NPIMap

Organization Active NPI

Compass Health, Inc

  • Federally Qualified Health Center (FQHC)
  • Saint Peters, MO
National Provider Identifier
1922719871
Registry record updated Dec 12, 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
111 Mexico CT
Saint Peters, MO 63376-5102
Phone
(844) 853-8937
NPI assigned
Dec 12, 2022
Last updated
Dec 12, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 12, 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 Manager
Phone
(660) 890-8156

Specialties & licenses 1

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

Addresses

Primary practice location

111 Mexico CT
Saint Peters, MO 63376-5102

Mailing address

PO Box 803919
Kansas City, MO 64180-3919
Phone (844) 853-8937

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20221221002791 MO Part A Provider - Federally Qualified Health Center (FQHC) 1951206754 Practice locations: Saint Peters, MO

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1922719871. Details of each certification follow.

Federally qualified health center certification: CCN 261921

Legal name
COMPASS HEALTH INC
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Dec 17, 2022
Last certification
Dec 17, 2022
Ownership / control type
For profit – corporation
Organization structure
CorporationNon-profit
Incorporated
Nov 26, 1974 in MO
Enrollment address
111 Mexico CT
Saint Peters, MO 63376-5102

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
26D2339221Compass Health Network - Mexico Court111 Mexico Court, St Peters, MO 63376Certificate of waiverFeb 24, 2028

National Provider Directory

National Provider Directory
Tax ID family
Michael D Atkinson128 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 24

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

View all 24

Ownership & related parties

All disclosed owners & managing parties 12

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 Dec 7, 2022
Dennis Daugherty Individual Corporate OfficerBoard Member Dec 7, 2022
Rebecca Culler Individual Corporate OfficerBoard Member Dec 7, 2022
Rodney Reid Individual Corporate OfficerBoard Member Dec 7, 2022
Teresa L Porter Individual W-2 Managing EmployeeCredentialing Manager Dec 7, 2022
Keith Schafer Individual Corporate OfficerBoard Member Dec 7, 2022
Curtis Cain Individual Corporate OfficerBoard Member Dec 7, 2022
Tim Glasscock Individual Corporate OfficerBoard Member Dec 7, 2022
Patricia Cleveland Individual Corporate OfficerBoard Member Dec 7, 2022
Brian C Baker Individual Corporate OfficerBoard Member Dec 7, 2022
Tim Alan Larimore Individual Corporate OfficerBoard Member Dec 7, 2022
Alan W Stevens Individual Corporate DirectorExecutive VP Dec 7, 2022

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

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1670803200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1670803200000",
    "number": "1922719871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 803919",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641803919",
            "telephone_number": "844-853-8937"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 MEXICO CT",
            "city": "SAINT PETERS",
            "state": "MO",
            "postal_code": "633765102",
            "telephone_number": "844-853-8937"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPASS HEALTH, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-12-12",
        "last_updated": "2022-12-12",
        "certification_date": "2022-12-08",
        "status": "A",
        "authorized_official_last_name": "PORTER",
        "authorized_official_first_name": "TERESA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "CREDENTIALING 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 Saint Peters, MO

Sources for this page

Verify at the official NPI Registry.