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DEVOE SMITH MEDICAL FOUNDATION
NPI 1699468678
Clinic/Center - Urgent Care in Harrisonville, MO

Active since May 26, 2023
400 GALAXIE AVE, HARRISONVILLE, MO 64701(210) 317-1375 Get Directions Write a Review

NPPES record last updated: October 22, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Devoe Smith Medical Foundation NPPES

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

DEVOE SMITH MEDICAL FOUNDATION (NPI 1699468678), doing business as Devoe Smith Free Health Clinic, is a healthcare organization registered as an urgent care in Harrisonville, Missouri and active in the NPI registry since May 2023. The organization lists Sonja Jeanne Bolling, Board Member/ Provider, as its authorized official.

NPPES Registry Identity

NPI1699468678
Entity TypeOrganization
Primary Taxonomy261QU0200X
Legal Business NameDEVOE SMITH MEDICAL FOUNDATION
Location Address400 GALAXIE AVEHarrisonville, MO 64701-2077
Mailing Address400 Galaxie AveHarrisonville, MO 64701-2077 · (888) 652-4286 · Fax (888) 710-5288
Phone(210) 317-1375
Organization SubpartNo
Authorized OfficialSonja Jeanne BollingBoard Member/ Provider · (209) 352-1881
Enumeration DateMay 26, 2023
Last NPPES UpdateOctober 22, 2025
NPPES CertifiedOctober 22, 2025
✔ NPI 1699468678 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Urgent CareAmbulatory Health Care Facilities
Taxonomy Code261QU0200X
Also ListedFamily MedicineTaxonomy 207Q00000X
400 GALAXIE AVE, Harrisonville, MO 64701
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Other Names 2

Doing Business AsDevoe Smith Free Health Clinic
Doing Business AsDevoe Smith Free Healthcare Clinic

Other Identifiers 2

Other1396150496MO · All Other
Medicaid1396150496MO

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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Devoe Smith Medical Foundation 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 Devoe Smith Medical Foundation, which bills Medicare for the services this clinician delivers.

Clinician (1)

Sonja Bolling, APRN, FNP-C
Nurse Practitioner
NPI 1396150496
82 SOUTH STATE ROUTE F
Garden City, MO 64747
(816) 680-2252
✔ PECOS✔ Accepts Medicare8.0 mi

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 Devoe Smith Medical Foundation's NPI number?

The NPI number for Devoe Smith Medical Foundation is 1699468678. It was assigned to this organization in the NPPES registry on May 26, 2023. The provider is doing business as Devoe Smith Free Health Clinic and Devoe Smith Free Healthcare Clinic.

Where is Devoe Smith Medical Foundation located?

Devoe Smith Medical Foundation is located at 400 Galaxie Ave, Harrisonville, MO 64701. The listed phone number is (210) 317-1375.

What is Devoe Smith Medical Foundation's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Urgent Care, with taxonomy code 261QU0200X.

Is Devoe Smith Medical Foundation enrolled in Medicare?

Yes. Devoe Smith Medical Foundation is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Devoe Smith Medical Foundation?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Devoe Smith Medical Foundation. 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 Devoe Smith Medical Foundation was last updated on October 22, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.