659733277

1431 S BLUFFVIEW DR STE 210
Wichita, KS 67218

(316) 789-6049

✔ PECOS✔ Accepts MedicareSame address

Jennifer Murphy, CRNP

Nurse Practitioner

NPI 1982192324

500 W 4TH ST
Peabody, KS 66866

(620) 992-6088

✔ PECOS✔ Accepts Medicare36 mi

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 17D2048879

Premonition Health LLC · Wichita, KS

Active · expires Jul 15, 2028

CLIA Number17D2048879

Laboratory TypePhysician Office

Certificate Effective DateJuly 16, 2026

Certificate Expiration DateJuly 15, 2028

Laboratory DirectorMatthew L. Bezzant

Laboratory Phone(316) 789-6149

Laboratory LocationPremonition Health LLC1431 South Bluffview Dr, Suite 210, Wichita, KS 67218

CLIA data matches this NPI record on: Address Name

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 Premonition Health LLC's NPI number?

The NPI number for Premonition Health LLC is 1164292090. It was assigned to this organization in the NPPES registry on January 2, 2024. The provider is doing business as Premonition Health.

Where is Premonition Health LLC located?

Premonition Health LLC is located at 1431 S Bluffview Dr Ste 210, Wichita, KS 67218. The listed phone number is (316) 789-6049.

What is Premonition Health LLC's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Premonition Health LLC enrolled in Medicare?

Yes. Premonition Health LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Premonition Health LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Premonition Health LLC, in Internal Medicine 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. Of these, 1 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Premonition Health LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 17D2048879) is associated with this NPI, valid through July 15, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Premonition Health LLC accept?

Health plans from Blue Cross and Blue Shield of Kansas, Inc. list Premonition Health LLC 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 Premonition Health LLC was last updated on January 7, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.