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ACHC-LEAVENWORTH
NPI 1710725288
Clinic/Center - Federally Qualified Health Center (FQHC) in Leavenworth, KS

Active since July 18, 2024
818 N 7TH ST, LEAVENWORTH, KS 66048(913) 651-8860(913) 682-4409 Get Directions Write a Review

NPPES record last updated: November 12, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Nov 12, 2024, Sep 30, 2024, Jul 18, 2024 (3 updates tracked since 2024).

About Achc-leavenworth NPPES

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

ACHC-LEAVENWORTH (NPI 1710725288) is a healthcare organization registered as a federally qualified health center (fqhc) in Leavenworth, Kansas and active in the NPI registry since July 2024. The organization lists Brandi Oom, Ceo, as its authorized official.

NPPES Registry Identity

NPI1710725288
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameATCHISON COMMUNITY HEALTH CLINIC INC
Location Address818 N 7TH STLeavenworth, KS 66048-1422
Mailing Address818 N 7th StLeavenworth, KS 66048-1422 · (913) 651-8860 · Fax (913) 682-4409
Phone(913) 651-8860
Fax(913) 682-4409
Organization SubpartNo
Authorized OfficialBrandi OomCeo · (913) 367-4879
Enumeration DateJuly 18, 2024
Last NPPES UpdateNovember 12, 20243 updates tracked since enumeration
NPPES CertifiedNovember 12, 2024
✔ NPI 1710725288 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
Taxonomy Code261QF0400X
Also ListedFamily MedicineTaxonomy 207Q00000X
818 N 7TH ST, Leavenworth, KS 66048
Open in Google Maps ↗

Other Names 1

Doing Business AsAchc-leavenworth

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 Ambetter from Sunflower Health Plan, Ambetter Health, Ambetter Health of Delaware 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)

Achc-leavenworth is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

9

Medicare enrollment records show 9 clinicians reassign Medicare billing to Achc-Leavenworth, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.

Clinicians, nearest first (9)

Elizabeth Burden
Nurse Practitioner
NPI 1063208874
818 N 7TH ST
Leavenworth, KS 66048
(913) 651-8860
✔ PECOS✔ Accepts MedicareSame address
Violet Gomes, DNP, APRN, NP-C
Nurse Practitioner
NPI 1609407477
818 N 7TH ST
Leavenworth, KS 66048
(136) 518-8609
✔ PECOSSame address
Cynthia Myers, LSCSW
Clinical Social Worker
NPI 1083697031
15757 238TH RD
Cummings, KS 66016
(913) 426-2609
✔ PECOS19 mi
Sean Faulkner, LCPC
Mental Health Counselor
NPI 1306319298
522 COMMERCIAL ST
Atchison, KS 66002
(913) 336-2705
✔ PECOS✔ Accepts Medicare20 mi
Kerstin Glynn, MD
Family Practice
NPI 1033148507
1412 N 2ND ST
Atchison, KS 66002
(913) 367-4879
✔ PECOS✔ Accepts Medicare20 mi
Sarah Mata, NP-C
Nurse Practitioner
NPI 1417329129
1412 N 2ND ST
Atchison, KS 66002
(913) 367-4879
✔ PECOS✔ Accepts Medicare20 mi
Julie Turner
Nurse Practitioner
NPI 1922426519
1412 N 2ND ST
Atchison, KS 66002
(913) 367-4879
✔ PECOS✔ Accepts Medicare20 mi
Caitlin Perry, APRN
Nurse Practitioner
NPI 1275215022
1412 N 2ND ST
Atchison, KS 66002
(913) 367-4879
✔ PECOS✔ Accepts Medicare20 mi
Deste Baptiste, DNP FNP-C
Nurse Practitioner
NPI 1639638125
636 TAUROMEE AVE
Kansas City, KS 66101
(913) 321-2626
✔ PECOS✔ Accepts Medicare22 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 Atchison Community Health Clinic Inc's NPI number?

The NPI number for Atchison Community Health Clinic Inc is 1710725288. It was assigned to this organization in the NPPES registry on July 18, 2024. The provider is doing business as Achc-Leavenworth.

Where is Atchison Community Health Clinic Inc located?

Atchison Community Health Clinic Inc is located at 818 N 7th St, Leavenworth, KS 66048. The listed phone number is (913) 651-8860.

What is Atchison Community Health Clinic Inc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Federally Qualified Health Center (FQHC), with taxonomy code 261QF0400X.

Is Atchison Community Health Clinic Inc enrolled in Medicare?

Yes. Atchison Community Health Clinic Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Atchison Community Health Clinic Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 9 clinicians in 4 Medicare specialties reassign their Medicare billing to Atchison Community 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. The largest specialties are Nurse Practitioner (6), Clinical Social Worker (1) and Family Practice (1). Of these, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Atchison Community Health Clinic Inc accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Sunflower Health Plan, Ambetter of Oklahoma and Blue Cross and Blue Shield of Kansas, Inc. list Atchison Community Health Clinic Inc 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 Atchison Community Health Clinic Inc was last updated on November 12, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 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.