CALDWELL COUNTY HEALTH DEPARTMENT
NPI 1386718682
Public Health or Welfare in Kingston, MO

Active since November 20, 2006CLIA 26D0662495 · Waiver
275 SOUTH WASHINGTON STREET, KINGSTON, MO 64650(816) 586-2311(816) 586-2603 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Caldwell County Health Department NPPES

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

CALDWELL COUNTY HEALTH DEPARTMENT (NPI 1386718682) is a healthcare organization registered as a public health or welfare in Kingston, Missouri and active in the NPI registry since November 2006. The organization holds a CLIA Waiver certificate valid through August 31, 2028 and lists Shelly Sims, Administrator, as its authorized official.

NPPES Registry Identity

NPI1386718682
Entity TypeOrganization
Primary Taxonomy251K00000X
Legal Business NameCALDWELL COUNTY HEALTH DEPARTMENT
Location Address275 SOUTH WASHINGTON STREETKingston, MO 64650-0066
Mailing Address275 South Washington Street, Po Box 66Kingston, MO 64650-0066 · (816) 586-2311 · Fax (816) 586-2603
Fax(816) 586-2603
Organization SubpartNo
Authorized OfficialShelly SimsAdministrator · (816) 586-2311
Enumeration DateNovember 20, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1386718682 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPublic Health or WelfareAgencies
Taxonomy Code251K00000X
275 SOUTH WASHINGTON STREET, Kingston, MO 64650

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)

Caldwell County Health Department is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by November 30, 2026

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
StateMissouriEnrollment IDO20211105000946Non-DME Part B · Clinic/Group PracticeDue dateNovember 30, 2026
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Caldwell County Health Department, which bills Medicare for the services this clinician delivers.

Clinician (1)

Family Practice
NPI 1417162132
5210 N BELT HWY
Saint Joseph, MO 64506
(816) 271-1330
✔ PECOS✔ Accepts Medicare43 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 26D0662495

Caldwell County Health Center · Kingston, MO
Active · expires Aug 31, 2028
CLIA Number26D0662495
Laboratory TypeOther
Certificate Effective DateSeptember 1, 2026
Certificate Expiration DateAugust 31, 2028
Laboratory DirectorShelly J. Reed
Laboratory Phone(816) 586-2311
Laboratory LocationCaldwell County Health Center225 West Main, Kingston, MO 64650
CLIA data matches this NPI record on: 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 Caldwell County Health Department's NPI number?

The NPI number for Caldwell County Health Department is 1386718682. It was assigned to this organization in the NPPES registry on November 20, 2006.

Where is Caldwell County Health Department located?

Caldwell County Health Department is located at 275 South Washington Street, Kingston, MO 64650. The listed phone number is (816) 586-2311.

What is Caldwell County Health Department's specialty?

The primary specialty registered for this NPI is Public Health or Welfare with taxonomy code 251K00000X.

Is Caldwell County Health Department enrolled in Medicare?

Yes. Caldwell County Health Department is registered in the Medicare PECOS enrollment system.

When is Caldwell County Health Department's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Missouri, Clinic/Group Practice) is due for revalidation by November 30, 2026. 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 Caldwell County Health Department?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Family Practice) reassigns their Medicare billing to Caldwell County Health Department. 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 Caldwell County Health Department hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 26D0662495) is associated with this NPI, valid through August 31, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Caldwell County Health Department 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 Caldwell County Health Department 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 Caldwell County Health Department was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.