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WESTERN TRAILS FAMILY MEDICINE, LLC
NPI 1205223740
Family Medicine in Mitchell, NE

Active since April 22, 2015CLIA 28D2103796 · Waiver
1463 17TH AVE, MITCHELL, NE 69357(308) 623-1313(308) 623-1313 Get Directions Write a Review

NPPES record last updated: April 22, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Western Trails Family Medicine, Llc NPPES

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

WESTERN TRAILS FAMILY MEDICINE, LLC (NPI 1205223740) is a healthcare organization registered as a family medicine in Mitchell, Nebraska and active in the NPI registry since April 2015. The organization holds a CLIA Waiver certificate valid through October 19, 2027 and lists John Wesly Bowlin, President, as its authorized official.

NPPES Registry Identity

NPI1205223740
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameWESTERN TRAILS FAMILY MEDICINE, LLC
Location Address1463 17TH AVEMitchell, NE 69357-1429
Mailing Address1463 17th AveMitchell, NE 69357-1429 · (308) 623-1313 · Fax (308) 623-1315
Phone(308) 623-1313
Fax(308) 623-1313
Organization SubpartNo
Authorized OfficialJohn Wesly BowlinPresident · (308) 623-1313
Enumeration DateApril 22, 2015
✔ NPI 1205223740 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
1463 17TH AVE, Mitchell, NE 69357
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter from Sunflower Health Plan, Ambetter Health and more.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 28D2103796

Western Trails Family Medicine, LLC · Mitchell, NE
Active · expires Oct 19, 2027
CLIA Number28D2103796
Laboratory TypePhysician Office
Certificate Effective DateOctober 20, 2025
Certificate Expiration DateOctober 19, 2027
Laboratory DirectorMr. John W. Bowlin
Laboratory Phone(308) 623-1313
Laboratory LocationWestern Trails Family Medicine, LLC1463 17th Ave, Mitchell, NE 69357
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

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

JOHN WESLY BOWLIN DPT
Physical Therapist
1463 17TH AVE
MITCHELL, NE 69357
Scotts Bluff County (308) 623-1313

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 Western Trails Family Medicine, LLC's NPI number?

The NPI number for Western Trails Family Medicine, LLC is 1205223740. It was assigned to this organization in the NPPES registry on April 22, 2015.

Where is Western Trails Family Medicine, LLC located?

Western Trails Family Medicine, LLC is located at 1463 17th Ave, Mitchell, NE 69357. The listed phone number is (308) 623-1313.

What is Western Trails Family Medicine, LLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Does Western Trails Family Medicine, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 28D2103796) is associated with this NPI, valid through October 19, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Western Trails Family Medicine, LLC accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health, Ambetter from Sunflower Health Plan and Blue Cross and Blue Shield of Nebraska and 1 other insurer list Western Trails Family 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 Western Trails Family Medicine, LLC was last updated on April 22, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.