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PULASKI MEMORIAL HOSPITAL FRANCESVILLE FAMILY MEDICINE
NPI 1245710086
Clinic/Center - Rural Health in Francesville, IN

Active since August 21, 2018CLIA Certified · 2 labs
112 E MONTGOMERY ST, FRANCESVILLE, IN 47946(219) 567-2223 Get Directions Write a Review

NPPES record last updated: December 10, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Dec 10, 2024, Mar 13, 2020, Aug 21, 2018 (3 updates tracked since 2018).

About Pulaski Memorial Hospital Francesville Family Medicine NPPES

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

PULASKI MEMORIAL HOSPITAL FRANCESVILLE FAMILY MEDICINE (NPI 1245710086) is a healthcare organization registered as a rural health in Francesville, Indiana and active in the NPI registry since August 2018. The organization holds 2 active CLIA laboratory certificates and lists Gregg Malott, Cfo, as its authorized official.

NPPES Registry Identity

NPI1245710086
Entity TypeOrganization
Primary Taxonomy261QR1300X
Legal Business NamePULASKI MEMORIAL HOSPITAL
Location Address112 E MONTGOMERY STFrancesville, IN 47946-8087
Mailing AddressPo Box 279Winamac, IN 46996-0279 · (574) 946-2100
Phone(219) 567-2223
Organization SubpartYes
Authorized OfficialGregg MalottCfo · (574) 946-2164
Enumeration DateAugust 21, 2018
Last NPPES UpdateDecember 10, 20243 updates tracked since enumeration
NPPES CertifiedDecember 10, 2024
✔ NPI 1245710086 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities
Taxonomy Code261QR1300X
Also ListedGeneral PracticeTaxonomy 208D00000X
112 E MONTGOMERY ST, Francesville, IN 47946
Open in Google Maps ↗

Other Names 1

Doing Business AsPulaski Memorial Hospital Francesville Family Medicine

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 Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.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)

Pulaski Memorial Hospital Francesville Family Medicine is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by February 28, 2027

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.

StateEnrollment IDDue date
StateIndianaEnrollment IDO20040402000963Non-DME Part B · Clinic/Group PracticeDue dateFebruary 28, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

63

Medicare enrollment records show 63 clinicians reassign Medicare billing to Pulaski Memorial Hospital Francesville Family Medicine, which bills Medicare for the services they deliver. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 15

Nurse Practitioner22
Diagnostic Radiology12
Family Practice8
Clinical Social Worker5
General Surgery4
Orthopedic Surgery2
Podiatry2
Emergency Medicine1
7 other specialties7

Nearest to this location (20)

See all 63
Timothy Gearhart, LCSW
Clinical Social Worker
NPI 1285871673
840 S 25 W
Winamac, IN 46996
(574) 242-0094
✔ PECOS✔ Accepts Medicare15 mi
Patricia Benedict, MSN,FNP
Nurse Practitioner
NPI 1134455363
716 S COLLEGE AVE
Rensselaer, IN 47978
(219) 866-0485
✔ PECOS✔ Accepts Medicare15 mi
Richard Voorhees, LCSW, LMFT
Clinical Social Worker
NPI 1407047186
118 N SALLY DR
Winamac, IN 46996
(574) 946-4233
✔ PECOS✔ Accepts Medicare16 mi
Kristopher Bosi, MD
Family Practice
NPI 1639810914
540 HOSPITAL DR
Winamac, IN 46996
(815) 641-2054
✔ PECOS16 mi
Taylor Gibson
Nurse Practitioner
NPI 1821635012
540 HOSPITAL DR
Winamac, IN 46996
(574) 946-2194
✔ PECOS✔ Accepts Medicare16 mi
Nathan Kreamer
Mental Health Counselor
NPI 1740103761
540 HOSPITAL DR
Winamac, IN 46996
(574) 946-2143
✔ PECOS16 mi
Daniel Baxter, D.O.
General Surgery
NPI 1184796039
540 HOSPITAL DR
Winamac, IN 46996
(574) 946-2194
✔ PECOS✔ Accepts Medicare16 mi
David Johnson, FNP-C
Nurse Practitioner
NPI 1174237705
540 HOSPITAL DR
Winamac, IN 46996
(574) 946-2194
✔ PECOS✔ Accepts Medicare16 mi
Michael Keller, MD
Family Practice
NPI 1407419914
540 HOSPITAL DR
Winamac, IN 46996
(574) 946-2194
✔ PECOS✔ Accepts Medicare16 mi
Whitney Scheffer, NP
Nurse Practitioner
NPI 1376023648
540 HOSPITAL DR
Winamac, IN 46996
(574) 946-2194
✔ PECOS✔ Accepts Medicare16 mi
Rex Allman, MD
Family Practice
NPI 1699773994
540 HOSPITAL DR
Winamac, IN 46996
(574) 946-2194
✔ PECOS16 mi
Daniel Anderson, M.D.
General Surgery
NPI 1790813442
540 HOSPITAL DR
Winamac, IN 46996
(574) 946-2194
✔ PECOS✔ Accepts Medicare16 mi
Rebecca Anderson, FNP
Nurse Practitioner
NPI 1730686114
540 HOSPITAL DR
Winamac, IN 46996
(574) 946-2194
✔ PECOS✔ Accepts Medicare16 mi
Curtis Bejes, M.D.
Family Practice
NPI 1730272857
540 HOSPITAL DR
Winamac, IN 46996
(574) 946-2194
✔ PECOS✔ Accepts Medicare16 mi
Jennifer Biesiadecki, DO
Family Practice
NPI 1902366412
540 HOSPITAL DR
Winamac, IN 46996
(574) 946-2194
✔ PECOS✔ Accepts Medicare16 mi
Catherine Dywan, LCSW
Clinical Social Worker
NPI 1770839797
540 HOSPITAL DR
Winamac, IN 46996
(574) 946-2194
✔ PECOS✔ Accepts Medicare16 mi
Christine Knapp, LCSW
Clinical Social Worker
NPI 1952637308
540 HOSPITAL DR
Winamac, IN 46996
(574) 946-2194
✔ PECOS✔ Accepts Medicare16 mi
Randy Lehman, MD
General Surgery
NPI 1912388414
540 HOSPITAL DR
Winamac, IN 46996
(574) 946-2194
✔ PECOS✔ Accepts Medicare16 mi
Morgan Faanes, DPM
Podiatry
NPI 1659860096
616 E 13TH ST
Winamac, IN 46996
(574) 946-2135
✔ PECOS✔ Accepts Medicare16 mi
Sandra Ringer, MSW, LCSW
Clinical Social Worker
NPI 1023269040
104 E CULVER RD STE 102
Knox, IN 46534
(574) 772-7918
✔ PECOS✔ Accepts Medicare25 mi
See all 63 clinicians

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 2

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 15D1016288

Pulaski Memorial Hospital Dba Medical And Surgical Group · Winamac, IN
Active · expires Aug 24, 2027
CLIA Number15D1016288
Laboratory TypePhysician Office
Certificate Effective DateAugust 25, 2025
Certificate Expiration DateAugust 24, 2027
Laboratory DirectorClint A. Kauffman
Laboratory Phone(574) 946-2147
Laboratory LocationPulaski Memorial Hospital Dba Medical And Surgical Group540 Hospital Drive, Winamac, IN 46996
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Accreditation 15D0359044

Pulaski Memorial Hospital · Winamac, IN
Active · expires Jan 2, 2027
CLIA Number15D0359044
Laboratory TypeHospital
Certificate Effective DateJanuary 3, 2025
Certificate Expiration DateJanuary 2, 2027
Laboratory DirectorJames J. Dyer
Laboratory Phone(574) 946-2179
Laboratory LocationPulaski Memorial Hospital616 E 13th St, Winamac, IN 46996
CLIA data matches this NPI record on: Name
This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

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 Pulaski Memorial Hospital's NPI number?

The NPI number for Pulaski Memorial Hospital is 1245710086. It was assigned to this organization in the NPPES registry on August 21, 2018. The provider is doing business as Pulaski Memorial Hospital Francesville Family Medicine.

Where is Pulaski Memorial Hospital located?

Pulaski Memorial Hospital is located at 112 E Montgomery St, Francesville, IN 47946. The listed phone number is (219) 567-2223.

What is Pulaski Memorial Hospital's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rural Health, with taxonomy code 261QR1300X.

Is Pulaski Memorial Hospital enrolled in Medicare?

Yes. Pulaski Memorial Hospital is registered in the Medicare PECOS enrollment system.

When is Pulaski Memorial Hospital'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 (Indiana, Clinic/Group Practice) is due for revalidation by February 28, 2027. 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 Pulaski Memorial Hospital?

According to the CMS Revalidation Reassignment List (October 2026 release), 63 clinicians in 15 Medicare specialties reassign their Medicare billing to Pulaski Memorial Hospital. 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 Nurse Practitioner (22), Diagnostic Radiology (12) and Family Practice (8). Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Pulaski Memorial Hospital hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

What insurance does Pulaski Memorial Hospital accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource list Pulaski Memorial Hospital 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 Pulaski Memorial Hospital was last updated on December 10, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 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.