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PEARL GIRL CLINICS LLC
NPI 1376228049
Obstetrics & Gynecology in Derby, KS

Active since June 20, 2023CLIA 17D2288448 · Waiver
1821 E MADISON AVE STE 1100, DERBY, KS 67037(316) 669-8082(316) 669-9688 Get Directions Write a Review

NPPES record last updated: May 27, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: May 27, 2025, Jun 20, 2023 (2 updates tracked since 2023).

About Pearl Girl Clinics Llc NPPES

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

PEARL GIRL CLINICS LLC (NPI 1376228049) is a healthcare organization registered as an obstetrics & gynecology in Derby, Kansas and active in the NPI registry since June 2023. The organization holds a CLIA Waiver certificate valid through August 24, 2027 and lists Damen Hershberger, Owner, as its authorized official.

NPPES Registry Identity

NPI1376228049
Entity TypeOrganization
Primary Taxonomy207V00000X
Legal Business NamePEARL GIRL CLINICS LLC
Location Address1821 E MADISON AVE STE 1100Derby, KS 67037-2300
Mailing Address1821 E Madison Ave Ste 1100Derby, KS 67037-2300 · (316) 669-8082 · Fax (316) 669-9688
Phone(316) 669-8082
Fax(316) 669-9688
Organization SubpartNo
Authorized OfficialDamen HershbergerOwner · (316) 687-3275
Enumeration DateJune 20, 2023
Last NPPES UpdateMay 27, 20252 updates tracked since enumeration
NPPES CertifiedMay 27, 2025
✔ NPI 1376228049 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
1821 E MADISON AVE STE 1100, Derby, KS 67037
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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 SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Kansas, Inc..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)

Pearl Girl Clinics Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Pearl Girl Clinics LLC, which bills Medicare for the services they deliver. They are listed nearest first.

Clinicians, nearest first (2)

Damen Hershberger, M.D.
Obstetrics/Gynecology
NPI 1023308939
3252 E DOUGLAS AVE STE 101
Wichita, KS 67208
(316) 687-3275
✔ PECOS10 mi
Anna Stork-Fury, D.O.
Obstetrics/Gynecology
NPI 1457309429
3233 E 2ND ST N
Wichita, KS 67208
(316) 683-6766
✔ PECOS✔ Accepts Medicare10 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 17D2288448

Pearl Girl Clinics, LLC · Derby, KS
Active · expires Aug 24, 2027
CLIA Number17D2288448
Laboratory TypePhysician Office
Certificate Effective DateAugust 25, 2025
Certificate Expiration DateAugust 24, 2027
Laboratory DirectorDamon W. Hershberger
Laboratory Phone(316) 669-8082
Laboratory LocationPearl Girl Clinics, LLC1821 East Madison Avenue Suite 1100A, Derby, KS 67037
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Pearl Girl Clinics LLC's NPI number?

The NPI number for Pearl Girl Clinics LLC is 1376228049. It was assigned to this organization in the NPPES registry on June 20, 2023.

Where is Pearl Girl Clinics LLC located?

Pearl Girl Clinics LLC is located at 1821 E Madison Ave Ste 1100, Derby, KS 67037. The listed phone number is (316) 669-8082.

What is Pearl Girl Clinics LLC's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Pearl Girl Clinics LLC enrolled in Medicare?

Yes. Pearl Girl Clinics LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Pearl Girl Clinics LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Obstetrics/Gynecology, reassign their Medicare billing to Pearl Girl Clinics LLC. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Pearl Girl Clinics LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 17D2288448) is associated with this NPI, valid through August 24, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Pearl Girl Clinics LLC accept?

Health plans from Blue Cross and Blue Shield of Kansas, Inc. list Pearl Girl Clinics 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 Pearl Girl Clinics LLC was last updated on May 27, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.