OTTAWA CARE CLINIC
NPI 1023558541
Family Medicine in Ottawa, KS
About Ottawa Care Clinic NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
OTTAWA CARE CLINIC (NPI 1023558541) is a healthcare organization registered as a family medicine in Ottawa, Kansas and active in the NPI registry since March 2017. The organization holds an CLIA Accreditation certificate valid through December 22, 2027 and lists Denise Lynn Mcpheron, Administrator, 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)
Ottawa Care Clinic is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
20Medicare enrollment records show 20 clinicians reassign Medicare billing to Ottawa Care Clinic, which bills Medicare for the services they deliver. Of these, 10 practice within 10 miles. They are listed nearest first.
Clinicians by Medicare Specialty 2
Clinicians, nearest first (20)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Accreditation 17D0448574
Ottawa Family Physicians · Ottawa, KSFrequently 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 Ottawa Family Physicians, Chartered's NPI number?
The NPI number for Ottawa Family Physicians, Chartered is 1023558541. It was assigned to this organization in the NPPES registry on March 2, 2017. The provider is also known as Ottawa Care Clinic.
Where is Ottawa Family Physicians, Chartered located?
Ottawa Family Physicians, Chartered is located at 120 E 19th St Ste A, Ottawa, KS 66067. The listed phone number is (785) 214-4903.
What is Ottawa Family Physicians, Chartered's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Ottawa Family Physicians, Chartered enrolled in Medicare?
Yes. Ottawa Family Physicians, Chartered is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Ottawa Family Physicians, Chartered?
According to the CMS Revalidation Reassignment List (October 2026 release), 20 clinicians in 2 Medicare specialties reassign their Medicare billing to Ottawa Family Physicians, Chartered. 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 (12) and Family Practice (8). Of these, 10 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Ottawa Family Physicians, Chartered hold a CLIA laboratory certificate?
Yes. A Certificate of Accreditation (number 17D0448574) is associated with this NPI, valid through December 22, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Ottawa Family Physicians, Chartered was last updated on October 15, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.
# Ottawa Care Clinic · NPI 1023558541
Family Medicine organization in Ottawa, Kansas. Organization record, active in the CMS NPPES registry since March 2, 2017.
## Identity
- **NPI:** 1023558541 (Entity type: Organization)
- **Enumerated:** March 2, 2017
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Legal business name:** Ottawa Family Physicians, Chartered
- **Organization subpart:** Yes (part of Ottawa Family Physicians, Chtd.)
- **Authorized official:** Denise Mcpheron, ADMINISTRATOR
## Practice location
- **Address:** 120 E 19TH ST STE A, Ottawa, KS 66067-4300
- **Phone:** (785) 214-4903 · **Fax:** (785) 214-4622
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 20 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (12), Family Practice (8); 10 practice within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 15, 2018
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1023558541) · Data from the CMS NPPES public registry.