WESTERN TRAILS FAMILY MEDICINE, LLC
NPI 1205223740
Family Medicine in Mitchell, NE
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
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)
Western Trails Family Medicine, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
3Medicare enrollment records show 3 clinicians reassign Medicare billing to Western Trails Family Medicine, LLC, which bills Medicare for the services they deliver. Of these, 1 practice within 10 miles. They are listed nearest first.
Clinicians, nearest first (3)
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 28D2103796
Western Trails Family Medicine, LLC · Mitchell, NEFrequently 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.
Is Western Trails Family Medicine, LLC enrolled in Medicare?
Yes. Western Trails Family Medicine, LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Western Trails Family Medicine, LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Western Trails Family Medicine, LLC, in Emergency Medicine, 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 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Sunflower Health Plan and Blue Cross and Blue Shield of Nebraska 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.
# Western Trails Family Medicine, Llc · NPI 1205223740
Family Medicine organization in Mitchell, Nebraska. Organization record, active in the CMS NPPES registry since April 22, 2015.
## Identity
- **NPI:** 1205223740 (Entity type: Organization)
- **Enumerated:** April 22, 2015
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Organization subpart:** No
- **Authorized official:** John Bowlin, PRESIDENT
## Practice location
- **Address:** 1463 17TH AVE, Mitchell, NE 69357-1429
- **Phone:** (308) 623-1313 · **Fax:** (308) 623-1313
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 3 clinicians in 3 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Emergency Medicine (1), Family Practice (1), Nurse Practitioner (1); 1 practice within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** April 22, 2015
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1205223740) · Data from the CMS NPPES public registry.