HEALTHSPAN DIRECT PRIMARY CARE LLC
NPI 1962299495
Clinic/Center - Primary Care in La Belle, MO

Active since April 21, 2025CLIA 26D2309301 · Waiver
1000 CENTRAL ST, LA BELLE, MO 63447(660) 213-3245 Get Directions Write a Review

NPPES record last updated: April 21, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Healthspan Direct Primary Care Llc NPPES

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

HEALTHSPAN DIRECT PRIMARY CARE LLC (NPI 1962299495) is a healthcare organization registered as a primary care in La Belle, Missouri and active in the NPI registry since April 2025. The organization holds a CLIA Waiver certificate valid through August 12, 2026 and lists Aaron Neisen, Founder, as its authorized official.

NPPES Registry Identity

NPI1962299495
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameHEALTHSPAN DIRECT PRIMARY CARE LLC
Location Address1000 CENTRAL STLa Belle, MO 63447-2092
Mailing Address1000 Central StLa Belle, MO 63447-2092 · (660) 213-3245 · Fax (660) 243-0882
Organization SubpartNo
Authorized OfficialAaron NeisenFounder · (217) 242-9966
Enumeration DateApril 21, 2025
NPPES CertifiedApril 20, 2025
NPI 1962299495 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
1000 CENTRAL ST, La Belle, MO 63447

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 26D2309301

Healthspan Direct Primary Care LLC · La Belle, MO
Active · expires Aug 12, 2026
CLIA Number26D2309301
Laboratory TypePractitioner Other
Certificate Effective DateAugust 13, 2024
Certificate Expiration DateAugust 12, 2026
Laboratory DirectorAaron Neisen
Laboratory Phone(660) 341-7645
Laboratory LocationHealthspan Direct Primary Care LLC1000 Central St, La Belle, MO 63447
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner
1000 CENTRAL ST
LA BELLE, MO 63447
Family Medicine
1000 CENTRAL ST
LA BELLE, MO 63447

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 Healthspan Direct Primary Care LLC's NPI number?

The NPI number for Healthspan Direct Primary Care LLC is 1962299495. It was assigned to this organization in the NPPES registry on April 21, 2025.

Where is Healthspan Direct Primary Care LLC located?

Healthspan Direct Primary Care LLC is located at 1000 Central St, La Belle, MO 63447. The listed phone number is (660) 213-3245.

What is Healthspan Direct Primary Care LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

Does Healthspan Direct Primary Care LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 26D2309301) is associated with this NPI, valid through August 12, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Healthspan Direct Primary Care LLC was last updated on April 21, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.