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WALKING TREE FAMILY PRACTICE, INC
NPI 1194502021
Clinic/Center - Primary Care in Lake Mary, FL

Active since September 13, 2023CLIA 10D2292523 · Waiver
3098 W LAKE MARY BLVD, LAKE MARY, FL 32746(407) 807-7248(407) 807-7209 Get Directions Write a Review

NPPES record last updated: May 7, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Walking Tree Family Practice, Inc NPPES

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

WALKING TREE FAMILY PRACTICE, INC (NPI 1194502021) is a healthcare organization registered as a primary care in Lake Mary, Florida and active in the NPI registry since September 2023. The organization holds a CLIA Waiver certificate valid through October 25, 2027 and lists Bessie Joyce Fairbairn, Dr. Fairbairn/owner, as its authorized official.

NPPES Registry Identity

NPI1194502021
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameWALKING TREE FAMILY PRACTICE, INC
Location Address3098 W LAKE MARY BLVDLake Mary, FL 32746-6742
Mailing Address3098 W Lake Mary BlvdLake Mary, FL 32746-6742 · (407) 807-7248 · Fax (407) 807-7209
Phone(407) 807-7248
Fax(407) 807-7209
Organization SubpartNo
Authorized OfficialBessie Joyce FairbairnDr. Fairbairn/owner · (406) 855-9722
Enumeration DateSeptember 13, 2023
Last NPPES UpdateMay 7, 2026
NPPES CertifiedMay 7, 2026
✔ NPI 1194502021 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
3098 W LAKE MARY BLVD, Lake Mary, FL 32746
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Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Walking Tree Family Practice, Inc 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 Walking Tree Family Practice, Inc, which bills Medicare for the services this clinician delivers.

Clinician (1)

Bessie Fairbairn, DNP, APRN, FNP-BC
Nurse Practitioner
NPI 1568911667
3098 W LAKE MARY BLVD
Lake Mary, FL 32746
(407) 807-7248
✔ PECOS✔ Accepts MedicareSame address

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 10D2292523

Walking Tree Family Practice · Lake Mary, FL
Active · expires Oct 25, 2027
CLIA Number10D2292523
Laboratory TypePhysician Office
Certificate Effective DateOctober 26, 2025
Certificate Expiration DateOctober 25, 2027
Laboratory DirectorBessie J. Fairbarin
Laboratory Phone(407) 807-7248
Laboratory LocationWalking Tree Family Practice3098 W Lake Mary Boulevard, Lake Mary, FL 32746
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 Walking Tree Family Practice, Inc's NPI number?

The NPI number for Walking Tree Family Practice, Inc is 1194502021. It was assigned to this organization in the NPPES registry on September 13, 2023.

Where is Walking Tree Family Practice, Inc located?

Walking Tree Family Practice, Inc is located at 3098 W Lake Mary Blvd, Lake Mary, FL 32746. The listed phone number is (407) 807-7248.

What is Walking Tree Family Practice, Inc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

Is Walking Tree Family Practice, Inc enrolled in Medicare?

Yes. Walking Tree Family Practice, Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Walking Tree Family Practice, Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Walking Tree Family Practice, Inc. 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.

Does Walking Tree Family Practice, Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D2292523) is associated with this NPI, valid through October 25, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Walking Tree Family Practice, Inc was last updated on May 7, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.