BASALT FAMILY WELLNESS, LLC
NPI 1154198653
Clinic/Center in Ellensburg, WA

Active since December 06, 2023CLIA 50D2304501 · Waiver
1005 S CANYON RD, ELLENSBURG, WA 98926(509) 426-3750(509) 426-3760 Get Directions Write a Review

NPPES record last updated: September 11, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Sep 11, 2025, Apr 19, 2024, Dec 6, 2023 (3 updates tracked since 2023).

About Basalt Family Wellness, Llc NPPES

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

BASALT FAMILY WELLNESS, LLC (NPI 1154198653) is a healthcare organization registered as a clinic/center in Ellensburg, Washington and active in the NPI registry since December 2023. The organization holds a CLIA Waiver certificate valid through April 4, 2028 and lists Macy A Schorno, Owner, as its authorized official.

NPPES Registry Identity

NPI1154198653
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameBASALT FAMILY WELLNESS, LLC
Location Address1005 S CANYON RDEllensburg, WA 98926-4108
Mailing Address1005 S Canyon RdEllensburg, WA 98926-4108 · (509) 426-3750 · Fax (509) 426-3760
Fax(509) 426-3760
Organization SubpartNo
Authorized OfficialMacy A SchornoOwner · (509) 306-1898
Enumeration DateDecember 6, 2023
Last NPPES UpdateSeptember 11, 20253 updates tracked since enumeration
NPPES CertifiedSeptember 11, 2025
NPI 1154198653 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
Also ListedClinic/Center · Health ServiceTaxonomy 261QH0100X
Also ListedClinic/Center · Primary CareTaxonomy 261QP2300X
1005 S CANYON RD, Ellensburg, WA 98926

Accepted Insurance

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 50D2304501

Basalt Family Wellness, LLC · Ellensburg, WA
Active · expires Apr 4, 2028
CLIA Number50D2304501
Laboratory TypePhysician Office
Certificate Effective DateMay 14, 2024
Certificate Expiration DateApril 4, 2028
Laboratory DirectorMacy Schorn
Laboratory Phone(509) 426-3750
Laboratory LocationBasalt Family Wellness, LLC1005 S. Canyon Rd, Ellensburg, WA 98926
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Clinic/Center
1005 S CANYON RD
ELLENSBURG, WA 98926
Registered Nurse
1005 S CANYON RD
ELLENSBURG, WA 98926
Nurse Practitioner (Family)
1005 S CANYON RD
ELLENSBURG, WA 98926
Nurse Practitioner (Family)
1005 S CANYON RD
ELLENSBURG, WA 98926

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 Basalt Family Wellness, LLC's NPI number?

The NPI number for Basalt Family Wellness, LLC is 1154198653. It was assigned to this organization in the NPPES registry on December 6, 2023.

Where is Basalt Family Wellness, LLC located?

Basalt Family Wellness, LLC is located at 1005 S Canyon Rd, Ellensburg, WA 98926. The listed phone number is (509) 426-3750.

What is Basalt Family Wellness, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

Does Basalt Family Wellness, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 50D2304501) is associated with this NPI, valid through April 4, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Basalt Family Wellness, LLC accept?

Health plans from Premera Blue Cross Blue Shield of Alaska list Basalt Family Wellness, 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 Basalt Family Wellness, LLC was last updated on September 11, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.