WELLSPRING HEALTHCARE LLC
NPI 1881363927
Internal Medicine in Raytown, MO

Active since September 11, 2021
6124 RAYTOWN RD, RAYTOWN, MO 64133(909) 815-3324 Get Directions Write a Review

NPPES record last updated: September 2, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Sep 2, 2022, Sep 11, 2021 (2 updates tracked since 2021).

About Wellspring Healthcare Llc NPPES

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

WELLSPRING HEALTHCARE LLC (NPI 1881363927) is a healthcare organization registered as an internal medicine in Raytown, Missouri and active in the NPI registry since September 2021. The organization lists Brian Moore Haas, Ceo, as its authorized official.

NPPES Registry Identity

NPI1881363927
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameWELLSPRING HEALTHCARE LLC
Location Address6124 RAYTOWN RDRaytown, MO 64133-4007
Mailing Address705b Se Melody Ln # 184Lees Summit, MO 64063-4380 · (909) 815-3324
Organization SubpartNo
Authorized OfficialBrian Moore HaasCeo · (909) 815-3324
Enumeration DateSeptember 11, 2021
Last NPPES UpdateSeptember 2, 20222 updates tracked since enumeration
NPPES CertifiedSeptember 2, 2022
✔ NPI 1881363927 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
6124 RAYTOWN RD, Raytown, MO 64133

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)

Wellspring Healthcare Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

4

Medicare enrollment records show 4 clinicians reassign Medicare billing to Wellspring Healthcare LLC, which bills Medicare for the services they deliver. Of these, 4 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (4)

Nurse Practitioner
NPI 1427698224
19550 E 39TH ST S STE 220
Independence, MO 64057
(816) 461-6837
✔ PECOS✔ Accepts Medicare6.7 mi
Hospitalist
NPI 1245464395
4401 WORNALL RD
Kansas City, MO 64111
(816) 932-0340
✔ PECOS✔ Accepts Medicare7.2 mi
Nurse Practitioner
NPI 1750627352
1000 CARONDELET DR
Kansas City, MO 64114
(816) 942-4400
✔ PECOS✔ Accepts Medicare9.2 mi
Internal Medicine
NPI 1033352463
1000 CARONDELET DR
Kansas City, MO 64114
(816) 943-4758
✔ PECOS✔ Accepts Medicare9.2 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 Wellspring Healthcare LLC's NPI number?

The NPI number for Wellspring Healthcare LLC is 1881363927. It was assigned to this organization in the NPPES registry on September 11, 2021.

Where is Wellspring Healthcare LLC located?

Wellspring Healthcare LLC is located at 6124 Raytown Rd, Raytown, MO 64133. The listed phone number is (909) 815-3324.

What is Wellspring Healthcare LLC's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Wellspring Healthcare LLC enrolled in Medicare?

Yes. Wellspring Healthcare LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Wellspring Healthcare LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians reassign their Medicare billing to Wellspring Healthcare LLC, in Hospitalist, Internal Medicine and Nurse Practitioner. 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. Of these, 4 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Wellspring Healthcare LLC was last updated on September 2, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.