FAMILY HEALTHCARE FUNCTIONAL MEDICINE LLC
NPI 1194605865
Nurse Practitioner - Family in Zanesville, OH
About Family Healthcare Functional Medicine Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
FAMILY HEALTHCARE FUNCTIONAL MEDICINE LLC (NPI 1194605865) is a healthcare organization registered as a family in Zanesville, Ohio and active in the NPI registry since September 2025. The organization holds a CLIA Waiver certificate valid through September 12, 2028 and lists Judean Leroy, Practice Owner/np, 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)
Family Healthcare Functional 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 Family Healthcare Functional 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.
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 36D2154454
Family Healthcare Functional Medicine · Zanesville, OHFrequently 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 Family Healthcare Functional Medicine LLC's NPI number?
The NPI number for Family Healthcare Functional Medicine LLC is 1194605865. It was assigned to this organization in the NPPES registry on September 4, 2025.
Where is Family Healthcare Functional Medicine LLC located?
Family Healthcare Functional Medicine LLC is located at 921 Linden Ave, Zanesville, OH 43701. The listed phone number is (740) 868-8428.
What is Family Healthcare Functional Medicine LLC's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Family Healthcare Functional Medicine LLC enrolled in Medicare?
Yes. Family Healthcare Functional Medicine LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Family Healthcare Functional Medicine LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Family Healthcare Functional 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.
Does Family Healthcare Functional Medicine LLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 36D2154454) is associated with this NPI, valid through September 12, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Family Healthcare Functional Medicine LLC accept?
Health plans from CareSource list Family Healthcare Functional Medicine 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 Family Healthcare Functional Medicine LLC was last updated on October 3, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.
# Family Healthcare Functional Medicine Llc · NPI 1194605865
Family organization in Zanesville, Ohio. Organization record, active in the CMS NPPES registry since September 4, 2025.
## Identity
- **NPI:** 1194605865 (Entity type: Organization)
- **Enumerated:** September 4, 2025
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **Organization subpart:** No
- **Authorized official:** Judean Leroy, PRACTICE OWNER/NP
## Practice location
- **Address:** 921 LINDEN AVE, Zanesville, OH 43701-3049
- **Phone:** (740) 868-8428 · **Fax:** (740) 868-8390
## 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:** October 3, 2025
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1194605865) · Data from the CMS NPPES public registry.