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CROSS TRAILS MEDICAL CENTER
NPI 1962565499
Clinic/Center - Federally Qualified Health Center (FQHC) in Marble Hill, MO

Active since December 18, 2006
109 HWY 51 NORTH, MARBLE HILL, MO 63764(573) 238-2725(573) 238-3795 Get Directions Write a Review

NPPES record last updated: March 18, 2014. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Cross Trails Medical Center NPPES

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

CROSS TRAILS MEDICAL CENTER (NPI 1962565499) is a healthcare organization registered as a federally qualified health center (fqhc) in Marble Hill, Missouri and active in the NPI registry since December 2006. The organization lists Mona Wells, Cfo, as its authorized official.

NPPES Registry Identity

NPI1962565499
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameCROSS TRAILS MEDICAL CENTER
Location Address109 HWY 51 NORTHMarble Hill, MO 63764
Mailing AddressPo Box 349Marble Hill, MO 63764-0349 · (573) 238-2725 · Fax (573) 238-3795
Phone(573) 238-2725
Fax(573) 238-3795
Organization SubpartYes
Authorized OfficialMona WellsCfo · (573) 339-1196
Enumeration DateDecember 18, 2006
Last NPPES UpdateMarch 18, 2014
✔ NPI 1962565499 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
Taxonomy Code261QF0400X
109 HWY 51 NORTH, Marble Hill, MO 63764
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Other Identifiers 4

OtherCD9626MO · Railroad Medicare
Medicare OSCAR/certification261837MO
Medicaid508082815MO
Medicare PIN000012446MO

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)

Cross Trails Medical Center is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

22

Medicare enrollment records show 22 clinicians reassign Medicare billing to Cross Trails Medical Center, which bills Medicare for the services they deliver. Of these, 1 practice within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 8

Dentist8
Nurse Practitioner6
Family Practice2
Internal Medicine2
Clinical Social Worker1
Infectious Disease1
Oral Surgery1
Pediatric Medicine1

Nearest to this location (20)

See all 22
Curtis Jansen, D.O.
Internal Medicine
NPI 1447530597
109 STATE HIGHWAY 51 N
Marble Hill, MO 63764
(573) 238-2725
✔ PECOS✔ Accepts Medicare0.3 mi
Suzana Gjino
Dentist
NPI 1396300547
307 W GABRIEL ST
Advance, MO 63730
(573) 722-3034
✔ PECOS15 mi
Amy Massa, RN, FNP-BC
Nurse Practitioner
NPI 1760739668
545 BROADRIDGE DR
Jackson, MO 63755
(573) 243-8408
✔ PECOS✔ Accepts Medicare17 mi
157 SIEMERS DR # 106
Cape Girardeau, MO 63701
(573) 970-3275
✔ PECOS22 mi
Munira Rahman-Anwar, DO
Pediatric Medicine
NPI 1639597578
25 DOCTORS PARK
Cape Girardeau, MO 63703
(573) 331-6750
✔ PECOS22 mi
Dana Moore, APRN
Nurse Practitioner
NPI 1760730139
1349 N MOUNT AUBURN RD
Cape Girardeau, MO 63701
(573) 334-9564
✔ PECOS✔ Accepts Medicare22 mi
Brenna Maria Keller, D.O.
Infectious Disease
NPI 1932261104
211 SAINT FRANCIS DR SPECIALTY CLINIC
Cape Girardeau, MO 63703
(573) 331-5932
✔ PECOS22 mi
Amanda Pleimann-King, D.O.
Family Practice
NPI 1659722155
817 S MOUNT AUBURN RD
Cape Girardeau, MO 63703
(573) 519-4500
✔ PECOS✔ Accepts Medicare23 mi
Carly Cameron, DMD
Dentist
NPI 1043145451
408 S BROADVIEW ST
Cape Girardeau, MO 63703
(573) 332-0808
✔ PECOS23 mi
Janna Crosnoe, M.D.
Family Practice
NPI 1720017296
408 S BROADVIEW ST
Cape Girardeau, MO 63703
(573) 332-0808
✔ PECOS✔ Accepts Medicare23 mi
Sarah Goodman, D.O.
Internal Medicine
NPI 1962645838
408 S BROADVIEW ST
Cape Girardeau, MO 63703
(573) 332-0808
✔ PECOS✔ Accepts Medicare23 mi
Julia Lincicum
Dentist
NPI 1356070890
408 S BROADVIEW ST
Cape Girardeau, MO 63703
(573) 332-0808
✔ PECOS23 mi
Jessica Ludwig, FNP-BC
Nurse Practitioner
NPI 1407125370
408 S BROADVIEW ST
Cape Girardeau, MO 63703
(573) 332-0808
✔ PECOS✔ Accepts Medicare23 mi
Ann Martin, DDS
Dentist
NPI 1740170083
408 S BROADVIEW ST
Cape Girardeau, MO 63703
(573) 332-0808
✔ PECOS23 mi
Mckenzie Shirley
Dentist
NPI 1235828278
408 S BROADVIEW ST
Cape Girardeau, MO 63703
(573) 334-4753
✔ PECOS23 mi
Karen Tracy, F.N.P.
Nurse Practitioner
NPI 1346252293
408 S BROADVIEW ST
Cape Girardeau, MO 63703
(573) 332-0808
✔ PECOS✔ Accepts Medicare23 mi
Jasmin Tucker, DDS
Dentist
NPI 1356037626
408 S BROADVIEW ST
Cape Girardeau, MO 63703
(573) 339-1196
✔ PECOS23 mi
Constance Koerner Miller, LCSW
Clinical Social Worker
NPI 1386108181
2430 GOLDEN ST
Cape Girardeau, MO 63703
(573) 332-0808
✔ PECOS✔ Accepts Medicare23 mi
Angela Wright, APRN, FNP-BC
Nurse Practitioner
NPI 1598316564
1314 BRENDA AVE
Perryville, MO 63775
(573) 517-0405
✔ PECOS✔ Accepts Medicare29 mi
Angela Spoljaric, DMD
Oral Surgery
NPI 1235114489
401 HOLLY HILLS AVE
Saint Louis, MO 63111
(314) 353-5190
✔ PECOS88 mi
See all 22 clinicians

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 Cross Trails Medical Center's NPI number?

The NPI number for Cross Trails Medical Center is 1962565499. It was assigned to this organization in the NPPES registry on December 18, 2006.

Where is Cross Trails Medical Center located?

Cross Trails Medical Center is located at 109 Hwy 51 North, Marble Hill, MO 63764. The listed phone number is (573) 238-2725.

What is Cross Trails Medical Center's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Federally Qualified Health Center (FQHC), with taxonomy code 261QF0400X.

Is Cross Trails Medical Center enrolled in Medicare?

Yes. Cross Trails Medical Center is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Cross Trails Medical Center?

According to the CMS Revalidation Reassignment List (October 2026 release), 22 clinicians in 8 Medicare specialties reassign their Medicare billing to Cross Trails Medical Center. 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 Dentist (8), Nurse Practitioner (6) and Family Practice (2). Of these, 1 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Cross Trails Medical Center 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 Cross Trails Medical Center 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 Cross Trails Medical Center was last updated on March 18, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.