AXTELL CLINIC, PA
NPI 1346286036
Family Medicine in Newton, KS

Active since June 21, 2006CLIA 17D0451152 · Waiver
700 MEDICAL CENTER DRIVE, SUITE 210, NEWTON, KS 67114(316) 283-2800(316) 283-3575 Get Directions Write a Review

NPPES record last updated: January 14, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jan 14, 2021, Feb 26, 2016, Dec 3, 2015 (3 updates tracked since 2015).

About Axtell Clinic, Pa NPPES

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

AXTELL CLINIC, PA (NPI 1346286036) is a healthcare organization registered as a family medicine in Newton, Kansas and active in the NPI registry since June 2006. The organization holds a CLIA Waiver certificate valid through April 13, 2028 and lists Alisha Malo, Administrator, as its authorized official.

NPPES Registry Identity

NPI1346286036
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameAXTELL CLINIC, PA
Location Address700 MEDICAL CENTER DRIVE, SUITE 210Newton, KS 67114-9017
Mailing Address700 Medical Center Drive, Suite 210Newton, KS 67114-9017 · (316) 283-2800 · Fax (316) 283-3575
Fax(316) 283-3575
Organization SubpartNo
Authorized OfficialAlisha MaloAdministrator · (316) 283-2800
Enumeration DateJune 21, 2006
Last NPPES UpdateJanuary 14, 20213 updates tracked since enumeration
NPPES CertifiedJanuary 14, 2021
✔ NPI 1346286036 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
700 MEDICAL CENTER DRIVE, Newton, KS 67114

Other Identifiers 1

Medicaid100003230AKS

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Axtell Clinic, Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by March 31, 2027

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateKansasEnrollment IDO20110317000912DME · Physician - General PracticeDue dateMarch 31, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

15

Medicare enrollment records show 15 clinicians reassign Medicare billing to Axtell Clinic, PA, which bills Medicare for the services they deliver. Of these, 13 practice at this address and 14 within 10 miles. They are listed nearest first.

Clinicians by Medicare Specialty 3

Family Practice7
Nurse Practitioner7
Ophthalmology1

Clinicians, nearest first (15)

Family Practice
NPI 1912571688
700 MEDICAL CENTER DR STE 210
Newton, KS 67114
(316) 283-2800
✔ PECOS✔ Accepts MedicareSame address
Ophthalmology
NPI 1104894070
700 MEDICAL CENTER DR SUITE 210
Newton, KS 67114
(316) 804-4705
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1124383419
700 MEDICAL CENTER DRIVE SUITE 210
Newton, KS 67114
(316) 283-2800
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1063480937
700 MEDICAL CENTER DR STE 210
Newton, KS 67114
(316) 283-2800
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1679532659
700 MEDICAL CENTER DRIVE SUITE 210
Newton, KS 67114
(316) 283-2800
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1831766807
700 MEDICAL CENTER DR STE 210
Newton, KS 67114
(316) 283-2800
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1164641932
700 MEDICAL CENTER DR SUITE 210
Newton, KS 67114
(316) 283-2800
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1013550425
700 MEDICAL CENTER DR STE 210
Newton, KS 67114
(316) 283-2800
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1467158147
700 MEDICAL CENTER DR STE 210
Newton, KS 67114
(316) 283-2800
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1457877953
700 MEDICAL CENTER DR STE 210
Newton, KS 67114
(316) 283-2800
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1922067792
700 MEDICAL CENTER DRIVE SUITE 210
Newton, KS 67114
(316) 283-2800
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1053888206
700 MEDICAL CENTER DR STE 210
Newton, KS 67114
(316) 283-2800
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1326778341
700 MEDICAL CENTER DR STE 210
Newton, KS 67114
(316) 283-2800
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1811372121
705 E RANDALL ST
Hesston, KS 67062
(620) 327-2440
✔ PECOS✔ Accepts Medicare9.2 mi
Nurse Practitioner
NPI 1346639267
2101 N WALDRON ST
Hutchinson, KS 67502
(620) 669-2500
✔ PECOS✔ Accepts Medicare31 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 17D0451152

Axtell Clinic · Newton, KS
Active · expires Apr 13, 2028
CLIA Number17D0451152
Laboratory TypeOther
Certificate Effective DateApril 14, 2026
Certificate Expiration DateApril 13, 2028
Laboratory DirectorRichard M. Glover MD
Laboratory Phone(316) 283-2800
Laboratory LocationAxtell Clinic700 Medical Center Drive, Suite 210, Newton, KS 67114
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Medical Equipment Supplier Medicare DMEPOS 4

Medicare supplier enrollment and the product categories Axtell Clinic PA carries, from the Medicare DMEPOS supplier directory.

Axtell Clinic PA

DMEPOS supplier · Newton, KS
✔

Accepts Medicare assignment

Axtell Clinic PA agrees to accept the Medicare-approved amount as full payment for covered equipment and supplies. Medicare patients are not billed beyond the standard deductible and coinsurance.

PTAN (Medicare Supplier Number)20673995
Medicare Participant SinceApril 1, 1990
Supplier Location700 Medical Center Dr Ste 210Newton, KS 67114
Provider TypePhysician – General Practice)
Supplier Specialties
Medical Supply Company Other Optometrist

Medicare Product Categories

Prosthetic Lenses: Conventional Eyeglasses
Conventional Eyeglasses
Prosthetic Lenses: Conventional Contact Lenses
Conventional Contact Lenses
Prosthetic Lenses: Prosthetics Cataract Lenses
Cataract Eyeglasses
Surgical Dressings
Gauze, Elastic bandages, Adhesive tape
Product categories are from the Medicare DMEPOS supplier directory. Contact the supplier to confirm current availability of specific items.

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 Axtell Clinic, PA's NPI number?

The NPI number for Axtell Clinic, PA is 1346286036. It was assigned to this organization in the NPPES registry on June 21, 2006.

Where is Axtell Clinic, PA located?

Axtell Clinic, PA is located at 700 Medical Center Drive Suite 210, Newton, KS 67114. The listed phone number is (316) 283-2800.

What is Axtell Clinic, PA's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Axtell Clinic, PA enrolled in Medicare?

Yes. Axtell Clinic, PA is registered in the Medicare PECOS enrollment system.

When is Axtell Clinic, PA's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare DME enrollment for this organization (Kansas, Physician - General Practice) is due for revalidation by March 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Axtell Clinic, PA?

According to the CMS Revalidation Reassignment List (October 2026 release), 15 clinicians in 3 Medicare specialties reassign their Medicare billing to Axtell Clinic, PA. 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 Family Practice (7), Nurse Practitioner (7) and Ophthalmology (1). Of these, 13 practice at this address and 14 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Axtell Clinic, PA accept Medicare assignment for medical equipment?

Yes. As a Medicare medical equipment supplier, Axtell Clinic PA accepts Medicare assignment: the supplier accepts the Medicare-approved amount as payment in full for covered equipment and supplies.

Does Axtell Clinic, PA hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 17D0451152) is associated with this NPI, valid through April 13, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Axtell Clinic, PA accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Sunflower Health Plan and Ambetter of Oklahoma list Axtell Clinic, PA 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 Axtell Clinic, PA was last updated on January 14, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.