AXTELL CLINIC, PA – Family Medicine Physician, NPI 1346286036

AXTELL CLINIC, PA is a healthcare provider. based in Newton, Kansas. specializing in Family Medicine Physician. The NPI Number for AXTELL CLINIC, PA is 1346286036

Main info

Organization
Name
AXTELL CLINIC, PA
NPI
1346286036
Phone
(316) 283-2800
Address
700 MEDICAL CENTER DRIVE
Authorized Official
ALISHA MALO ADMINISTRATOR RN
Enumeration Date
21 June 2006
Last Update Date
14 January 2021

Contacts

Secure Messaging
alisha.malo1@khindirect.org
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience58
Completeness85
Years active:19State licenses:0Other namesUpdated within 12 months

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Provider Addresses for AXTELL CLINIC, PA

  • Medical Center, Queen Street, Britomart, Auckland Central, Auckland, Waitematā, Auckland, 1010, New Zealand

    SUITE 210

    NEWTON, KS 671149017

    Phone: (316) 283-2800

    Fax: (316) 283-3575

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2011-03-17

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Past revalidation due date

Earliest CMS due date was 2023-12-31 (894 days ago).

Enrollment records

2

Earliest due date

2023-12-31

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
O20040623001445OClinic/Group PracticeKS2025-08-31
O20110317000912OPhysician - General PracticeKS2023-12-31

What to do next

  • Verify current status on the CMS Revalidation Lookup Tool immediately.
  • Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
  • Overdue revalidation can lead to deactivation of Medicare billing privileges.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 67114)

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Reviews

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Frequently asked questions

Can I cross-check AXTELL CLINIC, PA using NPI 1346286036?
NPI 1346286036 belongs to AXTELL CLINIC, PA; compare other details if you need extra assurance.
Active or inactive — what applies to AXTELL CLINIC, PA?
You should see AXTELL CLINIC, PA as active in CMS-hosted NPPES data.
What area of care is associated with AXTELL CLINIC, PA?
AXTELL CLINIC, PA's record emphasizes Family Medicine Physician. Clinical services aligned with this taxonomy classification.
Is AXTELL CLINIC, PA located near Newton?
AXTELL CLINIC, PA currently maps to Newton, Kansas in this extract.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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