NORTHEAST FAMILY HEALTH
NPI 1962548974
Clinic/Center - Federally Qualified Health Center (FQHC) in Kirksville, MO
About Northeast Family Health NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
NORTHEAST FAMILY HEALTH (NPI 1962548974) is a healthcare organization registered as a federally qualified health center (fqhc) in Kirksville, Missouri and active in the NPI registry since January 2007. The organization lists Andrew H Grimm, Executive Director, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 4
Other Names 1
Other Identifiers 8
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)
Northeast Family Health is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
28Medicare enrollment records show 28 clinicians reassign Medicare billing to Northeast Family Health, which bills Medicare for the services they deliver. Of these, 9 practice at this address and 23 within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 9
Nearest to this location (20)
See all 28Source: 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 Northeast Missouri Health Council Inc's NPI number?
The NPI number for Northeast Missouri Health Council Inc is 1962548974. It was assigned to this organization in the NPPES registry on January 29, 2007. The provider is doing business as Northeast Family Health.
Where is Northeast Missouri Health Council Inc located?
Northeast Missouri Health Council Inc is located at 1506 Crown Drive, Kirksville, MO 63501. The listed phone number is (660) 627-4493.
What is Northeast Missouri Health Council 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 Northeast Missouri Health Council Inc enrolled in Medicare?
Yes. Northeast Missouri Health Council Inc is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Northeast Missouri Health Council Inc?
According to the CMS Revalidation Reassignment List (October 2026 release), 28 clinicians in 9 Medicare specialties reassign their Medicare billing to Northeast Missouri Health Council 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 Family Practice (7), Nurse Practitioner (7) and Pediatric Medicine (4). Of these, 9 practice at this address and 23 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Northeast Missouri Health Council 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 Northeast Missouri Health Council 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 Northeast Missouri Health Council Inc was last updated on June 24, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.
# Northeast Family Health · NPI 1962548974
Federally Qualified Health Center (FQHC) organization in Kirksville, Missouri. Organization record, active in the CMS NPPES registry since January 29, 2007.
## Identity
- **NPI:** 1962548974 (Entity type: Organization)
- **Enumerated:** January 29, 2007
- **Primary specialty:** Clinic/Center - Federally Qualified Health Center (FQHC) · taxonomy 261QF0400X
- **Legal business name:** Northeast Missouri Health Council Inc
- **Organization subpart:** No
- **Authorized official:** Andrew Grimm, EXECUTIVE DIRECTOR
## Practice location
- **Address:** 1506 CROWN DRIVE, Kirksville, MO 63501
- **Phone:** (660) 627-4493 · **Fax:** (660) 627-4288
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 28 clinicians in 9 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Family Practice (7), Nurse Practitioner (7), Pediatric Medicine (4); 9 practice at this address and 23 within 10 miles; [full list](https://npiprofile.com/npi/1962548974/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** June 24, 2011
- **Other identifiers:** Medicaid 503351843 (MO); Medicare PIN 117400003 (MO); Medicare PIN 117400011 (MO); and 5 more
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Source: [NPI Profile](https://npiprofile.com/npi/1962548974) · Data from the CMS NPPES public registry.