SAINT FRANCIS CLINIC CHARLESTON
NPI 1417424151
Clinic/Center - Rural Health in Charleston, MO

Active since October 31, 2018CLIA 26D1100541 · Waiver
112 W COMMERCIAL ST, CHARLESTON, MO 63834(573) 683-4010(573) 683-2167 Get Directions Write a Review

NPPES record last updated: May 17, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: May 17, 2021, Jun 19, 2019, Oct 31, 2018 (3 updates tracked since 2018).

About Saint Francis Clinic Charleston NPPES

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

SAINT FRANCIS CLINIC CHARLESTON (NPI 1417424151) is a healthcare organization registered as a rural health in Charleston, Missouri and active in the NPI registry since October 2018. The organization holds a CLIA Waiver certificate valid through February 9, 2027 and lists Justin Davison, Cfo, as its authorized official.

NPPES Registry Identity

NPI1417424151
Entity TypeOrganization
Primary Taxonomy261QR1300X
Legal Business NameSAINT FRANCIS MEDICAL CENTER
Location Address112 W COMMERCIAL STCharleston, MO 63834-1601
Mailing AddressPo Box 801143Kansas City, MO 64180-1143 · (573) 331-5583 · Fax (573) 331-5079
Fax(573) 683-2167
Organization SubpartNo
Authorized OfficialJustin DavisonCfo · (573) 331-3000
Enumeration DateOctober 31, 2018
Last NPPES UpdateMay 17, 20213 updates tracked since enumeration
NPPES CertifiedMay 17, 2021
✔ NPI 1417424151 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

★ Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities
Taxonomy Code261QR1300X
Also ListedSocial Worker · ClinicalTaxonomy 1041C0700X
Also ListedFamily MedicineTaxonomy 207Q00000X
Also ListedPediatricsTaxonomy 208000000X
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X
112 W COMMERCIAL ST, Charleston, MO 63834

Other Names 1

Doing Business AsSaint Francis Clinic Charleston

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Saint Francis Clinic Charleston is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

594

Medicare enrollment records show 594 clinicians reassign Medicare billing to Saint Francis Clinic Charleston, which bills Medicare for the services they deliver. Of these, 3 practice at this address and 8 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 49

Nurse Practitioner161
Certified Registered Nurse Anesthetist (CRNA)48
Internal Medicine37
Pediatric Medicine35
Diagnostic Radiology25
Psychiatry25
Family Practice24
Emergency Medicine22
41 other specialties217

Nearest to this location (20)

See all 594
Nurse Practitioner
NPI 1437993862
112 W COMMERCIAL ST
Charleston, MO 63834
(573) 683-4010
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1902590292
112 W COMMERCIAL ST
Charleston, MO 63834
(573) 683-4010
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1437607603
112 W COMMERCIAL ST
Charleston, MO 63834
(573) 683-4010
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1497733893
320 N LINCOLN ST
East Prairie, MO 63845
(573) 649-3026
✔ PECOS✔ Accepts Medicare10.0 mi
Nurse Practitioner
NPI 1144082520
320 N LINCOLN ST
East Prairie, MO 63845
(573) 649-3026
✔ PECOS✔ Accepts Medicare10.0 mi
Family Practice
NPI 1679551063
320 N LINCOLN ST
East Prairie, MO 63845
(573) 649-3026
✔ PECOS10.0 mi
Clinical Social Worker
NPI 1023387677
320 N LINCOLN ST
East Prairie, MO 63845
(573) 649-3026
✔ PECOS✔ Accepts Medicare10.0 mi
Nurse Practitioner
NPI 1891074274
320 N LINCOLN ST
East Prairie, MO 63845
(573) 649-3026
✔ PECOS✔ Accepts Medicare10.0 mi
Nurse Practitioner
NPI 1447184874
402 N WASHINGTON ST
East Prairie, MO 63845
(573) 649-3026
✔ PECOS✔ Accepts Medicare10 mi
Obstetrics/Gynecology
NPI 1205053758
1013 N MAIN ST
Sikeston, MO 63801
(573) 472-7535
✔ PECOS✔ Accepts Medicare13 mi
Pediatric Medicine
NPI 1245218726
1012 N MAIN ST
Sikeston, MO 63801
(573) 431-0330
✔ PECOS✔ Accepts Medicare13 mi
Family Practice
NPI 1134107618
1012 N MAIN ST
Sikeston, MO 63801
(573) 431-0330
✔ PECOS✔ Accepts Medicare13 mi
Nephrology
NPI 1437369527
1012 N MAIN ST
Sikeston, MO 63801
(573) 471-0330
✔ PECOS✔ Accepts Medicare13 mi
Ophthalmology
NPI 1952389462
1012 N MAIN ST
Sikeston, MO 63801
(573) 431-0330
✔ PECOS✔ Accepts Medicare13 mi
Clinical Social Worker
NPI 1396119475
1012 N MAIN ST
Sikeston, MO 63801
(573) 471-0330
✔ PECOS✔ Accepts Medicare13 mi
Clinical Psychologist
NPI 1861795643
1012 N MAIN ST
Sikeston, MO 63801
(573) 471-0330
✔ PECOS✔ Accepts Medicare13 mi
Podiatry
NPI 1760460141
1012 N MAIN ST
Sikeston, MO 63801
(573) 431-0330
✔ PECOS✔ Accepts Medicare13 mi
Internal Medicine
NPI 1922086321
1012 N MAIN ST
Sikeston, MO 63801
(573) 431-0330
✔ PECOS✔ Accepts Medicare13 mi
Certified Registered Nurse Anesthetist (CRNA)
NPI 1689899635
1008 N MAIN ST
Sikeston, MO 63801
(573) 471-1600
✔ Accepts Medicare13 mi
Pathology
NPI 1699735795
1008 N MAIN ST
Sikeston, MO 63801
(573) 472-7672
✔ PECOS13 mi
See all 594 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 Waiver 26D1100541

Saint Francis Clinic Charleston · Charleston, MO
Active · expires Feb 9, 2027
CLIA Number26D1100541
Laboratory TypeRural Health Clinic
Certificate Effective DateFebruary 10, 2025
Certificate Expiration DateFebruary 9, 2027
Laboratory DirectorAmber N. Faire
Laboratory Phone(573) 683-4010
Laboratory LocationSaint Francis Clinic Charleston112 West Commercial Street, Charleston, MO 63834
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 Saint Francis Medical Center's NPI number?

The NPI number for Saint Francis Medical Center is 1417424151. It was assigned to this organization in the NPPES registry on October 31, 2018. The provider is doing business as Saint Francis Clinic Charleston.

Where is Saint Francis Medical Center located?

Saint Francis Medical Center is located at 112 W Commercial St, Charleston, MO 63834. The listed phone number is (573) 683-4010.

What is Saint Francis Medical Center's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rural Health, with taxonomy code 261QR1300X.

Is Saint Francis Medical Center enrolled in Medicare?

Yes. Saint Francis Medical Center is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Saint Francis Medical Center?

According to the CMS Revalidation Reassignment List (October 2026 release), 594 clinicians in 49 Medicare specialties reassign their Medicare billing to Saint Francis 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 Nurse Practitioner (161), Certified Registered Nurse Anesthetist (CRNA) (48) and Internal Medicine (37). Of these, 3 practice at this address and 8 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Saint Francis Medical Center hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 26D1100541) is associated with this NPI, valid through February 9, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Saint Francis Medical Center was last updated on May 17, 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.