TRI COUNTY FAMILY HEALTH AND ADULT HEALTH NP SERVICES
NPI 1053089516
Nurse Practitioner - Family in Afton, NY
About Tri County Family Health And Adult Health Np Services NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
TRI COUNTY FAMILY HEALTH AND ADULT HEALTH NP SERVICES (NPI 1053089516) is a healthcare organization registered as a family in Afton, New York and active in the NPI registry since August 2021. The organization holds a CLIA Waiver certificate valid through September 27, 2027 and lists Joseph John Brennan, Np, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Group Practice 2
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Tri County Family Health And Adult Health Np Services is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
2Medicare enrollment records show 2 clinicians reassign Medicare billing to Tri County Family Health And Adult Health Np Services, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.
Clinicians, nearest first (2)
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 Waiver 33D2237732
Tri County Family Health And Adult Health Np Services · Afton, NYFrequently 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 Tri County Family Health And Adult Health Np Services's NPI number?
The NPI number for Tri County Family Health And Adult Health Np Services is 1053089516. It was assigned to this organization in the NPPES registry on August 31, 2021.
Where is Tri County Family Health And Adult Health Np Services located?
Tri County Family Health And Adult Health Np Services is located at 204 County Road 39, Afton, NY 13730. The listed phone number is (607) 208-4284.
What is Tri County Family Health And Adult Health Np Services's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Tri County Family Health And Adult Health Np Services enrolled in Medicare?
Yes. Tri County Family Health And Adult Health Np Services is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Tri County Family Health And Adult Health Np Services?
According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Nurse Practitioner, reassign their Medicare billing to Tri County Family Health And Adult Health Np Services. 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. Of these, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Tri County Family Health And Adult Health Np Services hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 33D2237732) is associated with this NPI, valid through September 27, 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 Tri County Family Health And Adult Health Np Services was last updated on October 26, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# Tri County Family Health And Adult Health Np Services · NPI 1053089516
Family organization in Afton, New York. Organization record, active in the CMS NPPES registry since August 31, 2021.
## Identity
- **NPI:** 1053089516 (Entity type: Organization)
- **Enumerated:** August 31, 2021
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **Organization subpart:** No
- **Authorized official:** Joseph Brennan, NP
## Practice location
- **Address:** 204 COUNTY ROAD 39, Afton, NY 13730-2252
- **Phone:** (607) 208-4284 · **Fax:** (607) 900-3336
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 2 clinicians (Nurse Practitioner) reassign Medicare billing to this organization (form CMS-855R); 2 practice at this address · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 26, 2021
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1053089516) · Data from the CMS NPPES public registry.