NEODESHA FAMILY MEDICINE
NPI 1639699309
Clinic/Center - Rural Health in Neodesha, KS
About Neodesha Family Medicine NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
NEODESHA FAMILY MEDICINE (NPI 1639699309) is a healthcare organization registered as a rural health in Neodesha, Kansas and active in the NPI registry since June 2017. The organization holds a CLIA Waiver certificate valid through August 31, 2028 and lists Lori C Smith, Cfo, 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)
Neodesha Family Medicine is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
16Medicare enrollment records show 16 clinicians reassign Medicare billing to Neodesha Family Medicine, which bills Medicare for the services they deliver. Of these, 5 practice at this address and 7 within 10 miles. They are listed nearest first.
Clinicians by Medicare Specialty 4
Clinicians, nearest first (16)
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 17D0450579
Wilson County Hospital Dba Neodesha Family Medicine · Neodesha, KSFrequently 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 Wilson County Hospital's NPI number?
The NPI number for Wilson County Hospital is 1639699309. It was assigned to this organization in the NPPES registry on June 23, 2017. The provider is doing business as Neodesha Family Medicine.
Where is Wilson County Hospital located?
Wilson County Hospital is located at 2600 Ottawa Rd Ste 101, Neodesha, KS 66757. The listed phone number is (620) 325-2622.
What is Wilson County Hospital's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Rural Health, with taxonomy code 261QR1300X.
Is Wilson County Hospital enrolled in Medicare?
Yes. Wilson County Hospital is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Wilson County Hospital?
According to the CMS Revalidation Reassignment List (October 2026 release), 16 clinicians in 4 Medicare specialties reassign their Medicare billing to Wilson County Hospital. 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 (11), Family Practice (3) and Certified Registered Nurse Anesthetist (CRNA) (1). Of these, 5 practice at this address and 7 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Wilson County Hospital hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 17D0450579) 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 Wilson County Hospital accept?
Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Sunflower Health Plan, Ambetter of Oklahoma and Blue Cross and Blue Shield of Kansas, Inc. and 1 other insurer list Wilson County Hospital 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 Wilson County Hospital was last updated on September 25, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Neodesha Family Medicine · NPI 1639699309
Rural Health organization in Neodesha, Kansas. Organization record, active in the CMS NPPES registry since June 23, 2017.
## Identity
- **NPI:** 1639699309 (Entity type: Organization)
- **Enumerated:** June 23, 2017
- **Primary specialty:** Clinic/Center - Rural Health · taxonomy 261QR1300X
- **Legal business name:** Wilson County Hospital
- **Organization subpart:** No
- **Authorized official:** Lori Smith, CFO
## Practice location
- **Address:** 2600 OTTAWA RD STE 101, Neodesha, KS 66757-1897
- **Phone:** (620) 325-2622 · **Fax:** (620) 325-5380
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 16 clinicians in 4 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (11), Family Practice (3), Certified Registered Nurse Anesthetist (CRNA) (1); 5 practice at this address and 7 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** September 25, 2024
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1639699309) · Data from the CMS NPPES public registry.