CROSS TRAILS MEDICAL CENTER
NPI 1225191752
Clinic/Center - Federally Qualified Health Center (FQHC) in Advance, MO

Active since December 18, 2006CLIA 26D0958974 · Certificate of Compliance
307 GABRIEL ST., ADVANCE, MO 63730(573) 722-3034(573) 722-3244 Get Directions Write a Review

NPPES record last updated: October 15, 2010. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Cross Trails Medical Center NPPES

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

CROSS TRAILS MEDICAL CENTER (NPI 1225191752) is a healthcare organization registered as a federally qualified health center (fqhc) in Advance, Missouri and active in the NPI registry since December 2006. The organization holds a CLIA Certificate of Compliance certificate valid through August 22, 2027 and lists Mona Wells, Cfo, as its authorized official.

NPPES Registry Identity

NPI1225191752
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameCROSS TRAILS MEDICAL CENTER
Location Address307 GABRIEL ST.Advance, MO 63730
Mailing AddressPo Box 39Advance, MO 63730-0039 · (573) 722-3034 · Fax (573) 722-3244
Fax(573) 722-3244
Organization SubpartYes
Authorized OfficialMona WellsCfo · (573) 339-1196
Enumeration DateDecember 18, 2006
Last NPPES UpdateOctober 15, 2010
✔ NPI 1225191752 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
Taxonomy Code261QF0400X
307 GABRIEL ST., Advance, MO 63730

Other Identifiers 3

Medicare OSCAR/certification261850MO
Medicaid508082823MO
Medicare PIN000012446MO

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

22

Medicare 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 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 8

Dentist8
Nurse Practitioner6
Family Practice2
Internal Medicine2
Clinical Social Worker1
Infectious Disease1
Oral Surgery1
Pediatric Medicine1

Nearest to this location (20)

See all 22
Dentist
NPI 1396300547
307 W GABRIEL ST
Advance, MO 63730
(573) 722-3034
✔ PECOS0.1 mi
Internal Medicine
NPI 1447530597
109 STATE HIGHWAY 51 N
Marble Hill, MO 63764
(573) 238-2725
✔ PECOS✔ Accepts Medicare14 mi
Family Practice
NPI 1659722155
817 S MOUNT AUBURN RD
Cape Girardeau, MO 63703
(573) 519-4500
✔ PECOS✔ Accepts Medicare23 mi
157 SIEMERS DR # 106
Cape Girardeau, MO 63701
(573) 970-3275
✔ PECOS23 mi
Pediatric Medicine
NPI 1639597578
25 DOCTORS PARK
Cape Girardeau, MO 63703
(573) 331-6750
✔ PECOS23 mi
Nurse Practitioner
NPI 1760739668
545 BROADRIDGE DR
Jackson, MO 63755
(573) 243-8408
✔ PECOS✔ Accepts Medicare23 mi
Infectious Disease
NPI 1932261104
211 SAINT FRANCIS DR SPECIALTY CLINIC
Cape Girardeau, MO 63703
(573) 331-5932
✔ PECOS23 mi
Dentist
NPI 1043145451
408 S BROADVIEW ST
Cape Girardeau, MO 63703
(573) 332-0808
✔ PECOS24 mi
Family Practice
NPI 1720017296
408 S BROADVIEW ST
Cape Girardeau, MO 63703
(573) 332-0808
✔ PECOS✔ Accepts Medicare24 mi
Internal Medicine
NPI 1962645838
408 S BROADVIEW ST
Cape Girardeau, MO 63703
(573) 332-0808
✔ PECOS✔ Accepts Medicare24 mi
Dentist
NPI 1356070890
408 S BROADVIEW ST
Cape Girardeau, MO 63703
(573) 332-0808
✔ PECOS24 mi
Nurse Practitioner
NPI 1407125370
408 S BROADVIEW ST
Cape Girardeau, MO 63703
(573) 332-0808
✔ PECOS✔ Accepts Medicare24 mi
Dentist
NPI 1740170083
408 S BROADVIEW ST
Cape Girardeau, MO 63703
(573) 332-0808
✔ PECOS24 mi
Dentist
NPI 1235828278
408 S BROADVIEW ST
Cape Girardeau, MO 63703
(573) 334-4753
✔ PECOS24 mi
Nurse Practitioner
NPI 1346252293
408 S BROADVIEW ST
Cape Girardeau, MO 63703
(573) 332-0808
✔ PECOS✔ Accepts Medicare24 mi
Dentist
NPI 1356037626
408 S BROADVIEW ST
Cape Girardeau, MO 63703
(573) 339-1196
✔ PECOS24 mi
Clinical Social Worker
NPI 1386108181
2430 GOLDEN ST
Cape Girardeau, MO 63703
(573) 332-0808
✔ PECOS✔ Accepts Medicare24 mi
Nurse Practitioner
NPI 1760730139
1349 N MOUNT AUBURN RD
Cape Girardeau, MO 63701
(573) 334-9564
✔ PECOS✔ Accepts Medicare24 mi
Nurse Practitioner
NPI 1639267990
400 S MAIN ST
Charleston, MO 63834
(573) 683-3739
✔ PECOS34 mi
Nurse Practitioner
NPI 1598316564
1314 BRENDA AVE
Perryville, MO 63775
(573) 517-0405
✔ PECOS✔ Accepts Medicare43 mi
See all 22 clinicians

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 Compliance 26D0958974

Cross Trails Medical Center · Advance, MO
Active · expires Aug 22, 2027
CLIA Number26D0958974
Laboratory TypePhysician Office
Certificate Effective DateAugust 23, 2025
Certificate Expiration DateAugust 22, 2027
Laboratory DirectorCurtis Jansen
Laboratory Phone(573) 722-3034
Laboratory LocationCross Trails Medical Center307 North Gabriel Street, Advance, MO 63730
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

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 Cross Trails Medical Center's NPI number?

The NPI number for Cross Trails Medical Center is 1225191752. It was assigned to this organization in the NPPES registry on December 18, 2006.

Where is Cross Trails Medical Center located?

Cross Trails Medical Center is located at 307 Gabriel St., Advance, MO 63730. The listed phone number is (573) 722-3034.

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 within 10 miles. 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 26D0958974) is associated with this NPI, valid through August 22, 2027. 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 3 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 October 15, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.