SAMUEL U. RODGERS HEALTH CENTER NORTHLAND FAMILY MEDICINE
NPI 1386195113
Clinic/Center - Federally Qualified Health Center (FQHC) in Kansas City, MO
About Samuel U. Rodgers Health Center Northland Family Medicine NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SAMUEL U. RODGERS HEALTH CENTER NORTHLAND FAMILY MEDICINE (NPI 1386195113) is a healthcare organization registered as a federally qualified health center (fqhc) in Kansas City, Missouri and active in the NPI registry since October 2016. The organization lists Hilda Fuentes, President & Chief Executive Officer, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 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)
Samuel U. Rodgers Health Center Northland Family Medicine is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
78Medicare enrollment records show 78 clinicians reassign Medicare billing to Samuel U. Rodgers Health Center Northland Family Medicine, which bills Medicare for the services they deliver. Of these, 48 practice within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 16
Nearest to this location (20)
See all 78Kansas City, MO 64130
Kansas City, MO 64130
North Kansas City, MO 64116
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Samuel U. Rodgers Health Center, Inc.'s NPI number?
The NPI number for Samuel U. Rodgers Health Center, Inc. is 1386195113. It was assigned to this organization in the NPPES registry on October 17, 2016. The provider is doing business as Samuel U. Rodgers Health Center Northland Family Medicine.
Where is Samuel U. Rodgers Health Center, Inc. located?
Samuel U. Rodgers Health Center, Inc. is located at 5330 N Oak Trfy Ste 104, Kansas City, MO 64118. The listed phone number is (816) 889-1950.
What is Samuel U. Rodgers Health Center, 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 Samuel U. Rodgers Health Center, Inc. enrolled in Medicare?
Yes. Samuel U. Rodgers Health Center, Inc. is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Samuel U. Rodgers Health Center, Inc.?
According to the CMS Revalidation Reassignment List (October 2026 release), 78 clinicians in 16 Medicare specialties reassign their Medicare billing to Samuel U. Rodgers Health Center, 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 (31), Dentist (10) and Clinical Social Worker (7). Of these, 48 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Samuel U. Rodgers Health Center, Inc. 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 Samuel U. Rodgers Health Center, 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 Samuel U. Rodgers Health Center, Inc. was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Samuel U. Rodgers Health Center Northland Family Medicine · NPI 1386195113
Federally Qualified Health Center (FQHC) organization in Kansas City, Missouri. Organization record, active in the CMS NPPES registry since October 17, 2016.
## Identity
- **NPI:** 1386195113 (Entity type: Organization)
- **Enumerated:** October 17, 2016
- **Primary specialty:** Clinic/Center - Federally Qualified Health Center (FQHC) · taxonomy 261QF0400X
- **Legal business name:** Samuel U. Rodgers Health Center, Inc.
- **Organization subpart:** No
- **Authorized official:** Hilda Fuentes, PRESIDENT & CHIEF EXECUTIVE OFFICER
## Practice location
- **Address:** 5330 N OAK TRFY STE 104, Kansas City, MO 64118-4600
- **Phone:** (816) 889-1950 · **Fax:** (816) 499-8101
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 78 clinicians in 16 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (31), Dentist (10), Clinical Social Worker (7); 48 practice within 10 miles; [full list](https://npiprofile.com/npi/1386195113/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 21, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1386195113) · Data from the CMS NPPES public registry.