DOLPHIN HILLS FAMILY HEALTHCARE
NPI 1114596095
Nurse Practitioner - Family in Elizabethtown, KY
About Dolphin Hills Family Healthcare NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DOLPHIN HILLS FAMILY HEALTHCARE (NPI 1114596095) is a healthcare organization registered as a family in Elizabethtown, Kentucky and active in the NPI registry since June 2021. The organization holds a CLIA Waiver certificate valid through July 2, 2027, maintains a secondary practice location in Elizabethtown, and lists Melissa Anne Baumgardner, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 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)
Dolphin Hills Family Healthcare is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
3Medicare enrollment records show 3 clinicians reassign Medicare billing to Dolphin Hills Family Healthcare, which bills Medicare for the services they deliver. Of these, 3 practice within 10 miles. They are listed nearest first.
Clinicians, nearest first (3)
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 18D2228950
Dolphin Hills Family Healthcare · Elizabethtown, 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 Dolphin Hills Family Healthcare's NPI number?
The NPI number for Dolphin Hills Family Healthcare is 1114596095. It was assigned to this organization in the NPPES registry on June 23, 2021.
Where is Dolphin Hills Family Healthcare located?
Dolphin Hills Family Healthcare is located at 410 N Mulberry St, Elizabethtown, KY 42701. The listed phone number is (270) 268-5036.
What is Dolphin Hills Family Healthcare's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Dolphin Hills Family Healthcare enrolled in Medicare?
Yes. Dolphin Hills Family Healthcare is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Dolphin Hills Family Healthcare?
According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians, all in Nurse Practitioner, reassign their Medicare billing to Dolphin Hills Family Healthcare. 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. Of these, 3 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Dolphin Hills Family Healthcare hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 18D2228950) is associated with this NPI, valid through July 2, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Dolphin Hills Family Healthcare accept?
Health plans from Anthem Blue Cross and Blue Shield list Dolphin Hills Family Healthcare 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 Dolphin Hills Family Healthcare was last updated on October 27, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.
# Dolphin Hills Family Healthcare · NPI 1114596095
Family organization in Elizabethtown, Kentucky. Organization record, active in the CMS NPPES registry since June 23, 2021.
## Identity
- **NPI:** 1114596095 (Entity type: Organization)
- **Enumerated:** June 23, 2021
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **Organization subpart:** No
- **Authorized official:** Melissa Baumgardner, OWNER
## Practice location
- **Address:** 410 N MULBERRY ST, Elizabethtown, KY 42701-1848
- **Phone:** (270) 268-5036
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 3 clinicians (Nurse Practitioner) reassign Medicare billing to this organization (form CMS-855R); 3 practice within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 27, 2025
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1114596095) · Data from the CMS NPPES public registry.