SHIRKEY DIVERSIFIED HEALTH SERVICES, INC.
NPI 1669207775
Family Medicine - Geriatric Medicine in Richmond, MO
About Shirkey Diversified Health Services, Inc. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SHIRKEY DIVERSIFIED HEALTH SERVICES, INC. (NPI 1669207775), doing business as White Lotus, is a healthcare organization registered as a geriatric medicine in Richmond, Missouri and active in the NPI registry since September 2024. The organization lists Chris Brown, Ceo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Shirkey Diversified Health Services, Inc. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Shirkey Diversified Health Services, Inc., which bills Medicare for the services this clinician delivers.
Clinician (1)
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 Shirkey Diversified Health Services, Inc.'s NPI number?
The NPI number for Shirkey Diversified Health Services, Inc. is 1669207775. It was assigned to this organization in the NPPES registry on September 6, 2024. The provider is doing business as White Lotus.
Where is Shirkey Diversified Health Services, Inc. located?
Shirkey Diversified Health Services, Inc. is located at 701 Wollard Blvd, Richmond, MO 64085. The listed phone number is (816) 776-5403.
What is Shirkey Diversified Health Services, Inc.'s specialty?
The primary specialty registered for this NPI is Family Medicine, specializing in Geriatric Medicine, with taxonomy code 207QG0300X.
Is Shirkey Diversified Health Services, Inc. enrolled in Medicare?
Yes. Shirkey Diversified Health Services, Inc. is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Shirkey Diversified Health Services, Inc.?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Shirkey Diversified Health Services, 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Shirkey Diversified Health Services, Inc. was last updated on September 6, 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.
# Shirkey Diversified Health Services, Inc. · NPI 1669207775
Geriatric Medicine organization in Richmond, Missouri. Organization record, active in the CMS NPPES registry since September 6, 2024.
## Identity
- **NPI:** 1669207775 (Entity type: Organization)
- **Enumerated:** September 6, 2024
- **Primary specialty:** Family Medicine - Geriatric Medicine · taxonomy 207QG0300X
- **Also known as:** White Lotus (Doing Business As)
- **Organization subpart:** No
- **Authorized official:** Chris Brown, CEO
## Practice location
- **Address:** 701 WOLLARD BLVD, Richmond, MO 64085-2206
- **Phone:** (816) 776-5403
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Nurse Practitioner) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** September 6, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1669207775) · Data from the CMS NPPES public registry.