NAVARRO COUNTY AMBULATORY CARE ASSOCIATION
NPI 1124782875
Clinic/Center - Federally Qualified Health Center (FQHC) in Corsicana, TX

Active since October 28, 2021CLIA 45D2285602 · Waiver
618 N MAIN ST, CORSICANA, TX 75110(903) 874-6731 Get Directions Write a Review

NPPES record last updated: February 12, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Feb 12, 2025, Dec 28, 2022 (2 updates tracked since 2022).

About Navarro County Ambulatory Care Association NPPES

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

NAVARRO COUNTY AMBULATORY CARE ASSOCIATION (NPI 1124782875), doing business as Dr Kent E. Rogers Clinic, is a healthcare organization registered as a federally qualified health center (fqhc) in Corsicana, Texas and active in the NPI registry since October 2021. The organization holds a CLIA Waiver certificate valid through July 13, 2027 and lists Marty R. Summerall, Ceo, as its authorized official.

NPPES Registry Identity

NPI1124782875
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameNAVARRO COUNTY AMBULATORY CARE ASSOCIATION
Location Address618 N MAIN STCorsicana, TX 75110-3028
Mailing Address618 N Main StCorsicana, TX 75110-3028 · (903) 851-7031 · Fax (903) 872-7215
Organization SubpartNo
Authorized OfficialMarty R. SummerallCeo · (903) 851-0727
Enumeration DateOctober 28, 2021
Last NPPES UpdateFebruary 12, 20252 updates tracked since enumeration
NPPES CertifiedFebruary 12, 2025
✔ NPI 1124782875 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
Taxonomy Code261QF0400X
618 N MAIN ST, Corsicana, TX 75110

Other Names 2

Doing Business AsDr Kent E. Rogers Clinic
Former Legal Business NameNavarro County Ambulatory Care Association

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)

Navarro County Ambulatory Care Association is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to Navarro County Ambulatory Care Association, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.

Clinicians, nearest first (3)

Nurse Practitioner
NPI 1982904876
618 N MAIN ST
Corsicana, TX 75110
(903) 872-2151
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1740304427
618 N MAIN ST
Corsicana, TX 75110
(903) 872-2151
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1285274530
3769 SE MILWAUKIE AVE
Portland, OR 97202
(305) 497-0272
✔ PECOS1,677 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 Waiver 45D2285602

Navarro County Ambulatory Care Association · Corsicana, TX
Active · expires Jul 13, 2027
CLIA Number45D2285602
Laboratory TypeCommunity Clinic
Certificate Effective DateJuly 14, 2025
Certificate Expiration DateJuly 13, 2027
Laboratory DirectorJanquilyn Merida
Laboratory Phone(903) 874-6731
Laboratory LocationNavarro County Ambulatory Care Association618 North Main Street, Corsicana, TX 75110
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Navarro County Ambulatory Care Association's NPI number?

The NPI number for Navarro County Ambulatory Care Association is 1124782875. It was assigned to this organization in the NPPES registry on October 28, 2021. The provider is doing business as Dr Kent E. Rogers Clinic.

Where is Navarro County Ambulatory Care Association located?

Navarro County Ambulatory Care Association is located at 618 N Main St, Corsicana, TX 75110. The listed phone number is (903) 874-6731.

What is Navarro County Ambulatory Care Association's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Federally Qualified Health Center (FQHC), with taxonomy code 261QF0400X.

Is Navarro County Ambulatory Care Association enrolled in Medicare?

Yes. Navarro County Ambulatory Care Association is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Navarro County Ambulatory Care Association?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians, all in Nurse Practitioner, reassign their Medicare billing to Navarro County Ambulatory Care Association. 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, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Navarro County Ambulatory Care Association hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 45D2285602) is associated with this NPI, valid through July 13, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Navarro County Ambulatory Care Association accept?

Health plans from Blue Cross and Blue Shield of Texas list Navarro County Ambulatory Care Association 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 Navarro County Ambulatory Care Association was last updated on February 12, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 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.