ST. HELENA FAMILY PRACTICE CLEARLAKE
NPI 1023315116
Family Medicine in Clearlake, CA
About St. Helena Family Practice Clearlake NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ST. HELENA FAMILY PRACTICE CLEARLAKE (NPI 1023315116) is a healthcare organization registered as a family medicine in Clearlake, California and active in the NPI registry since February 2011. The organization lists Jeff Conklin, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
St. Helena Family Practice Clearlake is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
673Medicare enrollment records show 673 clinicians reassign Medicare billing to St. Helena Family Practice Clearlake, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 4 within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 52
Nearest to this location (20)
See all 673Clearlake, CA 95422
Saint Helena, CA 94574
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Adventist Health Physician Network's NPI number?
The NPI number for Adventist Health Physician Network is 1023315116. It was assigned to this organization in the NPPES registry on February 25, 2011. The provider is doing business as St. Helena Family Practice Clearlake.
Where is Adventist Health Physician Network located?
Adventist Health Physician Network is located at 15322 Lakeshore Dr Suite 202, Clearlake, CA 95422. The listed phone number is (707) 994-0305.
What is Adventist Health Physician Network's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Adventist Health Physician Network enrolled in Medicare?
Yes. Adventist Health Physician Network is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Adventist Health Physician Network?
According to the CMS Revalidation Reassignment List (October 2026 release), 673 clinicians in 52 Medicare specialties reassign their Medicare billing to Adventist Health Physician Network. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (130), Diagnostic Radiology (121) and Family Practice (65). Of these, 1 practice at this address and 4 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Adventist Health Physician Network was last updated on June 8, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# St. Helena Family Practice Clearlake · NPI 1023315116
Family Medicine organization in Clearlake, California. Organization record, active in the CMS NPPES registry since February 25, 2011.
## Identity
- **NPI:** 1023315116 (Entity type: Organization)
- **Enumerated:** February 25, 2011
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Legal business name:** Adventist Health Physician Network
- **Organization subpart:** Yes (part of Adventist Health Physician Network)
- **Authorized official:** Jeff Conklin, PRESIDENT
## Practice location
- **Address:** 15322 LAKESHORE DR, SUITE 202, Clearlake, CA 95422-9814
- **Phone:** (707) 994-0305
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 673 clinicians in 52 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (130), Diagnostic Radiology (121), Family Practice (65); 1 practice at this address and 4 within 10 miles; [full list](https://npiprofile.com/npi/1023315116/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** June 8, 2011
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Source: [NPI Profile](https://npiprofile.com/npi/1023315116) · Data from the CMS NPPES public registry.