FENTON FAMILY PHYSICIANS, LLC
NPI 1679939128
Family Medicine in Fenton, MO

Q: 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.

Q: What is Fenton Family Physicians, LLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Active since January 13, 2016CLIA 26D2111333 · Waiver

774 GRAVOIS BLUFFS BLVD STE B, FENTON, MO 63026(636) 685-7734(314) 590-5922 Get Directions Write a Review

NPPES record last updated: March 5, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 5, 2026, Dec 12, 2025, Apr 6, 2021 and 2 more (5 updates tracked since 2016).

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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

NPI1679939128

Entity TypeOrganization

Primary Taxonomy207Q00000X

Legal Business NameFENTON FAMILY PHYSICIANS, LLC

Location Address774 GRAVOIS BLUFFS BLVD STE BFenton, MO 63026-7758

Mailing Address774 Gravois Bluffs BlvdFenton, MO 63026-7758 · (636) 685-7804 · Fax (314) 336-5205

Phone(636) 685-7734

Fax(314) 590-5922

Organization SubpartYesParent: St. Lukes Medical Group

Authorized OfficialDarren R. HaskellChief Medical Officer · (314) 205-6444

Enumeration DateJanuary 13, 2016

Last NPPES UpdateMarch 5, 20265 updates tracked since enumeration

NPPES CertifiedMarch 5, 2026

✔ NPI 1679939128 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

774 GRAVOIS BLUFFS BLVD STE B, Fenton, MO 63026

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Sunflower Health Plan and more.Insurance ›

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, MO

Active · expires Apr 4, 2028

CLIA Number26D2111333

Laboratory TypePhysician Office

Certificate Effective DateApril 5, 2026

Certificate Expiration DateApril 4, 2028

Laboratory DirectorAshlyn Patterson

Laboratory Phone(636) 685-7734

Laboratory LocationFenton Family Physicians, LLC774 B Gravios Bluffs Blvd, Fenton, MO 63026

CLIA data matches this NPI record on: Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KRISTINA POTTS

Nurse Practitioner (Family)

774 GRAVOIS BLUFFS BLVD STE B
FENTON, MO 63026

St. Louis County (636) 685-7734

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 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.

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 Home State Health and Ambetter from Sunflower Health Plan 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 5 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.