AMBRIA MICHELLE WIMSATT (LCSW) – Clinical Social Worker, NPI 1073086955
Clinical Social Worker
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for AMBRIA MICHELLE WIMSATT (LCSW)
206 N Bismark St
Concordia, MO 640208180
Phone: (877) 344-3572
Fax: (866) 288-4492
Type: Location
324 S Hudson St
Buckner, MO 640168142
Phone: (877) 344-3572
Fax: (866) 288-4492
Type: Location
718 Harvest Hills Dr
Carrollton, MO 646332412
Phone: (877) 344-3572
Fax: (866) 228-4492
Type: Location
811 S Business Highway 13 Ste A
Lexington, MO 640671572
Phone: (877) 344-3572
Fax: (866) 288-4492
Type: Location
825, Lexington, Carthage, Panola County, Texas, 75633, United States
LEXINGTON, MO 640671515
Phone: (660) 259-2440
Type: Mailing
Waverly, Lafayette County, Missouri, 64096, United States
WAVERLY, MO 640968241
Phone: (877) 344-3572
Fax: (866) 288-4492
Type: Location
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: 2021-03-15
PECOS data refreshed: 2026-05-27
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20210315002275 | I | Clinical Social Worker | MO | TBD |
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.
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 64020)
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