ALPHA HEALTH MANAGEMENT SERVICES, LLC — NPI 1578800298 (Licensed & Credentialed Health Maintenance Organization in NIXA, MO)

CMS-1500 Box 24J / 33a • NPI

1578800298

Type 2 Organization (Box 32a/33a)

HIPAA NUCC Taxonomy • CMS Code

302R00000X

Licensed & Credentialed Health Maintenance Organization

Box 32 Service Location & ZIP+4

117 W SHERMAN WAY, STE. 4, NIXA, MO, 65714-7620

✓ 9-Digit EDI 837 ZIP+4 (65714-7620)

Practice Phone & Referral Fax

(417) 724-1185

Direct NPPES Verification Line

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1578800298 (ALPHA HEALTH MANAGEMENT SERVICES, LLC) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

Institutional Type-2 NPI facilities enroll via CMS-855A institutional provider agreements rather than individual Order & Referring PECOS.

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number	`1578800298` (NPI-2 Organization / Facility)
Provider / Legal Name	ALPHA HEALTH MANAGEMENT SERVICES, LLC
Plain-English Specialty	Licensed & Credentialed Health Maintenance Organization NUCC Code: `302R00000X` (Health Maintenance Organization)
Certifying / Licensing Body	State Medical / Healthcare Licensing Board & National Specialty Board
Practice Location Address	117 W SHERMAN WAY, STE. 4, NIXA, MO, 65714-7620
Practice Telephone / Fax	Tel: (417) 724-1185
Administrative Mailing Address	PO BOX 11147, SPRINGFIELD, MO, 65808-1147
Enumeration & Last Sync	Enumerated: 2013-01-15 \| CMS Record Updated: 2013-01-15
Authorized Official	PETER WILLIAMS (Owner)

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

117 W SHERMAN WAY, STE. 4, NIXA, MO, 65714-7620

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Plain-English Taxonomy & CMS Crosswalk (302R00000X)

What Does Taxonomy Code 302R00000X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 302R00000X translates to:
"Licensed & Credentialed Health Maintenance Organization"

CMS-1500 Medicare Specialty Crosswalk: Standard HIPAA X12N 837P / CMS-1500
Certifying / Accrediting Authority: State Medical / Healthcare Licensing Board & National Specialty Board
Clinical Scope: Consult a verified Health Maintenance Organization for specialized diagnostic evaluation, treatment planning, and continuity of care.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (ALPHA HEALTH MANAGEMENT SERVICES, LLC)

Typical CPT / Diagnostic Procedures:

Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
Preventive Screening, Patient Counseling & Multidisciplinary Referral

Common Therapeutic Classes:

Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English Description	State License & Primary Status
`302R00000X` — Health Maintenance Organization Plain English: Licensed & Credentialed Health Maintenance Organization	State: N/A \| License: `Verified` \| Primary: Yes (Primary)

Medical Billing, RCM & Hospital Credentialing Teams:

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ALPHA HEALTH MANAGEMENT SERVICES, LLC (NPI #1578800298)