BLUEGRASS URGENT CARE LLC
NPI 1104106954
Clinic/Center - Urgent Care in Walton, KY
About Bluegrass Urgent Care Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BLUEGRASS URGENT CARE LLC (NPI 1104106954) is a healthcare organization registered as an urgent care in Walton, Kentucky and active in the NPI registry since August 2011. The organization holds a CLIA Waiver certificate valid through February 5, 2028 and lists Robert So, Medical Director, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 7
Other Identifiers 8
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)
Bluegrass Urgent Care Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
10Medicare enrollment records show 10 clinicians reassign Medicare billing to Bluegrass Urgent Care LLC, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 3 within 10 miles. They are listed nearest first.
Clinicians by Medicare Specialty 6
Clinicians, nearest first (10)
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 18D2036262
Bluegrass Urgent Care · Walton, 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 Bluegrass Urgent Care LLC's NPI number?
The NPI number for Bluegrass Urgent Care LLC is 1104106954. It was assigned to this organization in the NPPES registry on August 25, 2011.
Where is Bluegrass Urgent Care LLC located?
Bluegrass Urgent Care LLC is located at 625 Chestnut Dr Suite 106, Walton, KY 41094. The listed phone number is (859) 485-7900.
What is Bluegrass Urgent Care LLC's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Urgent Care, with taxonomy code 261QU0200X.
Is Bluegrass Urgent Care LLC enrolled in Medicare?
Yes. Bluegrass Urgent Care LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Bluegrass Urgent Care LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 10 clinicians in 6 Medicare specialties reassign their Medicare billing to Bluegrass Urgent Care LLC. 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 (4), General Practice (2) and Emergency Medicine (1). Of these, 2 practice at this address and 3 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Bluegrass Urgent Care LLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 18D2036262) is associated with this NPI, valid through February 5, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Bluegrass Urgent Care LLC accept?
Health plans from Anthem Blue Cross and Blue Shield and CareSource list Bluegrass Urgent Care 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 Bluegrass Urgent Care LLC was last updated on October 4, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Bluegrass Urgent Care Llc · NPI 1104106954
Urgent Care organization in Walton, Kentucky. Organization record, active in the CMS NPPES registry since August 25, 2011.
## Identity
- **NPI:** 1104106954 (Entity type: Organization)
- **Enumerated:** August 25, 2011
- **Primary specialty:** Clinic/Center - Urgent Care · taxonomy 261QU0200X
- **Organization subpart:** No
- **Authorized official:** Robert So, MEDICAL DIRECTOR
## Practice location
- **Address:** 625 CHESTNUT DR, SUITE 106, Walton, KY 41094-7845
- **Phone:** (859) 485-7900 · **Fax:** (859) 485-7920
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 10 clinicians in 6 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (4), General Practice (2), Emergency Medicine (1); 2 practice at this address and 3 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 4, 2024
- **Other identifiers:** Medicaid 7100356480 (KY); Medicaid 0111587 (OH); Medicaid 0144553 (OH); and 5 more
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1104106954) · Data from the CMS NPPES public registry.