FENTON FAMILY PHYSICIANS, LLC
NPI 1679939128
Family Medicine in Fenton, MO
About Fenton Family Physicians, Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
FENTON FAMILY PHYSICIANS, LLC (NPI 1679939128) is a healthcare organization registered as a family medicine in Fenton, Missouri and active in the NPI registry since January 2016. The organization holds a CLIA Waiver certificate valid through April 4, 2028 and lists Darren R. Haskell, Chief Medical Officer, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 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)
Fenton Family Physicians, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
9Medicare enrollment records show 9 clinicians reassign Medicare billing to Fenton Family Physicians, LLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 6 within 10 miles. They are listed nearest first.
Clinicians, nearest first (9)
Saint Louis, MO 63110
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 26D2111333
Fenton Family Physicians, LLC · Fenton, MOFrequently 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 Fenton Family Physicians, LLC's NPI number?
The NPI number for Fenton Family Physicians, LLC is 1679939128. It was assigned to this organization in the NPPES registry on January 13, 2016.
Where is Fenton Family Physicians, LLC located?
Fenton Family Physicians, LLC is located at 774 Gravois Bluffs Blvd Ste B, Fenton, MO 63026. The listed phone number is (636) 685-7734.
What is Fenton Family Physicians, LLC's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Fenton Family Physicians, LLC enrolled in Medicare?
Yes. Fenton Family Physicians, LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Fenton Family Physicians, LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 9 clinicians in 3 Medicare specialties reassign their Medicare billing to Fenton Family Physicians, LLC. 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 (5), Family Practice (3) and Internal Medicine (1). Of these, 1 practice at this address and 6 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Fenton Family Physicians, LLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 26D2111333) is associated with this NPI, valid through April 4, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Fenton Family Physicians, LLC accept?
Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Arkansas Health & Wellness, Ambetter from Sunflower Health Plan and Ambetter of Oklahoma and 3 other insurers list Fenton Family Physicians, LLC 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 Fenton Family Physicians, LLC was last updated on March 5, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months 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.
# Fenton Family Physicians, Llc · NPI 1679939128
Family Medicine organization in Fenton, Missouri. Organization record, active in the CMS NPPES registry since January 13, 2016.
## Identity
- **NPI:** 1679939128 (Entity type: Organization)
- **Enumerated:** January 13, 2016
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Organization subpart:** Yes (part of St. Lukes Medical Group)
- **Authorized official:** Darren Haskell, CHIEF MEDICAL OFFICER
## Practice location
- **Address:** 774 GRAVOIS BLUFFS BLVD STE B, Fenton, MO 63026-7758
- **Phone:** (636) 685-7734 · **Fax:** (314) 590-5922
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 9 clinicians in 3 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (5), Family Practice (3), Internal Medicine (1); 1 practice at this address and 6 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** March 5, 2026
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1679939128) · Data from the CMS NPPES public registry.