4TH STREET CLINIC
NPI 1023778511
Nurse Practitioner - Family in Washington, IN

Active since December 23, 2021CLIA 15D2245298 · Waiver
3 E MAIN ST, WASHINGTON, IN 47501(812) 486-6639(812) 698-5420 Get Directions Write a Review

NPPES record last updated: February 24, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Feb 24, 2023, Feb 3, 2023, Apr 27, 2022 and 2 more (5 updates tracked since 2021).

About 4th Street Clinic NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

4TH STREET CLINIC (NPI 1023778511) is a healthcare organization registered as a family in Washington, Indiana and active in the NPI registry since December 2021. The organization holds a CLIA Waiver certificate valid through December 9, 2027 and lists Jessica Ann Wright, Np, as its authorized official.

NPPES Registry Identity

NPI1023778511
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameWRIGHTCHOICE HEALTHCARE, LLC
Location Address3 E MAIN STWashington, IN 47501-2907
Mailing Address3 E Main StWashington, IN 47501-2907 · (812) 486-6639 · Fax (812) 698-5420
Fax(812) 698-5420
Organization SubpartNo
Authorized OfficialJessica Ann WrightNp · (812) 486-6639
Enumeration DateDecember 23, 2021
Last NPPES UpdateFebruary 24, 20235 updates tracked since enumeration
NPPES CertifiedFebruary 24, 2023
NPI 1023778511 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
Also ListedFamily MedicineTaxonomy 207Q00000X
3 E MAIN ST, Washington, IN 47501

Other Names 1

Doing Business As4th Street Clinic

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

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 Waiver 15D2245298

Wrightchoice Healthcare, LLC · Washington, IN
Active · expires Dec 9, 2027
CLIA Number15D2245298
Laboratory TypePractitioner Other
Certificate Effective DateDecember 10, 2025
Certificate Expiration DateDecember 9, 2027
Laboratory DirectorJessica Ann Wright
Laboratory Phone(812) 486-6639
Laboratory LocationWrightchoice Healthcare, LLC3 E Main St, Washington, IN 47501
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Family)
3 E MAIN ST
WASHINGTON, IN 47501

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 Wrightchoice Healthcare, LLC's NPI number?

The NPI number for Wrightchoice Healthcare, LLC is 1023778511. It was assigned to this organization in the NPPES registry on December 23, 2021. The provider is doing business as 4th Street Clinic.

Where is Wrightchoice Healthcare, LLC located?

Wrightchoice Healthcare, LLC is located at 3 E Main St, Washington, IN 47501. The listed phone number is (812) 486-6639.

What is Wrightchoice Healthcare, LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Does Wrightchoice Healthcare, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 15D2245298) is associated with this NPI, valid through December 9, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Wrightchoice Healthcare, LLC accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian and Anthem Blue Cross and Blue Shield list Wrightchoice Healthcare, LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Wrightchoice Healthcare, LLC was last updated on February 24, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.