WELLSPRING HEALTHCARE LLC
NPI 1659191054
Clinic/Center - Primary Care in Shawnee Mission, KS
About Wellspring Healthcare Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
WELLSPRING HEALTHCARE LLC (NPI 1659191054) is a healthcare organization registered as a primary care in Shawnee Mission, Kansas and active in the NPI registry since October 2024. The organization lists Brian Moore Haas, Director, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Wellspring Healthcare Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
3Medicare enrollment records show 3 clinicians reassign Medicare billing to Wellspring Healthcare LLC, which bills Medicare for the services they deliver. Of these, 2 practice within 10 miles. They are listed nearest first.
Clinicians, nearest first (3)
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 Wellspring Healthcare LLC's NPI number?
The NPI number for Wellspring Healthcare LLC is 1659191054. It was assigned to this organization in the NPPES registry on October 11, 2024.
Where is Wellspring Healthcare LLC located?
Wellspring Healthcare LLC is located at 12700 Antioch Rd, Shawnee Mission, KS 66213. The listed phone number is (909) 815-3324.
What is Wellspring Healthcare LLC's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.
Is Wellspring Healthcare LLC enrolled in Medicare?
Yes. Wellspring Healthcare LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Wellspring Healthcare LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Wellspring Healthcare LLC, in Internal Medicine and Nurse Practitioner. 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. Of these, 2 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Wellspring Healthcare LLC was last updated on October 11, 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.
# Wellspring Healthcare Llc · NPI 1659191054
Primary Care organization in Shawnee Mission, Kansas. Organization record, active in the CMS NPPES registry since October 11, 2024.
## Identity
- **NPI:** 1659191054 (Entity type: Organization)
- **Enumerated:** October 11, 2024
- **Primary specialty:** Clinic/Center - Primary Care · taxonomy 261QP2300X
- **Organization subpart:** No
- **Authorized official:** Brian Haas, DIRECTOR
## Practice location
- **Address:** 12700 ANTIOCH RD, Shawnee Mission, KS 66213-2827
- **Phone:** (909) 815-3324
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 3 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (2), Internal Medicine (1); 2 practice within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 11, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1659191054) · Data from the CMS NPPES public registry.