VILLAGE MEDICAL
NPI 1063120194
Clinic/Center - Rural Health in Lebanon, KY
About Village Medical NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
VILLAGE MEDICAL (NPI 1063120194) is a healthcare organization registered as a rural health in Lebanon, Kentucky and active in the NPI registry since November 2022. The organization holds a CLIA Waiver certificate valid through March 22, 2028 and lists Rebecca Rager, Director Revenue Cycle, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 3
Other Names 1
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Village Medical is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
70Medicare enrollment records show 70 clinicians reassign Medicare billing to Village Medical, which bills Medicare for the services they deliver. Of these, 3 practice at this address and 9 within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 6
Nearest to this location (20)
See all 70Source: 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 18D0320437
Vmd Primary Providers Of Central Kentucky · Lebanon, KYFrequently 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 Vmd Primary Providers Central Kentucky's NPI number?
The NPI number for Vmd Primary Providers Central Kentucky is 1063120194. It was assigned to this organization in the NPPES registry on November 8, 2022. The provider is doing business as Village Medical.
Where is Vmd Primary Providers Central Kentucky located?
Vmd Primary Providers Central Kentucky is located at 325 W Walnut St Ste 600, Lebanon, KY 40033. The listed phone number is (270) 699-9500.
What is Vmd Primary Providers Central Kentucky's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Rural Health, with taxonomy code 261QR1300X.
Is Vmd Primary Providers Central Kentucky enrolled in Medicare?
Yes. Vmd Primary Providers Central Kentucky is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Vmd Primary Providers Central Kentucky?
According to the CMS Revalidation Reassignment List (October 2026 release), 70 clinicians in 6 Medicare specialties reassign their Medicare billing to Vmd Primary Providers Central Kentucky. 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 (37), Diagnostic Radiology (17) and Family Practice (9). Of these, 3 practice at this address and 9 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Vmd Primary Providers Central Kentucky hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 18D0320437) is associated with this NPI, valid through March 22, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Vmd Primary Providers Central Kentucky accept?
Health plans from Anthem Blue Cross and Blue Shield list Vmd Primary Providers Central Kentucky 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 Vmd Primary Providers Central Kentucky was last updated on January 14, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months 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.
# Village Medical · NPI 1063120194
Rural Health organization in Lebanon, Kentucky. Organization record, active in the CMS NPPES registry since November 8, 2022.
## Identity
- **NPI:** 1063120194 (Entity type: Organization)
- **Enumerated:** November 8, 2022
- **Primary specialty:** Clinic/Center - Rural Health · taxonomy 261QR1300X
- **Legal business name:** Vmd Primary Providers Central Kentucky
- **Organization subpart:** No
- **Authorized official:** Rebecca Rager, DIRECTOR REVENUE CYCLE
## Practice location
- **Address:** 325 W WALNUT ST STE 600, Lebanon, KY 40033-1378
- **Phone:** (270) 699-9500 · **Fax:** (270) 699-9550
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 70 clinicians in 6 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (37), Diagnostic Radiology (17), Family Practice (9); 3 practice at this address and 9 within 10 miles; [full list](https://npiprofile.com/npi/1063120194/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** January 14, 2025
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1063120194) · Data from the CMS NPPES public registry.