RED KNIGHT CLINIC LLC
NPI 1104612183
Family Medicine in La Conner, WA
About Red Knight Clinic Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
RED KNIGHT CLINIC LLC (NPI 1104612183) is a healthcare organization registered as a family medicine in La Conner, Washington and active in the NPI registry since April 2025. The organization lists Wilbert Daniel James, Founder, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 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)
Red Knight Clinic Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Red Knight Clinic LLC, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Red Knight Clinic LLC's NPI number?
The NPI number for Red Knight Clinic LLC is 1104612183. It was assigned to this organization in the NPPES registry on April 16, 2025.
Where is Red Knight Clinic LLC located?
Red Knight Clinic LLC is located at 345 Moko Pl, La Conner, WA 98257. The listed phone number is (360) 466-8842.
What is Red Knight Clinic LLC's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Red Knight Clinic LLC enrolled in Medicare?
Yes. Red Knight Clinic LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Red Knight Clinic LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Family Practice) reassigns their Medicare billing to Red Knight Clinic 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Red Knight Clinic LLC was last updated on June 25, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.
# Red Knight Clinic Llc · NPI 1104612183
Family Medicine organization in La Conner, Washington. Organization record, active in the CMS NPPES registry since April 16, 2025.
## Identity
- **NPI:** 1104612183 (Entity type: Organization)
- **Enumerated:** April 16, 2025
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Organization subpart:** No
- **Authorized official:** Wilbert James, FOUNDER
## Practice location
- **Address:** 345 MOKO PL, La Conner, WA 98257-9535
- **Phone:** (360) 466-8842
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Family Practice) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** June 25, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1104612183) · Data from the CMS NPPES public registry.