STONECREEK FAMILY PHYSICIANS, LLP
NPI 1093828097
Family Medicine in Manhattan, KS

Active since August 16, 2006CLIA 17D0449905 · Accreditation
4101 ANDERSON AVE, MANHATTAN, KS 66503(785) 587-4101(785) 587-9090 Get Directions Write a Review

NPPES record last updated: September 29, 2021. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Sep 29, 2021, Aug 22, 2020 (2 updates tracked since 2020).

About Stonecreek Family Physicians, Llp NPPES

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

STONECREEK FAMILY PHYSICIANS, LLP (NPI 1093828097) is a healthcare organization registered as a family medicine in Manhattan, Kansas and active in the NPI registry since August 2006. The organization holds an CLIA Accreditation certificate valid through May 31, 2028 and lists Kevin K Wall, Partner, as its authorized official.

NPPES Registry Identity

NPI1093828097
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameSTONECREEK FAMILY PHYSICIANS, LLP
Location Address4101 ANDERSON AVEManhattan, KS 66503-7588
Mailing Address4101 Anderson AveManhattan, KS 66503-7588 · (785) 587-4101 · Fax (785) 587-9090
Fax(785) 587-9090
Organization SubpartNo
Authorized OfficialKevin K WallPartner · (785) 587-4101
Enumeration DateAugust 16, 2006
Last NPPES UpdateSeptember 29, 20212 updates tracked since enumeration
NPPES CertifiedSeptember 29, 2021
✔ NPI 1093828097 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
4101 ANDERSON AVE, Manhattan, KS 66503

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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)

Stonecreek Family Physicians, Llp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

18

Medicare enrollment records show 18 clinicians reassign Medicare billing to Stonecreek Family Physicians, LLP, which bills Medicare for the services they deliver. Of these, 16 practice at this address. They are listed nearest first.

Clinicians by Medicare Specialty 3

Family Practice16
Internal Medicine1
Nurse Practitioner1

Clinicians, nearest first (18)

Family Practice
NPI 1588619910
4101 ANDERSON AVE
Manhattan, KS 66503
(785) 587-4101
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1750675724
4101 ANDERSON AVE
Manhattan, KS 66503
(785) 587-4101
✔ PECOS✔ Accepts MedicareSame address
Internal Medicine
NPI 1124245915
4101 ANDERSON AVE
Manhattan, KS 66503
(785) 587-4101
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1881738052
4101 ANDERSON AVE
Manhattan, KS 66503
(785) 587-4101
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1427457597
4101 ANDERSON AVE
Manhattan, KS 66503
(785) 587-4101
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1689024382
4101 ANDERSON AVE
Manhattan, KS 66503
(785) 587-4101
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1891351136
4101 ANDERSON AVE
Manhattan, KS 66503
(605) 575-1644
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1720027527
4101 ANDERSON AVE
Manhattan, KS 66503
(785) 587-4101
✔ PECOSSame address
Family Practice
NPI 1285689380
4101 ANDERSON AVE
Manhattan, KS 66503
(785) 587-4101
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1427003409
4101 ANDERSON AVE
Manhattan, KS 66503
(785) 587-4101
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1467407569
4101 ANDERSON AVE
Manhattan, KS 66503
(785) 587-4101
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1720216708
4101 ANDERSON AVE
Manhattan, KS 66503
(785) 587-4101
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1285673087
4101 ANDERSON AVE
Manhattan, KS 66503
(785) 587-4101
✔ PECOSSame address
Family Practice
NPI 1174562227
4101 ANDERSON AVE
Manhattan, KS 66503
(785) 587-4101
✔ PECOSSame address
Family Practice
NPI 1992969661
4101 ANDERSON AVE
Manhattan, KS 66503
(785) 587-4101
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1407350564
4101 ANDERSON AVE
Manhattan, KS 66503
(785) 587-4101
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1467616896
1704 COMMERCIAL CIR
Wamego, KS 66547
(785) 456-2207
✔ PECOS✔ Accepts Medicare17 mi
Family Practice
NPI 1902855661
2600 OTTAWA RD STE101
Neodesha, KS 66757
(620) 345-2500
✔ PECOS✔ Accepts Medicare133 mi

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 17D0449905

Stonecreek Family Physicians LLP · Manhattan, KS
Active · expires May 31, 2028
CLIA Number17D0449905
Laboratory TypePhysician Office
Certificate Effective DateJune 1, 2026
Certificate Expiration DateMay 31, 2028
Laboratory DirectorKent Kiracofe
Laboratory Phone(785) 587-4101
Laboratory LocationStonecreek Family Physicians LLP4101 Anderson Avenue, Manhattan, KS 66503
CLIA data matches this NPI record on: Address Name Phone
This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

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 Stonecreek Family Physicians, LLP's NPI number?

The NPI number for Stonecreek Family Physicians, LLP is 1093828097. It was assigned to this organization in the NPPES registry on August 16, 2006.

Where is Stonecreek Family Physicians, LLP located?

Stonecreek Family Physicians, LLP is located at 4101 Anderson Ave, Manhattan, KS 66503. The listed phone number is (785) 587-4101.

What is Stonecreek Family Physicians, LLP's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Stonecreek Family Physicians, LLP enrolled in Medicare?

Yes. Stonecreek Family Physicians, LLP is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Stonecreek Family Physicians, LLP?

According to the CMS Revalidation Reassignment List (October 2026 release), 18 clinicians in 3 Medicare specialties reassign their Medicare billing to Stonecreek Family Physicians, LLP. 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 Family Practice (16), Internal Medicine (1) and Nurse Practitioner (1). Of these, 16 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Stonecreek Family Physicians, LLP hold a CLIA laboratory certificate?

Yes. A Certificate of Accreditation (number 17D0449905) is associated with this NPI, valid through May 31, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Stonecreek Family Physicians, LLP accept?

Health plans from Ambetter Health, Ambetter from Sunflower Health Plan, Ambetter of Oklahoma and Blue Cross and Blue Shield of Kansas, Inc. list Stonecreek Family Physicians, LLP 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 Stonecreek Family Physicians, LLP was last updated on September 29, 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.