NPIMap

Organization Active NPI

Compass Health, Inc.

  • Federally Qualified Health Center (FQHC)
  • Nevada, MO
National Provider Identifier
1033741509
Registry record updated Dec 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
COMPASS HEALTH, INC.
Practice address
301 W Austin Blvd
Nevada, MO 64772-3124
Phone
(844) 853-8937
NPI assigned
Feb 12, 2020
Last updated
Dec 6, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Teresa L Porter
Title
Credentialing & Contracting Manager
Phone
(660) 890-8156

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X Primary

Addresses

Primary practice location

301 W Austin Blvd
Nevada, MO 64772-3124

Mailing address

1800 Community
Clinton, MO 64735-8804
Phone (660) 890-8156

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20231215000335 MO Part A Provider - Federally Qualified Health Center (FQHC) 1951206754 Practice locations: Nevada, MO

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1033741509. Details of each certification follow.

Federally qualified health center certification: CCN 261961

Legal name
COMPASS HEALTH INC
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Dec 14, 2023
Last certification
Dec 14, 2023
Ownership / control type
For profit – corporation
Organization structure
CorporationNon-profit
Incorporated
Nov 26, 1974 in MO
Enrollment address
301 W Austin Blvd
Nevada, MO 64772-3124

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
26D2340752Compass Health Nevada Austin301 W Austin Blvd, Nevada, MO 64772Certificate of waiverMar 22, 2028

National Provider Directory

National Provider Directory
Tax ID family
Compass Health Inc127 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 14

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 14

Locations

204 N Cedar St
Nevada, MO 64772
Phone (417) 549-6845

301 W Austin Blvd
Nevada, MO 64772

Ownership & related parties

All disclosed owners & managing parties 14

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Joi Niedner Individual Corporate OfficerBoard Member Sep 1, 2023
Dennis Daugherty Individual Corporate OfficerBoard Member Sep 1, 2023
Rebecca Culler Individual Corporate OfficerBoard Member Sep 1, 2023
Robert Dawson Individual Corporate OfficerBoard Member Sep 1, 2023
Rodney Reid Individual Corporate OfficerBoard Member Sep 1, 2023
Teresa L Porter Individual W-2 Managing EmployeeCredentialing Manager Sep 1, 2023
Shari Bax Individual Corporate OfficerBoard Member Sep 1, 2023
Tim Glasscock Individual Corporate OfficerBoard Member Sep 1, 2023
Patricia Cleveland Individual Corporate OfficerBoard Member Sep 1, 2023
Kathy Carter Individual Corporate OfficerBoard Member Sep 1, 2023
Brian C Baker Individual Corporate OfficerBoard Member Sep 1, 2023
Tim Alan Larimore Individual Corporate OfficerBoard Member Sep 1, 2023
Leticia Villafain Individual Corporate OfficerBoard Member Sep 1, 2023
Alan W Stevens Individual Corporate DirectorExecutive VP Sep 1, 2023

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Compass Health IncSaint Peters, MO, CCN 261161 Federally qualified health center 5% Or Greater Direct Ownership Interest (100%) Jul 11, 2018

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1581465600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1670284800000",
    "number": "1033741509",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1800 COMMUNITY",
            "city": "CLINTON",
            "state": "MO",
            "postal_code": "647358804",
            "telephone_number": "660-890-8156"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 W AUSTIN BLVD",
            "city": "NEVADA",
            "state": "MO",
            "postal_code": "647723124",
            "telephone_number": "844-853-8937"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPASS HEALTH, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-12",
        "last_updated": "2022-12-06",
        "certification_date": "2022-12-06",
        "status": "A",
        "authorized_official_last_name": "PORTER",
        "authorized_official_first_name": "TERESA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "CREDENTIALING & CONTRACTING MANAGER",
        "authorized_official_telephone_number": "660-890-8156"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nevada, MO

Sources for this page

Verify at the official NPI Registry.