CROSS TRAILS MEDICAL CENTER
NPI 1215368402
Clinic/Center - Federally Qualified Health Center (FQHC) in Perryville, MO
About Cross Trails Medical Center NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CROSS TRAILS MEDICAL CENTER (NPI 1215368402) is a healthcare organization registered as a federally qualified health center (fqhc) in Perryville, Missouri and active in the NPI registry since December 2013. The organization holds a CLIA Certificate of Compliance certificate valid through November 12, 2026 and lists Mona Wells, Cfo, 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)
Cross Trails Medical Center is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
22Medicare enrollment records show 22 clinicians reassign Medicare billing to Cross Trails Medical Center, which bills Medicare for the services they deliver. Of these, 1 practice at this address. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 8
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 Compliance 26D2072394
Cross Trails Medical Center · Perryville, 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 Cross Trails Medical Center's NPI number?
The NPI number for Cross Trails Medical Center is 1215368402. It was assigned to this organization in the NPPES registry on December 12, 2013.
Where is Cross Trails Medical Center located?
Cross Trails Medical Center is located at 1314 Brenda Ave, Perryville, MO 63775. The listed phone number is (573) 332-0808.
What is Cross Trails Medical Center's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Federally Qualified Health Center (FQHC), with taxonomy code 261QF0400X.
Is Cross Trails Medical Center enrolled in Medicare?
Yes. Cross Trails Medical Center is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Cross Trails Medical Center?
According to the CMS Revalidation Reassignment List (October 2026 release), 22 clinicians in 8 Medicare specialties reassign their Medicare billing to Cross Trails Medical Center. 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 Dentist (8), Nurse Practitioner (6) and Family Practice (2). Of these, 1 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Cross Trails Medical Center hold a CLIA laboratory certificate?
Yes. A Certificate of Compliance (number 26D2072394) is associated with this NPI, valid through November 12, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Cross Trails Medical Center 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 Cross Trails Medical Center 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 Cross Trails Medical Center was last updated on December 12, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.
# Cross Trails Medical Center · NPI 1215368402
Federally Qualified Health Center (FQHC) organization in Perryville, Missouri. Organization record, active in the CMS NPPES registry since December 12, 2013.
## Identity
- **NPI:** 1215368402 (Entity type: Organization)
- **Enumerated:** December 12, 2013
- **Primary specialty:** Clinic/Center - Federally Qualified Health Center (FQHC) · taxonomy 261QF0400X
- **Organization subpart:** Yes (part of Cross Trails Medical Center)
- **Authorized official:** Mona Wells, CFO
## Practice location
- **Address:** 1314 BRENDA AVE, Perryville, MO 63775-2624
- **Phone:** (573) 332-0808 · **Fax:** (573) 339-7945
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 22 clinicians in 8 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Dentist (8), Nurse Practitioner (6), Family Practice (2); 1 practice at this address; [full list](https://npiprofile.com/npi/1215368402/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** December 12, 2013
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1215368402) · Data from the CMS NPPES public registry.