CODDINGTON MEDICAL FAMILY PRACTICE LLC
NPI 1205264231
Clinic/Center - Primary Care in Lincoln, NE
About Coddington Medical Family Practice Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CODDINGTON MEDICAL FAMILY PRACTICE LLC (NPI 1205264231) is a healthcare organization registered as a primary care in Lincoln, Nebraska and active in the NPI registry since October 2013. The organization holds a CLIA Waiver certificate valid through October 27, 2027 and lists Timothy J Sullivan, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
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)
Coddington Medical Family Practice 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 Coddington Medical Family Practice LLC, which bills Medicare for the services this clinician delivers.
Clinician (1)
Lincoln, NE 68522
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 28D2068060
Coddington Medical Family Practice · Lincoln, 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 Coddington Medical Family Practice LLC's NPI number?
The NPI number for Coddington Medical Family Practice LLC is 1205264231. It was assigned to this organization in the NPPES registry on October 30, 2013.
Where is Coddington Medical Family Practice LLC located?
Coddington Medical Family Practice LLC is located at 1336 West A Street, Suite A, Lincoln, NE 68522. The listed phone number is (402) 742-2502.
What is Coddington Medical Family Practice LLC's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.
Is Coddington Medical Family Practice LLC enrolled in Medicare?
Yes. Coddington Medical Family Practice LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Coddington Medical Family Practice LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Family Practice) reassigns their Medicare billing to Coddington Medical Family Practice 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 Coddington Medical Family Practice LLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 28D2068060) is associated with this NPI, valid through October 27, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Coddington Medical Family Practice 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 Coddington Medical Family Practice 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 Coddington Medical Family Practice LLC was last updated on October 7, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Coddington Medical Family Practice Llc · NPI 1205264231
Primary Care organization in Lincoln, Nebraska. Organization record, active in the CMS NPPES registry since October 30, 2013.
## Identity
- **NPI:** 1205264231 (Entity type: Organization)
- **Enumerated:** October 30, 2013
- **Primary specialty:** Clinic/Center - Primary Care · taxonomy 261QP2300X
- **Organization subpart:** No
- **Authorized official:** Timothy Sullivan, PRESIDENT
## Practice location
- **Address:** 1336 WEST A STREET, SUITE A, Lincoln, NE 68522
- **Phone:** (402) 742-2502
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Family Practice) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 7, 2024
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1205264231) · Data from the CMS NPPES public registry.