Clearwater Nursing and Rehabilitation Center – Skilled Nursing Facility, NPI 1376197756

Clearwater Nursing and Rehabilitation Center is a healthcare provider. based in Clearwater, Kansas. specializing in Skilled Nursing Facility. The NPI Number for Clearwater Nursing and Rehabilitation Center is 1376197756

Main info

Organization
Name
Clearwater Nursing and Rehabilitation Center
NPI
1376197756
Phone
(620) 584-2271
Address
620 E WOOD ST
Authorized Official
MR. WILLIAM MATTHEW NOVOTNY CEO
Enumeration Date
24 July 2019
Last Update Date
24 July 2019
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience17
Completeness80
Years active:6State licenses:0Digital endpointsUpdated within 12 months

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Provider Addresses for Clearwater Nursing and Rehabilitation Center

  • Wood Street, Weippe, Clearwater County, Idaho, 83553, United States

    CLEARWATER, KS 670269757

    Phone: (620) 584-2271

    Type: Location

  • Hylton Heights Road, Manhattan, Riley County, Kansas, 66503-3026, United States

    MANHATTAN, KS 665022812

    Phone: (785) 789-4750

    Type: Mailing

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: 2019-09-09

PECOS data refreshed: 2026-06-15

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

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
O20190909002569OSkilled Nursing FacilityKSTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

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 67026)

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Reviews

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Frequently asked questions

How do I look up Clearwater Nursing and Rehabilitation Center by NPI?
Use NPI 1376197756 when you need to reference Clearwater Nursing and Rehabilitation Center in forms, claims, or directories.
Is Clearwater Nursing and Rehabilitation Center active in the national directory?
Clearwater Nursing and Rehabilitation Center's public NPI profile is in an active state.
Does Clearwater Nursing and Rehabilitation Center list a primary specialty?
If you are matching referrals, note Skilled Nursing Facility for Clearwater Nursing and Rehabilitation Center. Clinical services aligned with this taxonomy classification.
Does Clearwater Nursing and Rehabilitation Center practice in Kansas?
You will see Clearwater, Kansas on file for Clearwater Nursing and Rehabilitation Center alongside any extra practice locations.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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