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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

LIBERTY MEDICAL CENTER PC
NPI 1679777908
Clinic/Center - Primary Care in Liberty, MO

Active since June 12, 2007
1504 NE 96TH ST STE A, LIBERTY, MO 64068(816) 415-2233(816) 415-2218 Get Directions Write a Review

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

Record update history: Sep 22, 2026, Mar 20, 2026 (2 updates tracked since 2026).

About Liberty Medical Center Pc NPPES

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

LIBERTY MEDICAL CENTER PC (NPI 1679777908) is a healthcare organization registered as a primary care in Liberty, Missouri and active in the NPI registry since June 2007. The organization lists Brianne Merideth, Billing, as its authorized official.

NPPES Registry Identity

NPI1679777908
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameLIBERTY MEDICAL CENTER PC
Location Address1504 NE 96TH ST STE ALiberty, MO 64068-1351
Mailing Address1504 Ne 96th St Ste ALiberty, MO 64068-1351 · (816) 415-2233 · Fax (816) 415-2218
Phone(816) 415-2233
Fax(816) 415-2218
Organization SubpartNo
Authorized OfficialBrianne MeridethBilling · (816) 415-2233
Enumeration DateJune 12, 2007
Last NPPES UpdateSeptember 22, 20262 updates tracked since enumeration
NPPES CertifiedSeptember 22, 2026
✔ NPI 1679777908 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
Also ListedFamily MedicineTaxonomy 207Q00000X · License 2000146367 (MO)
Also ListedNurse Practitioner · Primary CareTaxonomy 363LP2300X
1504 NE 96TH ST STE A, Liberty, MO 64068
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Other Identifiers 2

Medicaid205388101MO
Other40035011MO · Bcbs

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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and more.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)

Liberty Medical Center Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Liberty Medical Center PC, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.

Clinicians, nearest first (2)

Melinda Heutinck, ANP-C, PMHNP-C
Family Practice
NPI 1912178575
1504 NE 96TH ST STE A
Liberty, MO 64068
(816) 415-2233
✔ PECOS✔ Accepts MedicareSame address
Rodney Malisos, M.D.
Family Practice
NPI 1497753545
1504 NE 96TH ST
Liberty, MO 64068
(816) 415-2233
✔ PECOS✔ Accepts MedicareSame address

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 Liberty Medical Center PC's NPI number?

The NPI number for Liberty Medical Center PC is 1679777908. It was assigned to this organization in the NPPES registry on June 12, 2007.

Where is Liberty Medical Center PC located?

Liberty Medical Center PC is located at 1504 NE 96th St Ste A, Liberty, MO 64068. The listed phone number is (816) 415-2233.

What is Liberty Medical Center PC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

Is Liberty Medical Center PC enrolled in Medicare?

Yes. Liberty Medical Center PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Liberty Medical Center PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Family Practice, reassign their Medicare billing to Liberty Medical Center PC. 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 at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Liberty Medical Center PC accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross Blue Shield of North Dakota, Blue Cross Blue Shield of Wyoming, Blue Cross and Blue Shield of Montana and Blue Cross and Blue Shield of Oklahoma and 4 other insurers list Liberty Medical Center PC 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 Liberty Medical Center PC was last updated on September 22, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 48 days 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.