OAK ORCHARD COMMUNITY HEALTH CENTER, INC.
NPI 1083357719
Clinic/Center - Federally Qualified Health Center (FQHC) in Medina, NY
About Oak Orchard Community Health Center, Inc. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
OAK ORCHARD COMMUNITY HEALTH CENTER, INC. (NPI 1083357719), doing business as Oak Orchard Health Medina, is a healthcare organization registered as a federally qualified health center (fqhc) in Medina, New York and active in the NPI registry since April 2022. The organization holds a CLIA Waiver certificate valid through March 26, 2027 and lists Joni Bauersmith, Accountant, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 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)
Oak Orchard Community Health Center, Inc. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
57Medicare enrollment records show 57 clinicians reassign Medicare billing to Oak Orchard Community Health Center, Inc., which bills Medicare for the services they deliver. Of these, 3 practice within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 12
Nearest to this location (20)
See all 57Brockport, NY 14420
Brockport, NY 14420
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 33D0171633
Oak Orchard Community Health Center Inc · Brockport, 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 Oak Orchard Community Health Center, Inc.'s NPI number?
The NPI number for Oak Orchard Community Health Center, Inc. is 1083357719. It was assigned to this organization in the NPPES registry on April 20, 2022. The provider is doing business as Oak Orchard Health Medina.
Where is Oak Orchard Community Health Center, Inc. located?
Oak Orchard Community Health Center, Inc. is located at 911 W Center St, Medina, NY 14103. The listed phone number is (585) 765-2060.
What is Oak Orchard Community Health Center, Inc.'s specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Federally Qualified Health Center (FQHC), with taxonomy code 261QF0400X.
Is Oak Orchard Community Health Center, Inc. enrolled in Medicare?
Yes. Oak Orchard Community Health Center, Inc. is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Oak Orchard Community Health Center, Inc.?
According to the CMS Revalidation Reassignment List (October 2026 release), 57 clinicians in 12 Medicare specialties reassign their Medicare billing to Oak Orchard Community Health Center, Inc.. 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 (16), Pediatric Medicine (10) and Family Practice (9). Of these, 3 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Oak Orchard Community Health Center, Inc. hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 33D0171633) is associated with this NPI, valid through March 26, 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 Oak Orchard Community Health Center, Inc. was last updated on April 20, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Oak Orchard Community Health Center, Inc. · NPI 1083357719
Federally Qualified Health Center (FQHC) organization in Medina, New York. Organization record, active in the CMS NPPES registry since April 20, 2022.
## Identity
- **NPI:** 1083357719 (Entity type: Organization)
- **Enumerated:** April 20, 2022
- **Primary specialty:** Clinic/Center - Federally Qualified Health Center (FQHC) · taxonomy 261QF0400X
- **Also known as:** Oak Orchard Health Medina (Doing Business As)
- **Organization subpart:** No
- **Authorized official:** Joni Bauersmith, ACCOUNTANT
## Practice location
- **Address:** 911 W CENTER ST, Medina, NY 14103-1039
- **Phone:** (585) 765-2060 · **Fax:** (585) 765-2067
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 57 clinicians in 12 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (16), Pediatric Medicine (10), Family Practice (9); 3 practice within 10 miles; [full list](https://npiprofile.com/npi/1083357719/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** April 20, 2022
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1083357719) · Data from the CMS NPPES public registry.