PRINCETON FAMILY MEDICINE, PLLC
NPI 1154435881
Family Medicine in Princeton, WV
About Princeton Family Medicine, Pllc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PRINCETON FAMILY MEDICINE, PLLC (NPI 1154435881) is a healthcare organization registered as a family medicine in Princeton, West Virginia and active in the NPI registry since August 2006. The organization holds a CLIA Waiver certificate valid through October 24, 2028 and lists Ryan T. Runyon, Physician, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
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)
Princeton Family Medicine, Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
2Medicare enrollment records show 2 clinicians reassign Medicare billing to Princeton Family Medicine, PLLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 2 within 10 miles. They are listed nearest first.
Clinicians, nearest first (2)
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 51D1060514
Princeton Family Medicine PLLC · Princeton, WVFrequently 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 Princeton Family Medicine, PLLC's NPI number?
The NPI number for Princeton Family Medicine, PLLC is 1154435881. It was assigned to this organization in the NPPES registry on August 19, 2006.
Where is Princeton Family Medicine, PLLC located?
Princeton Family Medicine, PLLC is located at 904 Harrison St, Princeton, WV 24740. The listed phone number is (304) 431-7100.
What is Princeton Family Medicine, PLLC's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Princeton Family Medicine, PLLC enrolled in Medicare?
Yes. Princeton Family Medicine, PLLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Princeton Family Medicine, PLLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Princeton Family Medicine, PLLC, in Family Practice and Nurse Practitioner. 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, 1 practice at this address and 2 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Princeton Family Medicine, PLLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 51D1060514) is associated with this NPI, valid through October 24, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Princeton Family Medicine, PLLC accept?
Health plans from Highmark Blue Cross Blue Shield West Virginia list Princeton Family Medicine, PLLC 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 Princeton Family Medicine, PLLC was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.
# Princeton Family Medicine, Pllc · NPI 1154435881
Family Medicine organization in Princeton, West Virginia. Organization record, active in the CMS NPPES registry since August 19, 2006.
## Identity
- **NPI:** 1154435881 (Entity type: Organization)
- **Enumerated:** August 19, 2006
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Organization subpart:** No
- **Authorized official:** Ryan Runyon, PHYSICIAN, OWNER
## Practice location
- **Address:** 904 HARRISON ST, Princeton, WV 24740-3011
- **Phone:** (304) 431-7100 · **Fax:** (304) 431-7112
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 2 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Family Practice (1), Nurse Practitioner (1); 1 practice at this address and 2 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** August 22, 2020
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1154435881) · Data from the CMS NPPES public registry.