ONE CROSS COMMUNITY, INC.
NPI 1215404082
Clinic/Center - Federally Qualified Health Center (FQHC) in Lebanon, KY
About One Cross Community, Inc. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ONE CROSS COMMUNITY, INC. (NPI 1215404082) is a healthcare organization registered as a federally qualified health center (fqhc) in Lebanon, Kentucky and active in the NPI registry since October 2018. The organization holds 2 active CLIA laboratory certificates, maintains a secondary practice location in Campbellsville, and lists Kimberly Rose Mckenna, Ceo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Other Identifiers 1
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)
One Cross Community, Inc. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
13Medicare enrollment records show 13 clinicians reassign Medicare billing to One Cross Community, Inc., which bills Medicare for the services they deliver. Of these, 1 practice within 10 miles. They are listed nearest first.
Clinicians by Medicare Specialty 2
Clinicians, nearest first (13)
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 2
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 18D2324125
One Cross Community · Campbellsville, KYCertificate of Waiver 18D2274741
One Cross Community Inc · Lebanon, KYFrequently 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 One Cross Community, Inc.'s NPI number?
The NPI number for One Cross Community, Inc. is 1215404082. It was assigned to this organization in the NPPES registry on October 30, 2018.
Where is One Cross Community, Inc. located?
One Cross Community, Inc. is located at 429 W Walnut St, Lebanon, KY 40033. The listed phone number is (270) 789-0034.
What is One Cross Community, Inc.'s specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Federally Qualified Health Center (FQHC), with taxonomy code 261QF0400X.
Is One Cross Community, Inc. enrolled in Medicare?
Yes. One Cross Community, Inc. is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through One Cross Community, Inc.?
According to the CMS Revalidation Reassignment List (October 2026 release), 13 clinicians in 2 Medicare specialties reassign their Medicare billing to One Cross Community, Inc.. 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 (12) and Mental Health Counselor (1). Of these, 1 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does One Cross Community, Inc. hold CLIA laboratory certificates?
Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.
What insurance does One Cross Community, Inc. accept?
Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter of Tennessee and Anthem Blue Cross and Blue Shield list One Cross Community, Inc. 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 One Cross Community, Inc. was last updated on April 30, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.
# One Cross Community, Inc. · NPI 1215404082
Federally Qualified Health Center (FQHC) organization in Lebanon, Kentucky. Organization record, active in the CMS NPPES registry since October 30, 2018.
## Identity
- **NPI:** 1215404082 (Entity type: Organization)
- **Enumerated:** October 30, 2018
- **Primary specialty:** Clinic/Center - Federally Qualified Health Center (FQHC) · taxonomy 261QF0400X
- **Organization subpart:** No
- **Authorized official:** Kimberly Mckenna, CEO
## Practice location
- **Address:** 429 W WALNUT ST, Lebanon, KY 40033-1346
- **Phone:** (270) 789-0034 · **Fax:** (270) 789-0097
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 13 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (12), Mental Health Counselor (1); 1 practice within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** April 30, 2025
- **Other identifiers:** Medicaid 7100967340 (KY)
- **CLIA laboratory certificates:** 2 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1215404082) · Data from the CMS NPPES public registry.