OLD TYME FAMILY MEDICINE, LLC
NPI 1114642907
Nurse Practitioner - Family in London, OH
About Old Tyme Family Medicine, Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
OLD TYME FAMILY MEDICINE, LLC (NPI 1114642907) is a healthcare organization registered as a family in London, Ohio and active in the NPI registry since October 2022. The organization lists Morgan Steiskal, Nurse Practitioner, 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)
Old Tyme Family Medicine, 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 Old Tyme Family Medicine, 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 Old Tyme Family Medicine, LLC's NPI number?
The NPI number for Old Tyme Family Medicine, LLC is 1114642907. It was assigned to this organization in the NPPES registry on October 5, 2022.
Where is Old Tyme Family Medicine, LLC located?
Old Tyme Family Medicine, LLC is located at 57 W High St, London, OH 43140. The listed phone number is (740) 490-7100.
What is Old Tyme Family Medicine, LLC's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Old Tyme Family Medicine, LLC enrolled in Medicare?
Yes. Old Tyme Family Medicine, LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Old Tyme Family Medicine, LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Old Tyme Family Medicine, 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 Old Tyme Family Medicine, LLC was last updated on February 28, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Old Tyme Family Medicine, Llc · NPI 1114642907
Family organization in London, Ohio. Organization record, active in the CMS NPPES registry since October 5, 2022.
## Identity
- **NPI:** 1114642907 (Entity type: Organization)
- **Enumerated:** October 5, 2022
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **Organization subpart:** No
- **Authorized official:** Morgan Steiskal, NURSE PRACTITIONER
## Practice location
- **Address:** 57 W HIGH ST, London, OH 43140-1050
- **Phone:** (740) 490-7100 · **Fax:** (740) 490-7055
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Nurse Practitioner) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** February 28, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1114642907) · Data from the CMS NPPES public registry.