LIBERTY HOSPITAL PRIMARY CARE SHOAL CREEK
NPI 1821518630
Family Medicine in Kansas City, MO
About Liberty Hospital Primary Care Shoal Creek NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
LIBERTY HOSPITAL PRIMARY CARE SHOAL CREEK (NPI 1821518630) is a healthcare organization registered as a family medicine in Kansas City, Missouri and active in the NPI registry since June 2017. The organization holds a CLIA Waiver certificate valid through September 20, 2027 and lists David Feess, President And Ceo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Other Identifiers 1
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)
Liberty Hospital Primary Care Shoal Creek is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
166Medicare enrollment records show 166 clinicians reassign Medicare billing to Liberty Hospital Primary Care Shoal Creek, which bills Medicare for the services they deliver. Of these, 5 practice at this address and 88 within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 27
Nearest to this location (20)
See all 166Source: 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 26D2137198
Liberty Hospital Primary Care Shoal Creek Clinic · Kansas City, 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 New Liberty Hospital Coporation's NPI number?
The NPI number for New Liberty Hospital Coporation is 1821518630. It was assigned to this organization in the NPPES registry on June 22, 2017. The provider is doing business as Liberty Hospital Primary Care Shoal Creek.
Where is New Liberty Hospital Coporation located?
New Liberty Hospital Coporation is located at 8380 N Tullis Ave Suite 300, Kansas City, MO 64158. The listed phone number is (816) 415-3451.
What is New Liberty Hospital Coporation's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is New Liberty Hospital Coporation enrolled in Medicare?
Yes. New Liberty Hospital Coporation is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through New Liberty Hospital Coporation?
According to the CMS Revalidation Reassignment List (October 2026 release), 166 clinicians in 27 Medicare specialties reassign their Medicare billing to New Liberty Hospital Coporation. 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 (46), Family Practice (18) and Internal Medicine (18). Of these, 5 practice at this address and 88 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does New Liberty Hospital Coporation hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 26D2137198) is associated with this NPI, valid through September 20, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does New Liberty Hospital Coporation 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 1 other insurer list New Liberty Hospital Coporation 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 New Liberty Hospital Coporation was last updated on April 19, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.
# Liberty Hospital Primary Care Shoal Creek · NPI 1821518630
Family Medicine organization in Kansas City, Missouri. Organization record, active in the CMS NPPES registry since June 22, 2017.
## Identity
- **NPI:** 1821518630 (Entity type: Organization)
- **Enumerated:** June 22, 2017
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Legal business name:** New Liberty Hospital Coporation
- **Organization subpart:** No
- **Authorized official:** David Feess, PRESIDENT AND CEO
## Practice location
- **Address:** 8380 N TULLIS AVE, SUITE 300, Kansas City, MO 64158
- **Phone:** (816) 415-3451
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 166 clinicians in 27 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (46), Family Practice (18), Internal Medicine (18); 5 practice at this address and 88 within 10 miles; [full list](https://npiprofile.com/npi/1821518630/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** April 19, 2018
- **Other identifiers:** Other 57333017 (MO)
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1821518630) · Data from the CMS NPPES public registry.