ELMORE COMMUNITY HOSPITAL
NPI 1205034428
Emergency Medical Technician, Basic in Wetumpka, AL
About Elmore Community Hospital NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ELMORE COMMUNITY HOSPITAL (NPI 1205034428) is a healthcare organization registered as an emergency medical technician, basic in Wetumpka, Alabama and active in the NPI registry since July 2007. The organization holds an CLIA Accreditation certificate valid through September 3, 2027 and lists Michael D Bruce, Ceo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Other Identifiers 2
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Elmore Community Hospital is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by December 31, 2026
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
181Medicare enrollment records show 181 clinicians reassign Medicare billing to Elmore Community Hospital, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 8 within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 16
Nearest to this location (20)
See all 181Source: 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 Accreditation 01D0680545
Elmore Community Hospital Laboratory · Wetumpka, ALFrequently 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 Ivycreek Of Elmore LLC's NPI number?
The NPI number for Ivycreek Of Elmore LLC is 1205034428. It was assigned to this organization in the NPPES registry on July 10, 2007. The provider is doing business as Elmore Community Hospital.
Where is Ivycreek Of Elmore LLC located?
Ivycreek Of Elmore LLC is located at 500 Hospital Dr, Wetumpka, AL 36092. The listed phone number is (334) 567-4311.
What is Ivycreek Of Elmore LLC's specialty?
The primary specialty registered for this NPI is Emergency Medical Technician, Basic with taxonomy code 146N00000X.
Is Ivycreek Of Elmore LLC enrolled in Medicare?
Yes. Ivycreek Of Elmore LLC is registered in the Medicare PECOS enrollment system.
When is Ivycreek Of Elmore LLC's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Alabama, Clinic/Group Practice) is due for revalidation by December 31, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Ivycreek Of Elmore LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 181 clinicians in 16 Medicare specialties reassign their Medicare billing to Ivycreek Of Elmore 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. The largest specialties are Diagnostic Radiology (106), Family Practice (22) and Nurse Practitioner (17). Of these, 1 practice at this address and 8 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Ivycreek Of Elmore LLC hold a CLIA laboratory certificate?
Yes. A Certificate of Accreditation (number 01D0680545) is associated with this NPI, valid through September 3, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Ivycreek Of Elmore LLC accept?
Health plans from Ambetter Health, Ambetter of Alabama and Ambetter of Tennessee list Ivycreek Of Elmore 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 Ivycreek Of Elmore LLC was last updated on April 5, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Elmore Community Hospital · NPI 1205034428
Emergency Medical Technician, Basic organization in Wetumpka, Alabama. Organization record, active in the CMS NPPES registry since July 10, 2007.
## Identity
- **NPI:** 1205034428 (Entity type: Organization)
- **Enumerated:** July 10, 2007
- **Primary specialty:** Emergency Medical Technician, Basic · taxonomy 146N00000X
- **Legal business name:** Ivycreek Of Elmore Llc
- **Organization subpart:** Yes (part of Ivycreek Of Elmore Llc)
- **Authorized official:** Michael Bruce, CEO
## Practice location
- **Address:** 500 HOSPITAL DR, Wetumpka, AL 36092-1625
- **Phone:** (334) 567-4311 · **Fax:** (334) 567-4312
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** December 31, 2026 (Non-DME Part B, Alabama, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 181 clinicians in 16 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Diagnostic Radiology (106), Family Practice (22), Nurse Practitioner (17); 1 practice at this address and 8 within 10 miles; [full list](https://npiprofile.com/npi/1205034428/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** April 5, 2022
- **Other identifiers:** Medicaid 529905190 (AL); Other 01D680545 (AL)
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1205034428) · Data from the CMS NPPES public registry.