A PATTERN HEALTH CLINIC, INC
NPI 1710320643
Clinic/Center in Marshall, MO
About A Pattern Health Clinic, Inc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
A PATTERN HEALTH CLINIC, INC (NPI 1710320643), doing business as A Pattern Health Clinic, is a healthcare organization registered as a clinic/center in Marshall, Missouri and active in the NPI registry since April 2013. The organization lists Annex Luberisse, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 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)
A Pattern Health Clinic, 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 A Pattern Health Clinic, 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 A Pattern Health Clinic, Inc's NPI number?
The NPI number for A Pattern Health Clinic, Inc is 1710320643. It was assigned to this organization in the NPPES registry on April 10, 2013. The provider was formerly known as A Pattern Health Clinic.
Where is A Pattern Health Clinic, Inc located?
A Pattern Health Clinic, Inc is located at 1674 S Odell Ave, Marshall, MO 65340. The listed phone number is (660) 886-9852.
What is A Pattern Health Clinic, Inc's specialty?
The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.
Is A Pattern Health Clinic, Inc enrolled in Medicare?
Yes. A Pattern Health Clinic, Inc is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through A Pattern Health Clinic, Inc?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Internal Medicine) reassigns their Medicare billing to A Pattern Health Clinic, 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 A Pattern Health Clinic, Inc was last updated on June 1, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.
# A Pattern Health Clinic, Inc · NPI 1710320643
Clinic/Center organization in Marshall, Missouri. Organization record, active in the CMS NPPES registry since April 10, 2013.
## Identity
- **NPI:** 1710320643 (Entity type: Organization)
- **Enumerated:** April 10, 2013
- **Primary specialty:** Clinic/Center · taxonomy 261Q00000X
- **Organization subpart:** No
- **Authorized official:** Annex Luberisse, PRESIDENT
## Practice location
- **Address:** 1674 S ODELL AVE, Marshall, MO 65340-3365
- **Phone:** (660) 886-9852 · **Fax:** (816) 787-1368
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Internal Medicine) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** June 1, 2015
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Source: [NPI Profile](https://npiprofile.com/npi/1710320643) · Data from the CMS NPPES public registry.