PREMONITION HEALTH LLC
NPI 1164292090
Internal Medicine in Wichita, KS

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: August 16, 2026.

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

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
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

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

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.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Internal Medicine
1431 S BLUFFVIEW DR STE 210
WICHITA, KS 67218
Physician Assistant
1431 S BLUFFVIEW DR STE 210
WICHITA, KS 67218

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.

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 7 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.