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HARRISONVILLE FAMILY MEDICINE, INC.
NPI 1891715652
Family Medicine in Harrisonville, MO

Active since July 21, 2006
2820 E ROCK HAVEN RD, SUITE 100, HARRISONVILLE, MO 64701(816) 380-3582(816) 380-6964 Get Directions Write a Review

NPPES record last updated: January 13, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jan 13, 2026, Jan 2, 2025, May 15, 2024 and 5 more (8 updates tracked since 2015).

About Harrisonville Family Medicine, Inc. NPPES

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

HARRISONVILLE FAMILY MEDICINE, INC. (NPI 1891715652) is a healthcare organization registered as a family medicine in Harrisonville, Missouri and active in the NPI registry since July 2006. The organization lists Shaun Holden, President, as its authorized official.

NPPES Registry Identity

NPI1891715652
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameHARRISONVILLE FAMILY MEDICINE, INC.
Location Address2820 E ROCK HAVEN RD, SUITE 100Harrisonville, MO 64701-4411
Mailing Address2820 E Rock Haven Rd, Suite 100Harrisonville, MO 64701-4411 · (816) 380-3582 · Fax (816) 380-6964
Phone(816) 380-3582
Fax(816) 380-6964
Organization SubpartNo
Authorized OfficialShaun HoldenPresident · (816) 380-3582
Enumeration DateJuly 21, 2006
Last NPPES UpdateJanuary 13, 20268 updates tracked since enumeration
NPPES CertifiedJanuary 13, 2026
✔ NPI 1891715652 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedInternal MedicineTaxonomy 207R00000X
Also ListedProsthetic/Orthotic SupplierTaxonomy 335E00000X
2820 E ROCK HAVEN RD, Harrisonville, MO 64701
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Other Identifiers 3

Other24999018Blue Cross Blue Shield
OtherCS2185Railroad Medicare
Medicaid504598905MO

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 Arkansas Health & Wellness, Ambetter from Sunflower Health Plan, Ambetter Health 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)

Harrisonville Family Medicine, Inc. 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 Harrisonville Family Medicine, Inc., which bills Medicare for the services they deliver. Of these, 9 practice at this address. They are listed nearest first.

Clinicians, nearest first (9)

Ashlee Brattin
Nurse Practitioner
NPI 1518695980
2820 E ROCK HAVEN RD STE 100
Harrisonville, MO 64701
(816) 380-3582
✔ PECOS✔ Accepts MedicareSame address
Amy Gibbens, FNP-C
Nurse Practitioner
NPI 1679001754
2820 E ROCK HAVEN RD STE 100
Harrisonville, MO 64701
(816) 380-3582
✔ PECOS✔ Accepts MedicareSame address
Trevor Harvey, DNP
Nurse Practitioner
NPI 1174132948
2820 E ROCK HAVEN RD STE 100
Harrisonville, MO 64701
(816) 380-3582
✔ PECOS✔ Accepts MedicareSame address
Shaun Holden, M.D.
Family Practice
NPI 1013933407
2820 E. ROCK HAVEN RD. SUITE 100
Harrisonville, MO 64701
(816) 380-3582
✔ PECOS✔ Accepts MedicareSame address
Stacie Kubicsko, APRN
Nurse Practitioner
NPI 1104281633
2820 E ROCK HAVEN RD STE 100
Harrisonville, MO 64701
(816) 380-3582
✔ PECOS✔ Accepts MedicareSame address
Taylor Lincoln, NP-C
Nurse Practitioner
NPI 1043705080
2820 E ROCK HAVEN RD STE 100
Harrisonville, MO 64701
(816) 380-3582
✔ PECOS✔ Accepts MedicareSame address
Jacob Smith
Nurse Practitioner
NPI 1326793167
2820 E ROCK HAVEN RD STE 100
Harrisonville, MO 64701
(816) 380-3582
✔ PECOS✔ Accepts MedicareSame address
Aaron Travis, D.O.
Internal Medicine
NPI 1134149321
2820 E. ROCK HAVEN RD. SUITE 100
Harrisonville, MO 64701
(816) 380-3582
✔ PECOS✔ Accepts MedicareSame address
Damon Travis, D.O.
Family Practice
NPI 1578583852
2820 E. ROCK HAVEN RD. SUITE 100
Harrisonville, MO 64701
(816) 380-3582
✔ PECOS✔ Accepts MedicareSame address

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 Harrisonville Family Medicine, Inc.'s NPI number?

The NPI number for Harrisonville Family Medicine, Inc. is 1891715652. It was assigned to this organization in the NPPES registry on July 21, 2006.

Where is Harrisonville Family Medicine, Inc. located?

Harrisonville Family Medicine, Inc. is located at 2820 E Rock Haven Rd Suite 100, Harrisonville, MO 64701. The listed phone number is (816) 380-3582.

What is Harrisonville Family Medicine, Inc.'s specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Harrisonville Family Medicine, Inc. enrolled in Medicare?

Yes. Harrisonville Family Medicine, Inc. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Harrisonville Family Medicine, Inc.?

According to the CMS Revalidation Reassignment List (October 2026 release), 9 clinicians in 3 Medicare specialties reassign their Medicare billing to Harrisonville Family Medicine, 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), Family Practice (2) and Internal Medicine (1). Of these, 9 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Harrisonville Family Medicine, Inc. 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 2 other insurers list Harrisonville Family Medicine, 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 Harrisonville Family Medicine, Inc. was last updated on January 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.